Comparison of Efficacy of Behavioral Approaches for Treatment of Insomnia

NCT ID: NCT03461666

Last Updated: 2023-04-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-05

Study Completion Date

2022-07-01

Brief Summary

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This study compares the efficacy of four different types (Cognitive Behavior Therapy for Insomnia (CBT-I); Focus of Attention (FOA); Combined CBT-I and FOA; and Sleep Hygiene (control group) for the treatment of insomnia. This study is a randomized, open label study, and the participants are asked to assess the benefits they get from the intervention. This study involve 6 weekly in person one-to-one sessions after screening and completion of the 1-week, 3-month, 6-month and 12-month follow-up assessment. The trained study staff will administering the treatment. The Research Department will administer the outcome measures. The review of insomnia improvement will be assessed at at end of treatment, 3 months, 6 months and 12 months follow-up.

Detailed Description

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This study compares the efficacy of four different types (Cognitive Behavior Therapy for Insomnia (CBT-I), Focus of Attention (FOA), Combined CBT-I and FOA and Sleep Hygiene) of therapies approaches for the treatment of insomnia. This study is a randomized, open label study, the participants are asked to review the benefits they get from the intervention. This study involve 6 weekly sessions after screening and completion of the end of treatment, 3-month, 6-month and 12-month follow-up assessment. The trained study staff will administer study scales during therapy session. The subjective review of insomnia improvement will be assessed at end of treatment, 3 months, 6 months and 12 months follow-up assessment. Subjects are adult who meet, DSM-5 the diagnostic criteria for primary Insomnia.

Inclusion/Exclusion criteria to be assessed at Screening (Visit 1) and Visit 2. For those found eligible who complete the study, participation will include Screening (Visit 1), 6 weekly sessions after screening, and completion of the post-treatment and 6-month followup assessment.

Once subject sign the consent form, subject will be asked inclusion and exclusion criteria and will be given details about the study as per protocol.

Those eligible will be randomly assigned to one of four behavioral treatment approaches. The participant will have six weekly one hour in person sessions in which the assigned treatment will be administered. The participant will be assessed at the end of treatment and again at 6 month followup.

Conditions

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Primary Insomnia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

parallel group
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Cognitive Behavior Therapy-Insomnia

Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.

Group Type ACTIVE_COMPARATOR

Cognitive Behavior Therapy-Insomnia

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Focus of Attention

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Combined-CBT-I and FOA Group

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Sleep Hygiene

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Focus Of Attention

Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.

Group Type ACTIVE_COMPARATOR

Cognitive Behavior Therapy-Insomnia

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Focus of Attention

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Combined-CBT-I and FOA Group

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Sleep Hygiene

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Combined-CBT-I and FOA Group

Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.

Group Type ACTIVE_COMPARATOR

Cognitive Behavior Therapy-Insomnia

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Focus of Attention

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Combined-CBT-I and FOA Group

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Sleep Hygiene

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Sleep Hygiene

Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.

Group Type ACTIVE_COMPARATOR

Cognitive Behavior Therapy-Insomnia

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Focus of Attention

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Combined-CBT-I and FOA Group

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Sleep Hygiene

Intervention Type BEHAVIORAL

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Interventions

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Cognitive Behavior Therapy-Insomnia

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Intervention Type BEHAVIORAL

Focus of Attention

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Intervention Type BEHAVIORAL

Combined-CBT-I and FOA Group

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Intervention Type BEHAVIORAL

Sleep Hygiene

Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Male and female outpatients who are 18 or older to 72 years. Insomnia Severity Index \> or = 10
* Meet diagnostic criteria for Insomnia Disorder per DSM-5 Willing and able to sign Informed consent form Not planning on moving away from the area for the subsequent 12 weeks.

Exclusion Criteria

* Participants who answer "yes" to any of the following will be excluded:
* Females who are lactating or who are pregnant
* Night shift workers, and individuals who nap 3 or more times per week over the preceding month
* Consumption of caffeine beverages (i.e. tea, coffee, or cola) comprising usually more than 5 cups or glasses per day
* Participation in another trial for insomnia
* Persons unable to complete the study questionnaires and psychological tests
* Persons who are unable to participate for the entire duration of the study, or in the opinion of the investigators, are likely to be non-compliant with the obligations inherent in the trial participation
* Persons self-describing with severe anxiety or severe depression (BDI score of 29 or higher) or severe anxiety (BAI score of 36 or higher).
* Persons with a history of epilepsy, seizures, or dementia
* Any significant, severe or unstable, acute or chronically progressive medical or surgical condition
* Serious head injury or stroke within the past year
* Current alcohol or substance abuse/dependence (must have \>90 days of sobriety)
* Presence of other neurological disorders (e.g., multiple sclerosis, Parkinson's Disease)
* Presence of an untreated or unstable medical or psychiatric comorbid condition (e.g., major depressive disorder or psychotic disorder requiring admission within the last two years). People using psychotropic medication, hypnotic or sedative medications may be included if they are on a stable dosage for the last 2 months prior to the study, if the dose remains stable throughout the study, and if the medication is judged to not interfere with the study outcomes.
* Currently on medications known to produce insomnia (e.g., stimulants)
* Sleep apnea (AHI \>15) or previous diagnosis of sleep apnea. Study participants who use a continuous positive airway pressure (CPAP) device for sleep apnea will be eligible for participation if they are below the apnea/hypopnea cutoff while using CPAP and agree to use the device during study participation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

72 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pacific Institute of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Max Hines, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Puget Sound Psychiatry center

Locations

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Puget Sound Psychiatric Center

Bothell, Washington, United States

Site Status

Puget Sound Psychiatry Center

Bothell, Washington, United States

Site Status

Countries

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United States

References

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Becher AK, Hohne M, Axmacher N, Chaieb L, Elger CE, Fell J. Intracranial electroencephalography power and phase synchronization changes during monaural and binaural beat stimulation. Eur J Neurosci. 2015 Jan;41(2):254-63. doi: 10.1111/ejn.12760. Epub 2014 Oct 25.

Reference Type RESULT
PMID: 25345689 (View on PubMed)

Cahn BR, Polich J. Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychol Bull. 2006 Mar;132(2):180-211. doi: 10.1037/0033-2909.132.2.180.

Reference Type RESULT
PMID: 16536641 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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PSPC-17-01

Identifier Type: -

Identifier Source: org_study_id

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