Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial
Abstract Alcohol use disorder (AUD) is characterized by problematic drinking that becomes severe. Individuals with AUD often experience insomnia and other sleep disturbances at various phases of recovery. Cognitive behavioral therapy for insomnia (CBT-I) is an efficacious non-pharmacological treatme...
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doaj-07039d62ccad4b0e9fac066d726ddc8c2020-11-25T02:07:40ZengBMCPilot and Feasibility Studies2055-57842018-12-01411910.1186/s40814-018-0376-3Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trialAlyssa T. Brooks0Ralph T. Tuason1Subhajit Chakravorty2Shravya Raju3Lee M. Ritterband4Frances P. Thorndike5Gwenyth R. Wallen6National Institutes of Health Clinical CenterNational Institutes of Health Clinical CenterPerelman School of Medicine, Department of Psychiatry, University of PennsylvaniaNational Institutes of Health Clinical CenterDepartment of Psychiatry and Neurobehavioral Sciences, Center for Behavioral Health and TechnologyPear TherapeuticsNational Institutes of Health Clinical CenterAbstract Alcohol use disorder (AUD) is characterized by problematic drinking that becomes severe. Individuals with AUD often experience insomnia and other sleep disturbances at various phases of recovery. Cognitive behavioral therapy for insomnia (CBT-I) is an efficacious non-pharmacological treatment for insomnia and is recommended as a first-line treatment for adults with chronic insomnia. Internet-based CBT-I could play a key role in the dissemination of this behavioral sleep intervention, given the paucity of trained clinicians able to provide CBT-I in person and other logistical/cost concerns. SHUTi (Sleep Healthy Using The Internet) is the most tested and empirically-sound Internet intervention for insomnia. Despite the promise of Internet-based CBT-I interventions, to date, no randomized controlled trials (RCTs) exist examining the feasibility/efficacy of an Internet-based CBT-I program among treatment-seeking individuals recovering from AUD. This is a two-phase RCT assessing feasibility/acceptability and efficacy of the SHUTi program among individuals with AUD in recovery with insomnia. Phase I will focus on assessing the feasibility and acceptability of program delivery and data collection (n = 10). Phase II will be an RCT powered to examine preliminary intervention efficacy (n = 30 per group). Participants for this study must meet criteria for “moderate to severe” insomnia. Individuals randomized to the intervention group will receive the SHUTi intervention (initiated while inpatient and completed while outpatient), and individuals randomized to the control group will receive an educational web-based program. The goals of the study are as follows: (1) assess the feasibility and acceptability of Internet-based CBT-I among individuals with AUD in recovery with insomnia (phase I), (2) compare the preliminary efficacy of CBT-I versus control group with respect to primary and secondary outcome variables (phase II), and (3) explore specific domains associated with improved outcomes, e.g., demographic, psychiatric, and drinking-related factors (phase II). Primary outcome measures include changes in insomnia severity over time and changes in actigraphy-recorded sleep efficiency over time. Trial registration NCT#03493958; registered 1 June 2018.http://link.springer.com/article/10.1186/s40814-018-0376-3Alcohol use disorderInsomniaCognitive behavioral therapy for insomniaSleep disturbanceInternet intervention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alyssa T. Brooks Ralph T. Tuason Subhajit Chakravorty Shravya Raju Lee M. Ritterband Frances P. Thorndike Gwenyth R. Wallen |
spellingShingle |
Alyssa T. Brooks Ralph T. Tuason Subhajit Chakravorty Shravya Raju Lee M. Ritterband Frances P. Thorndike Gwenyth R. Wallen Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial Pilot and Feasibility Studies Alcohol use disorder Insomnia Cognitive behavioral therapy for insomnia Sleep disturbance Internet intervention |
author_facet |
Alyssa T. Brooks Ralph T. Tuason Subhajit Chakravorty Shravya Raju Lee M. Ritterband Frances P. Thorndike Gwenyth R. Wallen |
author_sort |
Alyssa T. Brooks |
title |
Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial |
title_short |
Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial |
title_full |
Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial |
title_fullStr |
Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial |
title_full_unstemmed |
Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial |
title_sort |
online cognitive behavioral therapy for insomnia (cbt-i) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial |
publisher |
BMC |
series |
Pilot and Feasibility Studies |
issn |
2055-5784 |
publishDate |
2018-12-01 |
description |
Abstract Alcohol use disorder (AUD) is characterized by problematic drinking that becomes severe. Individuals with AUD often experience insomnia and other sleep disturbances at various phases of recovery. Cognitive behavioral therapy for insomnia (CBT-I) is an efficacious non-pharmacological treatment for insomnia and is recommended as a first-line treatment for adults with chronic insomnia. Internet-based CBT-I could play a key role in the dissemination of this behavioral sleep intervention, given the paucity of trained clinicians able to provide CBT-I in person and other logistical/cost concerns. SHUTi (Sleep Healthy Using The Internet) is the most tested and empirically-sound Internet intervention for insomnia. Despite the promise of Internet-based CBT-I interventions, to date, no randomized controlled trials (RCTs) exist examining the feasibility/efficacy of an Internet-based CBT-I program among treatment-seeking individuals recovering from AUD. This is a two-phase RCT assessing feasibility/acceptability and efficacy of the SHUTi program among individuals with AUD in recovery with insomnia. Phase I will focus on assessing the feasibility and acceptability of program delivery and data collection (n = 10). Phase II will be an RCT powered to examine preliminary intervention efficacy (n = 30 per group). Participants for this study must meet criteria for “moderate to severe” insomnia. Individuals randomized to the intervention group will receive the SHUTi intervention (initiated while inpatient and completed while outpatient), and individuals randomized to the control group will receive an educational web-based program. The goals of the study are as follows: (1) assess the feasibility and acceptability of Internet-based CBT-I among individuals with AUD in recovery with insomnia (phase I), (2) compare the preliminary efficacy of CBT-I versus control group with respect to primary and secondary outcome variables (phase II), and (3) explore specific domains associated with improved outcomes, e.g., demographic, psychiatric, and drinking-related factors (phase II). Primary outcome measures include changes in insomnia severity over time and changes in actigraphy-recorded sleep efficiency over time. Trial registration NCT#03493958; registered 1 June 2018. |
topic |
Alcohol use disorder Insomnia Cognitive behavioral therapy for insomnia Sleep disturbance Internet intervention |
url |
http://link.springer.com/article/10.1186/s40814-018-0376-3 |
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