A Pilot Study of Cognitive Behavioral Therapy - Insomnia (CBT-I) Among Professional Firefighters

Pacific University

Status: Completed

Conditions: Shift-Work Related Sleep Disturbance; Insomnia

Treatments: Behavioral: Cognitive Behavioral Therapy for Insomnia for Firefighters (CBT-I-F); Device: Fitbit Inspire HR Wrist Worn Device (NCT04176926)

Study type: Interventional

Funder types: Other

Identifiers

NCT05087121

1684868-2

Details and patient eligibility

About

The primary aim of this study is to investigate the feasibility, acceptability, and preliminary efficacy of an adapted Cognitive Behavioral Therapy - Insomnia (CBT-I) intervention in improving sleep in a firefighter population.

Full description

After being informed about the study and potential risks, participants will be randomized to the intervention group (group to receive CBT-I) or the no-intervention control group. All participants in the study will complete three assessment visits; one prior to the start of the intervention, one immediately following the 6-week intervention, and one 3-months post-intervention. The intervention group will engage in 6-weeks of CBT-I training aimed at targeting sleep and sleep-related concerns faced as a result of occupational considerations.

Enrollment: 23 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• English-speaking
• full-time professional firefighter
• At least 18 years of age
• A global Pittsburgh Sleep Quality Index score ≥ 5 (Grandner et al., 2006)
• Be willing and able to participate in all study activities including pre-, post-, and 3-month follow up assessments and 6-weeks of the CBT-I intervention
• Agree to random assignment to one of two conditions (treatment or control group)
• Have access to an email account
• Be willing to wear the Fitbit Inspire HR device throughout the duration of the intervention and for two weeks following completion of the 6-week intervention

Exclusion criteria

• Endorsement of prior involvement in formal CBT-I interventions
• Unwillingness to give written informed consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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23 participants in 2 patient groups

Cognitive Behavioral Therapy for Insomnia for Firefighters (CBT-I-F) [Treatment Group]

Experimental group

Description:

The Cognitive Behavioral Therapy for Insomnia for Firefighters (CBT-I-F) is a 6-week training course that focuses on mitigating poor sleep quality and promoting the adoption of behaviors conducive to quality sleep. This course includes modules on developing habits conducive to better sleep, adapting variable bedroom environments, and establishing techniques to reduce worry and frustration around falling asleep while recognizing and working through barriers unique to the career of firefighting.

Treatment:

Behavioral: Cognitive Behavioral Therapy for Insomnia for Firefighters (CBT-I-F)

Device: Fitbit Inspire HR Wrist Worn Device (NCT04176926)

No Intervention Control Group

No Intervention group

Description:

Non-Intervention Control Group (NIC) will not receive training during the course of the study, but will be offered the opportunity to receive training after the study ends.