Trial Outcomes & Findings for Digital Cognitive-Behavioral Therapy for Insomnia in Spanish Speaking Latinas/os (Dormir Mejor Study) (NCT NCT05353296)

NCT ID: NCT05353296

Last Updated: 2025-08-01

Results Overview

ISI is a 7-item self-report scale measuring insomnia symptom severity in the last 2 weeks; summed score ranges 0-28, increasing score associated with increasing severity.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

7 participants

Primary outcome timeframe

Baseline to post-intervention (9 weeks)

Results posted on

2025-08-01

Participant Flow

Participant milestones

Participant milestones
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Overall Study
STARTED
3
4
Overall Study
COMPLETED
3
4
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Digital Cognitive-Behavioral Therapy for Insomnia in Spanish Speaking Latinas/os (Dormir Mejor Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Total
n=7 Participants
Total of all reporting groups
Age, Continuous
45.0 years
STANDARD_DEVIATION 12.1 • n=5 Participants
52.4 years
STANDARD_DEVIATION 17.2 • n=7 Participants
49.2 years
STANDARD_DEVIATION 14.6 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
4 participants
n=7 Participants
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to post-intervention (9 weeks)

ISI is a 7-item self-report scale measuring insomnia symptom severity in the last 2 weeks; summed score ranges 0-28, increasing score associated with increasing severity.

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Insomnia Severity Index Score (ISI)
-6.7 score on a scale
Interval -15.4 to 2.0
-3.9 score on a scale
Interval -12.5 to 4.7

PRIMARY outcome

Timeframe: Baseline to 6 months post intervention

ISI is a 7-item self-report scale measuring insomnia symptom severity in the last 2 weeks; summed score ranges 0-28, increasing score associated with increasing severity.

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Insomnia Severity Index Score (ISI)
-5.7 score on a scale
Interval -17.1 to 5.8
-1.6 score on a scale
Interval -13.0 to 9.9

SECONDARY outcome

Timeframe: Baseline to post-intervention (9 weeks)

Short Form (SF)-12 is a 12-item self-report inventory that generically measures quality of life; yields a measure of global health-related wellbeing as 8 domain-specific subscores on a 0-100 scale, increasing score reflects less dysfunction, impairment, or pain. Reporting change in mean mental health component score.

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Quality of Life Score (Short-Form 12 [SF-12], MCS, Mental Component Score)
10.8 score on a scale
Interval 5.9 to 15.7
0.8 score on a scale
Interval -4.0 to 5.6

SECONDARY outcome

Timeframe: Baseline to post-intervention (9 weeks)

ESS is an 8-item brief self-report scale of daytime sleepiness; summed scores range 0-24, where increasing scores constitute greater sleepiness, and a score \> 11 represents elevated daytime sleepiness.

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Daytime Sleepiness- Epworth Sleepiness Scale (ESS)
-2.3 score on a scale
Interval -6.5 to 1.9
0.5 score on a scale
Interval -3.6 to 4.6

SECONDARY outcome

Timeframe: Baseline to post-intervention (9 weeks)

PACIC is a 20-item scale containing 5 subscales, adapted for this trial to measure respondents' receipt of services in regards to insomnia in the past 6 months, 5-point scale, range of 20-100 with increasing score reflecting greater satisfaction with care)

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Satisfaction With Care Patient Assessment of Chronic Illness Care (PACIC)
17.4 score on a scale
Interval -20.5 to 55.4
-8.2 score on a scale
Interval -41.9 to 25.6

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to post-intervention (9 weeks)

PSQI is an 18-item questionnaire of sleep quality in the past month, summed scores range 0-21, where scores \>5 are associated with poor sleep quality and \<5 with good sleep quality)

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Sleep Quality Pittsburgh Sleep Quality Index (PSQI)
-1.0 score on a scale
Interval -2.6 to 0.6
-0.7 score on a scale
Interval -2.2 to 0.8

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to post-intervention (9 weeks)

Population: This outcome is not able to be analyzed because data not collected.

Wake after sleep onset will be recorded in a 14-day sleep diary and refers to the self-reported total number of minutes participants spent awake after they fell asleep. Range: 24 hours Minimum value = 0 minutes (better) Maximum value = 1440 minutes (worse)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to post-intervention (9 weeks)

Wake after sleep onset will be measured with 14-days of wrist-actigraphy and refers to the total number of minutes participants spent awake after they fell asleep. Range: 24 hours Minimum value = 0 minutes (better) Maximum value = 1440 minutes (worse)

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Actigraphy Assessed Wake After Sleep Onset
-2.5 minutes
Interval -38.5 to 33.6
-4.8 minutes
Interval -10.2 to 0.6

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to post-intervention (9 weeks)

Sleep onset latency will be recorded in a 14-day sleep diary and refers to the number of minutes that it takes participants to fall asleep. Range: 24 hours Minimum value = 0 minutes (better) Maximum value = 1440 minutes (worse)

Outcome measures

Outcome measures
Measure
Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)
n=3 Participants
Somryst is an FDA-authorized digital cognitive behavioral therapy for insomnia (CBT-I) program that has been translated and culturally adapted for Spanish speakers. Participants will have access to this culturally-adapted Somryst, along with the usual care provided by their primary care provider, and will be provided a sleep hygiene brochure during group assignment.
Minimally Enhanced Usual Care (mEUC)
n=4 Participants
Participants will continue their standard care with their primary care provider, which may include pharmacotherapy. In addition, participants will be provided a sleep hygiene brochure during group assignment.
Change in Mean Self-reported Sleep Onset Latency
-53.3 minutes
Interval -128.6 to 21.9
-16.9 minutes
Interval -84.7 to 51.0

Adverse Events

Culturally Adapted Digital Cognitive Behavioral Therapy for Insomnia (CBT-I) (Somryst)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Minimally Enhanced Usual Care (mEUC)

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

Carmela Alcantara, PhD

Columbia University

Phone: 212-851-2187

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place