Enhancing Digital CBT-I to Improve Adherence and Reduce Disparities

NCT ID: NCT05182372

Last Updated: 2025-10-14

Study Results

Results pending

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

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-18

Study Completion Date

2026-08-30

Brief Summary

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The primary objective of this research study is to increase adherence of Digital Cognitive Behavioral Treatment for Insomnia (dCBT-I). Additionally, this study will examine behavioral, physical, and sociocultural factors associated with treatment engagement.

Detailed Description

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Insomnia is a debilitating condition that impacts one third of adults, with a majority not having access to proper treatment. Digital Cognitive Behavioral Treatment for Insomnia (dCBT-I). is a method that is becoming more accessible and with strong success rate with treatment completion; however, non-completion rates are common, specifically in those with low socioeconomic status (SES).

This study will examine the addition of telehealth coaching to dCBT-I to increase adherence rates. Telehealth coaching will aim to provide support to mitigate the impact of lower health literacy, and will also enhance self-efficacy as a mechanism to promote treatment persistence.

Participants will be recruited from the Henry Ford Health System (HFHS) outpatient network as well as the Medicare/Medicaid data warehouse. Subjects will be screened to determine eligibility, and then will be randomized into one of two insomnia treatment groups (control dCBT-I and dCBT-I with telehealth coaching). Treatment involves 6 weekly dCBT-I sessions. In the dCBT-I with coaching component, those who are at risk for treatment non-completion will be offered two telehealth sessions of brief behavioral therapy for insomnia. Those in the control dCBT-I who are at risk for treatment non-completion will be provided digital sleep education.

At the end of the treatment period, some participants will complete a semi-structured interview to assess for facilitators and barriers to treatment engagement.

Conditions

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Insomnia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Random assignment into experimental and control conditions at a 1:1 ratio
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators
The principle investigator will be blind to the group assignment

Study Groups

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Enhanced dCBT-I

This group will complete d-CBTI and be assigned a coach that will help with completion of the treatment and will be available to call personally to discuss questions and issues.

Group Type EXPERIMENTAL

Enhanced dCBT-I

Intervention Type BEHAVIORAL

Telehealth Coaching

Control dCBT-I

Participants in this group will complete dCBT-I individually without assistance from a healthcare provider

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Enhanced dCBT-I

Telehealth Coaching

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Determination of insomnia (ISI \>14)

Exclusion Criteria

* Age \< 18
* Unwillingness/inability to participate
* Bipolar or Seizure Disorders
* Untreated sleep disorders other than insomnia
* Untreated and severe medical or psychiatric disorders
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan

OTHER

Sponsor Role collaborator

National Jewish Health

OTHER

Sponsor Role collaborator

Henry Ford Health System

OTHER

Sponsor Role lead

Responsible Party

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Philip Cheng

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Philip A Cheng, PhD

Role: PRINCIPAL_INVESTIGATOR

Henry Ford Health System

Locations

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Henry Ford Columbus Medical Center

Novi, Michigan, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Philip Cheng, PhD

Role: CONTACT

(248)344-7361

Marleigh Treger, BS

Role: CONTACT

248-344-8028

Facility Contacts

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Marleigh Treger, BS

Role: primary

248-344-8028

Philip Cheng, PhD

Role: backup

2493447361

Other Identifiers

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14816

Identifier Type: -

Identifier Source: org_study_id

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