Insomnia
Conditions
Brief summary
The investigators will conduct a randomized, controlled trial of internet-based cognitive behavioral therapy (iCBT) vs usual care for insomnia. The target population is patients prescribed medications for insomnia who have not had a dispensation of these medications in the preceding six months. The primary outcomes is dispensed days supply over the subsequent one year. Secondary outcomes include all types of health system clinical encounters. The investigators hypothesize that the group randomized into iCBT will have less insomnia medications dispensed than usual care controls, and less clinical encounters..
Interventions
BEHAVIORALInternet cognitive behavioral therapy for insomnia (iCBTI)
An internet-based program for providing individually tailored CBTI based on participant responses to questions and performance on weekly guided sleep strategies.
BEHAVIORALClass in sleeping well and improving insomnia
A group education session providing advice on healthy sleep habits and ways to improve common forms of insomnia.
Sponsors
Big Health Inc.
Kaiser Permanente
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* A prescription for any of a set of selected insomnia medications. * Age \>18 years at the time of the prescription. * A recent (\<30 days before the prescription date) diagnosis of insomnia as determined by a set of selected International Classification of Disease (ICD) codes, to be used for medications that are not prescribed just for insomnia. * Membership for \>365 days prior to the prescription date. * No evidence of a dispensed insomnia medication within six months (183 days) of the current prescription.
Exclusion criteria
* Contained in inclusion criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Days supply of dispensed insomnia medications | One year | Days supply of dispensed insomnia medications up to one year after randomization. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health care inpatient and outpatient encounters | One year | Number of physician or mid-level provider encounters (face-to-face, telephone, video): (1) outpatient, (2) acute care: emergency, inpatient, up to one year after randomization. |
Countries
United States
Outcome results
None listed