Digital Psychological Self-care for Sleep Problems

Karolinska Institute

Status: Completed

Conditions: Chronic Insomnia

Treatments: Behavioral: Digital self-guided CBT-i

Study type: Interventional

Funder types: Other

Identifiers

NCT04771234

2019-06197

Details and patient eligibility

About

In this non-randomized treatment feasibility pilot we want to explore if a simplified version of CBT-i as a non-therapist-guided digital tool can work; if the digital tool is perceived as user friendly and if participants' insomnia severity is improved following four weeks of treatment.

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Insomnia complaints of at least medium severity (15 or above on the ISI)
• Insomnia disorder according to DSM-5
• Adequate language skills (Swedish)
• No foreseeable practical hinders to participate
• Can wear actigraph 24/7
• Daily access to the internet, via computer, smart phone or tablet

Exclusion criteria

• Sleep disorders requiring other treatment (e.g. sleep apnea)
• Somatic or psychiatric disorders that require other treatment (e.g. suicide risk, severe depression) or that decrease level of functioning enough to prevent working independently.
• Use of alcohol or drugs in a way that will affect sleep negatively, use of medications with a negative impact on sleep. (Stable use of anti depressants and stable use or tapering of hypnotics are allowed)
• Night work or shift work involving night work
• Ongoing or previous psychological treatment including sleep restricion and stimulus control

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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30 participants in 1 patient group

Treatment group

Experimental group

Description:

The intervention consists of a self-guided digital tool to guide participants with chronic insomnia through sleep restriction and stimulus control procedures.

Treatment:

Behavioral: Digital self-guided CBT-i