Piloting an Internet-based Therapy for Insomnia in a Population of Veterans With Substance Use Disorders

VA Connecticut Healthcare System

Status: Completed

Conditions: Chronic Insomnia

Treatments: Behavioral: Internet-based Cognitive Behavioral Therapy for Insomnia

Study type: Interventional

Funder types: Other U.S. Federal agency

Identifiers

NCT01949389

01633

Details and patient eligibility

About

The purposes of this study is to examine the feasibility of implementing an internet-based treatment for insomnia among veterans with substance use disorders, some with co-morbid serious mental illness, and to develop potential methods to support and encourage veterans while they self-administer this treatment. Our hypotheses are that the implementation of an internet-based therapy will be feasible and that a method of support can be devised, and tested in the future.

Enrollment: 51 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Inability to sleep within 30 minutes of going to bed or awakening during the night for 30 minutes for greater than or equal to 3 days per week
• Above Criteria occurring every week for greater than or equal to 3 months
• At least one symptom of daytime impairment: (reduced motivation, sleepiness, fatigue, lack of concentration, performance at home, work, social life, relationships impaired)
• Able to provide valid consent
• Willing to participate in an internet-based cognitive behavioral therapy for insomnia
• English speaking

Exclusion criteria

• Self-reported or provider diagnosed sleep apnea or related nighttime respiratory problem, restless legs syndrome or related nighttime movement disorder
• Acute psychiatric decompensation requiring inpatient admission or emergency department services within the last month (suicidality, homicidally, mania, psychotic decompensation)
• Current treatment or treatment within the last month for opiate addiction with methadone maintenance or buprenorphine.
• Has a conservator E. Shift work interfering with the establishment of regular sleep patterns F. Previous or ongoing cognitive behavioral therapy for insomnia

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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51 participants in 1 patient group

Internet-based Cognitive Behavioral Therapy for Insomnia

Experimental group

Description:

This is an internet-based Cognitive Behavioral treatment for insomnia. It is accessed via a computer with an internet connection and consists of 7 modules, homework, and a daily sleep log. The intervention is self administered.

Treatment:

Behavioral: Internet-based Cognitive Behavioral Therapy for Insomnia