Trial Outcomes & Findings for RCT of Web-Based Behavioral Sleep Intervention for Individuals With Alcohol Use Disorder (NCT NCT03493958)

Results Overview

Average number of times participants logged into SHUTi 9-11 weeks after SHUTi initiation was measured using a survey item, "On average, how many times did you log in to SHUTi per week during the last 8-9 weeks?"

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

34 participants

Primary outcome timeframe

9-11 Weeks post SHUTi initiation

Results posted on

2023-03-23

Participant Flow

Nine consented participants did not start the study. 8 of the 9 consented participants were screen failure and one withdrew prior to start of study procedures

Participant milestones

Participant milestones
Measure	Feasibility and Effectiveness of Sleep Healthy Using the Internet (SHUTi) for CBT-I Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Overall Study STARTED	25
Overall Study COMPLETED	10
Overall Study NOT COMPLETED	15

Reasons for withdrawal

Reasons for withdrawal
Measure	Feasibility and Effectiveness of Sleep Healthy Using the Internet (SHUTi) for CBT-I Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Overall Study Withdrawal by Subject	6
Overall Study Lost to Follow-up	7
Overall Study Did not complete all required study procedures	2

Baseline Characteristics

RCT of Web-Based Behavioral Sleep Intervention for Individuals With Alcohol Use Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=25 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Age, Categorical <=18 years	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	25 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants
Sex: Female, Male Female	14 Participants n=5 Participants
Sex: Female, Male Male	11 Participants n=5 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	2 Participants n=5 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	22 Participants n=5 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	1 Participants n=5 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants
Race (NIH/OMB) Asian	0 Participants n=5 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=5 Participants
Race (NIH/OMB) Black or African American	10 Participants n=5 Participants
Race (NIH/OMB) White	12 Participants n=5 Participants
Race (NIH/OMB) More than one race	2 Participants n=5 Participants
Race (NIH/OMB) Unknown or Not Reported	1 Participants n=5 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Average number of times participants logged into SHUTi 9-11 weeks after SHUTi initiation was measured using a survey item, "On average, how many times did you log in to SHUTi per week during the last 8-9 weeks?"

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Average Number of Log in to SHUTi Per Week During the Last 9 Weeks	6 logins per week Standard Deviation 1.07

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Average amount of time (in minutes) participants spent on SHUTi in the last 9-11 weeks was measured using a survey item, "When you logged in, on average, how much time did you spend on SHUTi?"

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Average Time Spent on SHUTi After Logging in	14.9 Minutes Standard Deviation 9.83

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed technical difficulties with SHUTi or study provided tablet using a survey item, "Did you have technical difficulties with SHUTi or your tablet?" with a "yes or no" response

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants With Technical Difficulties Using SHUTi or Tablet 0 = No	8 Participants
Internet Evaluation and Utility Questionnaire: Participants With Technical Difficulties Using SHUTi or Tablet 1 = Yes	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed comfort using the tablet with a survey item on a 5-point scale, "How comfortable are you using the handheld tablet?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "How Comfortable Are You Using the Handheld Tablet?" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Comfortable Are You Using the Handheld Tablet?" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Comfortable Are You Using the Handheld Tablet?" 2 = Somewhat	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Comfortable Are You Using the Handheld Tablet?" 3 = Mostly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Comfortable Are You Using the Handheld Tablet?" 4 = Very	11 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants ease of using SHUTi was measured with a survey item on a 5-point scale, "How easy was SHUTi to use?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "How Easy Was SHUTi to Use?" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Easy Was SHUTi to Use?" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Easy Was SHUTi to Use?" 2 = Somewhat	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Easy Was SHUTi to Use?" 3 = Mostly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Easy Was SHUTi to Use?" 4 = Very	10 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed convenience of using SHUTi with a survey item on a 5-point scale, "How convenient was SHUTi to use?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "How Convenient Was SHUTi to Use?" 2 = Somewhat	2 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Convenient Was SHUTi to Use?" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Convenient Was SHUTi to Use?" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Convenient Was SHUTi to Use?" 3 = Mostly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "How Convenient Was SHUTi to Use?" 4 = Very	8 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed extent of SHUTi keeping their interest and attention with a survey item on a 5-point scale, "How much did SHUTi keep your interest and attention?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "Extent of SHUTi Keeping Their Interest and Attention" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Extent of SHUTi Keeping Their Interest and Attention" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Extent of SHUTi Keeping Their Interest and Attention" 2 = Somewhat	4 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Extent of SHUTi Keeping Their Interest and Attention" 3 = Mostly	6 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Extent of SHUTi Keeping Their Interest and Attention" 4 = Very	1 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed SHUTi likeability with a survey item on a 5-point scale, "How much did you like SHUTi?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Likeability" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Likeability" 1 = Slightly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Likeability" 2 = Somewhat	4 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Likeability" 3 = Mostly	2 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Likeability" 4 = Very	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed SHUTi appearance likability with a survey item on a 5-point scale, "How much did you like the way SHUTi looked?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Appearance Likeability" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Appearance Likeability" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Appearance Likeability" 2 = Somewhat	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Appearance Likeability" 3 = Mostly	3 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Appearance Likeability" 4 = Very	8 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed SHUTi privacy concerns with a survey item on a 5-point scale, "How worried were you about your privacy when using SHUTi?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Privacy Concerns" 0 = Not at all	9 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Privacy Concerns" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Privacy Concerns" 2 = Somewhat	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Privacy Concerns" 3 = Mostly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Privacy Concerns" 4 = Very	1 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed satisfaction with SHUTi with a survey item on a 5-point scale, "How satisfied were you with SHUTi?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Satisfaction" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Satisfaction" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Satisfaction" 2 = Somewhat	2 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Satisfaction" 3 = Mostly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Satisfaction" 4 = Very	8 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed usefulness of SHUTi information with a survey item on a 5-point scale, "How useful did you find the information in SHUTi?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "Usefulness of SHUTi Information" 4 = Very	9 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Usefulness of SHUTi Information" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Usefulness of SHUTi Information" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Usefulness of SHUTi Information" 2 = Somewhat	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Usefulness of SHUTi Information" 3 = Mostly	1 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed how easy the SHUTi information was to understand with a survey item on a 5-point scale, "How easy is the information to understand?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "Understanding SHUTi Information" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Understanding SHUTi Information" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Understanding SHUTi Information" 2 = Somewhat	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Understanding SHUTi Information" 3 = Mostly	2 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Understanding SHUTi Information" 4 = Very	9 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed how well they trusted the SHUTi information provided with a survey item on a 5-point scale, "How much did you feel you could trust the information?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "Trust in SHUTi Information Provided" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Trust in SHUTi Information Provided" 1 = Slightly	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Trust in SHUTi Information Provided" 2 = Somewhat	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Trust in SHUTi Information Provided" 3 = Mostly	3 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Trust in SHUTi Information Provided" 4 = Very	8 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed their likelihood of continued SHUTi when sleep problems continue or return with a survey item on a 5-point scale, "If sleep difficulties were to continue or return, how likely would you be to continue to use SHUTi?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use When Sleep Problems Continue or Return 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use When Sleep Problems Continue or Return 1 = Slightly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use When Sleep Problems Continue or Return 2 = Somewhat	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use When Sleep Problems Continue or Return 3 = Mostly	4 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use When Sleep Problems Continue or Return 4 = Very	5 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire

Participants expressed their likelihood of continued SHUTi if technical difficulties continued with a survey item on a 5-point scale, "If technical difficulties were to continue or return, how likely would you be to continue to use SHUTi?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use Due to Technical Difficulties 1 = Slightly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use Due to Technical Difficulties 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use Due to Technical Difficulties 2 = Somewhat	3 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use Due to Technical Difficulties 3 = Mostly	3 Participants
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use Due to Technical Difficulties 4 = Very	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Evaluation and Utility Questionnaire. One of 11 participants who completed this questionnaire did not respond to this question.

Participants expressed their feedback regarding delivering insomnia intervention using the internet with a survey item on a 5-point scale, "How good of a method was the Internet for providing this information?" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=10 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Evaluation and Utility Questionnaire: Participants Response to "Internet as a Delivery Method for Insomnia Intervention" 2 = Somewhat	2 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Internet as a Delivery Method for Insomnia Intervention" 3 = Mostly	1 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Internet as a Delivery Method for Insomnia Intervention" 4 = Very	7 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Internet as a Delivery Method for Insomnia Intervention" 0 = Not at all	0 Participants
Internet Evaluation and Utility Questionnaire: Participants Response to "Internet as a Delivery Method for Insomnia Intervention" 1 = Slightly	0 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed how helpful SHUTi was with a survey item on a 5-point scale, "SHUTi was helpful" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "SHUTi Helpfulness" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "SHUTi Helpfulness" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "SHUTi Helpfulness" 2 = Somewhat	1 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "SHUTi Helpfulness" 3 = Mostly	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "SHUTi Helpfulness" 4 = Very	7 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed how their insomnia knowledge increased with a survey item on a 5-point scale, "My knowledge about insomnia increased" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 2 = Somewhat	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 3 = Mostly	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 4 = Very	8 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any quality of life improvement as a result of SHUTi with a survey item on a 5-point scale, "SHUTi improved my overall quality of life" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Quality of Life Improvement" 0 = Not at all	1 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Quality of Life Improvement" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Quality of Life Improvement" 2 = Somewhat	4 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Quality of Life Improvement" 3 = Mostly	2 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Quality of Life Improvement" 4 = Very	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any mood improvement as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped improve my overall mood" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Mood Improvement" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Mood Improvement" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Mood Improvement" 2 = Somewhat	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Mood Improvement" 3 = Mostly	4 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Mood Improvement" 4 = Very	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any physical activity improvement (e.g. exercise or sports activities) as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped improve my level of physical activities, such as exercise regimen or sports activities" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Physical Activity Improvement" 3 = Mostly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Physical Activity Improvement" 4 = Very	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Physical Activity Improvement" 0 = Not at all	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Physical Activity Improvement" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Physical Activity Improvement" 2 = Somewhat	5 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any increased effectiveness in the ability to manage insomnia as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped me feel more sure of my ability to manage my insomnia" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Ability to Manage Insomnia" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Ability to Manage Insomnia" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Ability to Manage Insomnia" 2 = Somewhat	1 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Ability to Manage Insomnia" 3 = Mostly	5 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Ability to Manage Insomnia" 4 = Very	5 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any improvement in difficulty falling asleep as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped improve my difficulties with falling asleep" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Falling Asleep" 2 = Somewhat	2 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Falling Asleep" 4 = Very	6 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Falling Asleep" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Falling Asleep" 1 = Slightly	1 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Falling Asleep" 3 = Mostly	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any improvement in waking up in the middle of the night as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped improve my difficulties with waking up in the middle of the night" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Waking up in the Middle of the Night" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Waking up in the Middle of the Night" 1 = Slightly	4 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Waking up in the Middle of the Night" 2 = Somewhat	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Waking up in the Middle of the Night" 3 = Mostly	1 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Waking up in the Middle of the Night" 4 = Very	6 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any improvement in difficulties waking up too early as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped improve my difficulties with waking up too early" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Waking up Too Early" 0 = Not at all	2 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Waking up Too Early" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Waking up Too Early" 2 = Somewhat	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Waking up Too Early" 3 = Mostly	4 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Waking up Too Early" 4 = Very	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any improvement in sleep quality as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped improve my sleep quality" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Sleep Quality" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Sleep Quality" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Sleep Quality" 2 = Somewhat	2 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Sleep Quality" 3 = Mostly	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Sleep Quality" 4 = Very	6 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire. One of 11 participants did not respond to this question.

Participants expressed how their insomnia knowledge increased with a survey item on a 5-point scale, "My knowledge about insomnia increased" with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=10 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 0 = Not at all	1 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 1 = Slightly	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 2 = Somewhat	1 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 3 = Mostly	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge" 4 = Very	5 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Impact and Effectiveness Questionnaire

Participants expressed any improvement in daytime functioning as a result of SHUTi with a survey item on a 5-point scale, "SHUTi helped improve aspects of my daytime functioning like alertness, performance, work attendance, etc." with '0= not at all' to '4=very'

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Daytime Functioning" 0 = Not at all	0 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Daytime Functioning" 1 = Slightly	2 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Daytime Functioning" 2 = Somewhat	2 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Daytime Functioning" 3 = Mostly	3 Participants
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Daytime Functioning" 4 = Very	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to using tablet as the primary device to access SHUTi with a survey item, "Did you primarily use the tablet to access SHUTi?" with a "yes or no" response

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Tablet as a Primary Device Used to Access SHUTi" 0 = No	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Tablet as a Primary Device Used to Access SHUTi" 1 = Yes	10 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to internet connection problems with a survey item with four options, "My internet connection did not work" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Working Internet Connection" 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Working Internet Connection" 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Working Internet Connection" 2 = A major problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Working Internet Connection" N/A (Not applicable)	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to SHUTi connection problems with a survey item with four options, "My internet connection worked, but I could not get connected to SHUTi" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to Connection Problem to SHUTi 0 = Not a problem	7 Participants
Internet Intervention Adherence Questionnaire: Participants Response to Connection Problem to SHUTi 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to Connection Problem to SHUTi 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to Connection Problem to SHUTi N/A (Not applicable)	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to slow internet connection with a survey item with four options, "My internet connection was too slow; SHUTi seemed to 'hang'" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Slow Internet Connection" 0 = Not a problem	5 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Slow Internet Connection" 1 = A little problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Slow Internet Connection" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Slow Internet Connection" N/A (Not applicable)	5 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to device problems with a survey item with four options, "My device wasn't working or was having problems" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Problems With Device" N/A (Not applicable)	3 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Problems With Device" 0 = Not a problem	6 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Problems With Device" 1 = A little problem	2 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Problems With Device" 2 = A major problem	0 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to forgetting to access SHUTi with a survey item with four options, "I just forgot to go to SHUTi" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Forgetting to Access SHUTi" 0 = Not a problem	3 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Forgetting to Access SHUTi" 1 = A little problem	6 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Forgetting to Access SHUTi" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Forgetting to Access SHUTi" N/A (Not applicable)	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to not wanting to access SHUTi with a survey item with four options, "I didn't want to go to SHUTi" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Not Wanting to Access SHUTi" 0 = Not a problem	5 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Not Wanting to Access SHUTi" 1 = A little problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Not Wanting to Access SHUTi" 2 = A major problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Not Wanting to Access SHUTi" N/A (Not applicable)	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to personal issues interfering with SHUTi with a survey item with four options, "Personal issues stopped me from using SHUTi" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Personal Issues Interfering With SHUTi Use" 0 = Not a problem	4 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Personal Issues Interfering With SHUTi Use" 1 = A little problem	3 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Personal Issues Interfering With SHUTi Use" 2 = A major problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Personal Issues Interfering With SHUTi Use" N/A (Not applicable)	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to work issues interfering with SHUTi with a survey item with four options, "Work issues stopped me from using SHUTi" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Work Issues Interfering With SHUTi Use" 2 = A major problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Work Issues Interfering With SHUTi Use" N/A (Not applicable)	4 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Work Issues Interfering With SHUTi Use" 0 = Not a problem	5 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Work Issues Interfering With SHUTi Use" 1 = A little problem	1 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to difficulty navigating SHUTi with a survey item with four options, "SHUTi was too hard to navigate" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Navigating SHUTi" 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Navigating SHUTi" 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Navigating SHUTi" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Navigating SHUTi" N/A (Not applicable)	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to difficulty understanding SHUTi content with a survey item with four options, "The SHUTi material was too difficult to understand" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Understanding SHUTi Content" 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Understanding SHUTi Content" 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Understanding SHUTi Content" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Understanding SHUTi Content" N/A (Not applicable)	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to SHUTi not being useful with a survey item with four options, "The SHUTi program did not seem very useful" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Not Being Useful" 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Not Being Useful" 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Not Being Useful" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Not Being Useful" N/A (Not applicable)	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to SHUTi program being too wordy with a survey item with four options, "The SHUTi program had too many words" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to SHUTi Program Being Too 'Wordy' 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to SHUTi Program Being Too 'Wordy' 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to SHUTi Program Being Too 'Wordy' 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to SHUTi Program Being Too 'Wordy' N/A (Not applicable)	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to screen being hard to read with a survey item with four options, "The screen has hard to read (e.g. words were too small)" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to Screen Being Too Hard to Read 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to Screen Being Too Hard to Read 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to Screen Being Too Hard to Read 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to Screen Being Too Hard to Read N/A (Not applicable)	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to having too much to do in SHUTi with a survey item with four options, "The daily requirements were too much for me to do" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much to do in SHUTi" 0 = Not a problem	7 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much to do in SHUTi" 1 = A little problem	2 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much to do in SHUTi" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much to do in SHUTi" N/A (Not applicable)	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to diaries took too long with a survey item with four options, "The diaries took too long to complete" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Diaries Taking Too Long to Complete" 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Diaries Taking Too Long to Complete" 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Diaries Taking Too Long to Complete" 2 = A major problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Diaries Taking Too Long to Complete" N/A (Not applicable)	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to SHUTi helping with insomnia with a survey item with four options, "I didn't think SHUTi was really going to help" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Helping With Insomnia" 0 = Not a problem	3 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Helping With Insomnia" 1 = A little problem	5 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Helping With Insomnia" 2 = A major problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Helping With Insomnia" N/A (Not applicable)	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to too many sleep rules with SHUTi with a survey item with four options, "There were too many sleep rules to follow" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Too Many Sleep Rules" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Many Sleep Rules" N/A (Not applicable)	3 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Many Sleep Rules" 0 = Not a problem	6 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Many Sleep Rules" 1 = A little problem	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to spouse/significant other/roommate having issues with participants using SHUTi with a survey item with four options, "My spouse/significant other/roommate did not like me using SHUTi or following the sleep rules" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Spouse/Significant Other/Roommate Having Issues With Participant Using SHUTi" 0 = Not a problem	3 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Spouse/Significant Other/Roommate Having Issues With Participant Using SHUTi" 1 = A little problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Spouse/Significant Other/Roommate Having Issues With Participant Using SHUTi" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Spouse/Significant Other/Roommate Having Issues With Participant Using SHUTi" N/A (Not applicable)	7 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to difficulty with sleep restriction with a survey item with four options, "I could not stick to the sleep restriction instructions" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty With Sleep Restriction Instructions" 0 = Not a problem	4 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty With Sleep Restriction Instructions" 1 = A little problem	4 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty With Sleep Restriction Instructions" 2 = A major problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty With Sleep Restriction Instructions" N/A (Not applicable)	2 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to sleep efficiency not improving with a single categorical survey statement, "My sleep efficiency was not improving" on a 4-point Likert scale

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Who Responded to "Sleep Efficiency Not Improving" 0 = Not a problem	6 Participants
Internet Intervention Adherence Questionnaire: Participants Who Responded to "Sleep Efficiency Not Improving" 1 = A little problem	1 Participants
Internet Intervention Adherence Questionnaire: Participants Who Responded to "Sleep Efficiency Not Improving" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Who Responded to "Sleep Efficiency Not Improving" -88 = N/A (Not applicable)	4 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to too much homework with SHUTi with a survey item with four options, "There was too much homework" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much Homework" 0 = Not a problem	8 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much Homework" 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much Homework" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much Homework" N/A (Not applicable)	3 Participants

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: The analysis included participants who completed the Internet Intervention Adherence Questionnaire

Participants responded to homework being too difficult with a survey item with four options, "The homework was too difficult" with 0 = Not a problem, 1 = A little problem 2 = A major problem, \& N/A (Not applicable)

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=11 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Internet Intervention Adherence Questionnaire: Participants Response to "Homework Difficulty" 0 = Not a problem	7 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Homework Difficulty" 1 = A little problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Homework Difficulty" 2 = A major problem	0 Participants
Internet Intervention Adherence Questionnaire: Participants Response to "Homework Difficulty" N/A (Not applicable)	4 Participants

PRIMARY outcome

Timeframe: 6-7 months post discharge from inpatient admission for this study

Population: This include all participants who started SHUTi

SHUTi system generated report of each participant's login counts while they had access to the web based SHUTi program 6-7 months after discharge from inpatient admission

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=25 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Average Login Counts	46.36 Logins Standard Deviation 41.51

PRIMARY outcome

Timeframe: 6-7 months post discharge from inpatient admission for this study

Population: This include all participants who started SHUTi

SHUTi system generated report of each participant's number of completed diaries while they had access to the web based SHUTi program 6-7 months after discharge from inpatient admission

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=25 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Mean Diary Completion Counts	65.6 Count of Diary Completion Standard Deviation 30.90

PRIMARY outcome

Timeframe: 9-11 Weeks post SHUTi initiation

Population: This include all participants who started SHUTi

SHUTi system generated report of each participant's number of completed sessions during the 9-11 week period after starting the first SHUTi session

Outcome measures

Outcome measures
Measure	Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I n=25 Participants Individuals with alcohol use disorder (AUD) in recovery with insomnia completed six online classes that include interactive educational content and case studies about insomnia and its precipitating factors. These sessions are designed to parallel traditional (in-person) cognitive behavioral therapy for insomnia (CBT-I) sessions and are tracked and customized. New sessions are available seven days after completion of the previous session. The program includes a variety of interactive features, including goal setting, feedback based on user-identified symptoms, animations, quizzes, vignettes, and video-based expert explanations. Participants have maximum of 9-11 weeks to complete the six sessions.
Average Number of Sessions Completed	4.35 Count of sessions completed Standard Deviation 2.25

Adverse Events

Feasibility and Acceptability of Sleep Healthy Using the Internet (SHUTi) for CBT-I

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Wallen, Gwenyth

Clinical Center

Phone: +1 301 496 0596

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place