Internet-based Treatment for Insomnia

Conditions

Psychophysiologic Insomnia

Brief summary

The study will test an internet-based treatment for insomnia.

Detailed description

This study will develop and evaluate the feasibility of a cost-effective, more accessible alternative treatment approach for insomnia. Traditional CBT, including the behavioral, cognitive, and educational aspects, will be operationalized and transformed for an Internet intervention system, so individuals can access a personalized treatment any time, at their own convenience. Phase 1 of this study will involve developing the web program. The investigators research team and collaborators has extensive experience developing such web interventions, as well as considerable experience with insomnia. Phase 2 will be a large randomized controlled trial testing the Internet intervention compared to passive patient education/sleep hygiene. Two hundred individuals with insomnia will be assessed pre and post the six week treatment program. It is hypothesized that the Internet intervention will promote improvements in sleep, mood, and cognitive functioning. If successful, the current project may result in improved implementation of a low-threshold treatment for a common disorder with devastating impact on both individual and socioeconomic outcomes

Mats Lien, Einar Bredeli, Børge Sivertsen, Håvard Kallestad, Ståle Pallesen et al. (10 authors)

Chronobiology International2019-08-0112 citations

10.1080/07420528.2019.1647435

Long-Term Effects of an Unguided Online Cognitive Behavioral Therapy for Chronic Insomnia.

Vedaa Ø, Hagatun S, Kallestad H, Pallesen S, Smith ORF, Thorndike FP, Ritterband LM, Sivertsen B.

2019-01-1525 citations

10.5664/jcsm.7580

Internet-delivered cognitive-behavioral therapy for insomnia and comorbid symptoms.

Hagatun S, Vedaa Ø, Harvey AG, Nordgreen T, Smith ORF, Pallesen S, Havik OE, Thorndike FP, Ritterband LM, Sivertsen B.

2018-02-2121 citations

10.1016/j.invent.2018.02.003

Interventions

BEHAVIORALCBT for insomnia SHUTi

SHUTi

BEHAVIORALpassive patient education/sleep hygiene

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

1. age 18 years or older 2. fulfillment of the DMS-IV criteria for insomnia 3. duration of at least 3 months 4. complaints of impaired daytime functioning

Exclusion criteria

1. presence of a major depressive disorder or other severe mental disorder as identified by in the telephone interview 2. working night shifts and unable to discontinue this work pattern 3. having a serious somatic condition preventing further participation.

Design outcomes

Primary

Measure	Time frame	Description
Insomnia symptoms	Assessment points: pre- and post-treatment (6 weeks after baseline), and 6 and 18 month FU	Self-reported questionnaires (Berge Insomnia Scale and Insomnia Severity Index)): change from baseline to post-treatment and FU

Secondary

Measure	Time frame	Description
Daytime functioning (mental health problems and fatigue)	Assessment points: pre- and post-treatment (6 weeks after baseline), and 6 and 18 month FU	Self-reported questionnaires
Sleep diary data	Assessment points: pre- and post-treatment (6 weeks after baseline), and 6 and 18 month FU	Sleep duration, sleep onset latency and nocturnal wake time: change from baseline to post-treatment and FU

Countries

Norway

Outcome results

None listed