Feasibility and Acceptability of an Internet-based Cognitive-behavioral Treatment for Insomnia in Adults With Asthma

University of Pittsburgh

Status: Completed

Conditions: Asthma; Insomnia Chronic

Treatments: Behavioral: Internet-based CBT-I

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03002402

1R03HL135213-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of the proposed study are to explore changes in sleep and asthma outcomes from baseline to post-treatment in adults with asthma and comorbid insomnia who underwent Internet-based cognitive-behavioral treatment for insomnia (CBT-I).

Enrollment: 23 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Primary diagnosis of moderate-severe persistent asthma
• Not well controlled asthma (score ≤ 19 on the Asthma Control Test)
• Age 18-75 years
• Meets criteria for Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Insomnia Disorder
• At least moderate insomnia severity (score ≥ 10 on Insomnia Severity Index)
• Telephone number, email address, and reliable Internet access

Exclusion criteria

• History of bipolar or psychosis
• Substance abuse disorder within past 3 months
• Dementia or probable dementia diagnosis
• Plans to move or leave present source of care during the following 6 months.
• Non-English speaking, illiterate, or possesses sensory deficits

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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23 participants in 1 patient group

Internet-based CBT-I

Experimental group

Description:

Sleep Healthy Using the Internet (SHUTi) is a self-guided, automated, interactive, and tailored web-based program modeled on the primary tenets of cognitive-behavioral treatment for insomnia (CBT-I): sleep restriction, stimulus control, cognitive restructuring, sleep hygiene, and relapse prevention. Intervention content is allocated out over time through 6 "Cores." Users obtain access to a new Core based on a time and event-based schedule (e.g., 7 days after completion of previous Core). SHUTi uses online sleep diaries to track progress and to tailor treatment (e.g., assign a sleep restriction window).

Treatment:

Behavioral: Internet-based CBT-I