Insomnia, Sleep, Sleep Disorder, Sleep Disturbance, Sleep Hygiene, Sleep Initiation and Maintenance Disorders
Conditions
Brief summary
The purpose of this study is to investigate improvements in sleep by comparing two 6-week digital programs, either online or app-based, that deliver Cognitive Behavioral Therapy for Insomnia (CBT-I), the gold standard treatment for insomnia, with or without a bedside device to help track sleep.
Detailed description
Time needed from participant: 15 minutes per day to complete an app-based or online sleep diary and review information in an app-based or online CBT-I program. To qualify, you must: Be 18+ years old Have a diagnosis of insomnia or suspected insomnia Have access to the internet and an iphone, Android or other smart phone device Coordinator Contact: Cris Moreno (650) 721-7576 crismore@stanford.edu
Interventions
Daily lessons about sleep and skills that can help with sleep. Participants also record information about each night's sleep in their sleep log. Every seven nights, they also complete the Sleep Needs Questionnaire. At the beginning, middle, and end of the study, they complete the Insomnia Severity Inventory in the app. At the end of every week, a sleep schedule and weekly summary are calculated via automated formulas. The app also contains access to messaging a coach, for participants to ask questions about their daily lessons and application of the skills and to feel supported and accountable. The REST device in the Full Sleep program uses radar to passively track sleep patterns and nighttime awakenings. It also offers white noise options and audio guidance for relaxation techniques and stimulus control.
Path to Better Sleep is a self-management tool for insomnia. It is available as a web-based program at https://www.veterantraining.va.gov/apps/insomnia/index.html#dashboard. Path to Better Sleep is intended to be completed over six weeks, and includes weekly educational lessons about sleep which include videos, visual depictions, and interactive activities, in addition to sleep check-ins (e.g., knowledge checks, self reflections about sleep). It also includes sleep logging. Participants in this condition will be asked to share their sleep log weekly via email, as Stanford and Koko Labs do not receive access to the data.
Sponsors
Study design
Eligibility
Inclusion criteria
* insomnia diagnosis or measure-confirmed moderate to severity insomnia (Insomnia Severity Index = 15-28) * access to an iPhone with iOS 11+ or Samsung, Google, HTC, LG, OnePlus, or Motorola phone with Android 10+ * 18 years of age or older * available 15 mins per day to participate
Exclusion criteria
* Restless Legs Syndrome * narcolepsy * sleep apnea * sleep walking * bipolar disorder * seizures disorder * substance abuse * frailty/risk of falling * severe memory problems * shift work * change in antidepressant medication within past 2 months * serious mental/physical health problem * other ongoing psychological treatment w * sleeping with pets. Participants should be aware that should they receive a device, its sound and light alerts could be disruptive to partners or others (e.g., children) that sleep in the same room.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insomnia Severity Index | Completion of program (6-8 weeks) | A measure of insomnia symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sleep efficiency | Completion of program (6-8 weeks) | The proportion of time sleeping while in bed |
| Wakefulness after sleep onset | Completion of program (6-8 weeks) | \# minutes awake after falling asleep |
| Number of awakenings | Completion of program (6-8 weeks) | — |
| Sleep onset latency | Completion of program (6-8 weeks) | Minutes to fall asleep |
| Total sleep time | Completion of program (6-8 weeks) | — |
Countries
United States