Optimization of a Digital Self-guided Psychological Intervention for Insomnia: A Randomized Factorial Experiment

NCT ID: NCT05826002

Last Updated: 2025-03-12

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

COMPLETED

Clinical Phase

NA

Total Enrollment

447 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-01

Study Completion Date

2024-12-15

Brief Summary

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In a previous pilot study, a digital self-guided intervention for insomnia showed preliminary positive effects on insomnia symptoms. In order to optimize the digital self-guided format, this study will evaluate the added value of three treatment features on treatment engagement and insomnia symptoms. The participants will be adults with insomnia. The trial will be a 2x2x2 randomized factorial experiment, where the following features/factors will be manipulated: an optimized graphical user interface (yes or no), an adaptive treatment strategy (yes or no), and daily prompts to use the intervention (yes or no). The factorial experiment will create 8 equally large groups (1:1:1:1:1:1:1:1), who will receive the different combinations of features. The main outcome will be the effect on treatment engagement.

Detailed Description

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Conditions

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Insomnia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

A 2x2x2 randomized factorial experiment, where adult participants with insomnia get to use a digital self-guided intervention for insomnia. Three factors/treatment features will be manipulated in the experiment, namely: 1) an optimized graphical user interface (yes or no), 2) an adaptive treatment strategy (yes or no), and 3) daily prompts to use the intervention (yes or no). The factorial experiment will create 8 equally large groups (1:1:1:1:1:1:1:1), who will receive the different combinations of features.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Participants will be blinded to what condition they are randomized to, and will not receive information concerning what features are being manipulated in the experiment.

Study Groups

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Digital insomnia intervention

This group receives the following combination of treatment features: optimized graphical user interface (no), adaptive treatment strategy (no), daily prompts (no).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Digital insomnia intervention + optimized user interface

This group receives the following combination of treatment features: optimized graphical user interface (yes), adaptive treatment strategy (no), daily prompts (no).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Digital insomnia intervention + adaptive treatment strategy

This group receives the following combination of treatment features: optimized graphical user interface (no), adaptive treatment strategy (yes), daily prompts (no).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Digital insomnia intervention + optimized user interface, adaptive treatment strategy

This group receives the following combination of treatment features: optimized graphical user interface (yes), adaptive treatment strategy (yes), daily prompts (no).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Digital insomnia intervention + daily prompts

This group receives the following combination of treatment features: optimized graphical user interface (no), adaptive treatment strategy (no), daily prompts (yes).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Digital insomnia intervention + optimized user interface, daily prompts

This group receives the following combination of treatment features: optimized graphical user interface (yes), adaptive treatment strategy (no), daily prompts (yes).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Digital insomnia intervention + adaptive treatment strategy, daily prompts

This group receives the following combination of treatment features: optimized graphical user interface (no), adaptive treatment strategy (yes), daily prompts (yes).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Digital insomnia intervention + optimized user interface, adaptive treatment strategy, daily prompts

This group receives the following combination of treatment features: optimized graphical user interface (yes), adaptive treatment strategy (yes), daily prompts (yes).

Group Type ACTIVE_COMPARATOR

Digital self-guided psychological intervention for insomnia

Intervention Type BEHAVIORAL

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Interventions

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Digital self-guided psychological intervention for insomnia

A four week digital self-guided intervention for insomnia, with content derived from Cognitive Behavioral Therapy for insomnia, and with a clinical interview before and after the intervention.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. ≥ 18 years of age.
2. ≥ 15 points on Insomnia Severity Index.
3. Insomnia diagnosis, according to criteria in the Diagnostic and Statistical Manual of mental disorders-5 (somatic/psychiatric comorbidity is allowed).
4. Good understanding of the Swedish language.
5. No practical obstacles to participate in treatment and assessments.
6. Daily access to computer/smart-phone/tablet with Internet access.
7. Can receive phone calls and text messages during the study period.

Exclusion Criteria

1. Sleep diseases, such as narcolepsy or sleep apnea.
2. Somatic or psychiatric illnesses that either are directly contraindicated for the treatment, require other treatment, or entail symptoms/a functional level making it too difficult to participate in the study.
3. Alcohol/drug abuse, or medication with side effects on sleep (however, sleep medication is allowed).
4. Working nights or night shifts.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Region Stockholm

OTHER_GOV

Sponsor Role collaborator

Karolinska Institutet

OTHER

Sponsor Role lead

Responsible Party

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Martin Kraepelien

Clinical Psychologist, Principal Investigator, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Centre for Psychiatry Research

Stockholm, , Sweden

Site Status

Countries

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Sweden

References

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Hentati A, Hentati Isacsson N, Rosen A, Jernelov S, Kaldo V, Ljotsson B, Forsell E, Lindefors N, Kraepelien M. Effects of intervention design on engagement and outcomes in digital self-help for insomnia - factorial RCT. NPJ Digit Med. 2025 Jul 8;8(1):416. doi: 10.1038/s41746-025-01839-0.

Reference Type DERIVED
PMID: 40628992 (View on PubMed)

Other Identifiers

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2022-07226-01

Identifier Type: -

Identifier Source: org_study_id

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