Digital Cognitive Behavioral Therapy for Insomnia in China
Study Details
Study Description
Brief Summary
Digital cognitive behavioral therapy for insomnia (dCBT-i) is found to be effective but is rarely used in China. Hence, the investigators developed an automated Chinese dCBT-i program and examined its feasibility, acceptability, and preliminary effectiveness in individuals with insomnia symptoms.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: dCBT-i The dCBT-i group received the whole intervention |
Behavioral: Digital Cognitive Behavioral Therapy
Cognitive behavioral therapy for insomnia (CBT-i) has been showed to be effective in reducing insomnia symptoms and insomnia-related symptoms, including sleepiness, dysfunctional beliefs and attitudes about sleep, anxiety and depressive symptoms
|
| Active Comparator: Sleep Hygiene Education (SHE) The SHE group received sleep hygiene education delivered in text form, and the same intervention as the dCBT-i group did after four weeks. |
Behavioral: Digital Cognitive Behavioral Therapy
Cognitive behavioral therapy for insomnia (CBT-i) has been showed to be effective in reducing insomnia symptoms and insomnia-related symptoms, including sleepiness, dysfunctional beliefs and attitudes about sleep, anxiety and depressive symptoms
Behavioral: Sleep Hygiene Education (SHE)
The SHE group received sleep hygiene education delivered in text form, and the same intervention as the dCBT-i group did after four weeks.
|
Outcome Measures
Primary Outcome Measures
- sleep diary [week 4]
recording one's sleep efficiency, total sleep time, sleep onset latency, wakefulness after sleep onset, and subjective sleep quality
- Sleep Condition Indicator-8 [week 4]
Sleep Condition Indicator-8 is an 8-item scale validated against Diagnostic and Statistical Manual-5 criteria, concerning sleep quality and daytime personal functioning. It scores between 0 to 32, with higher scores meaning better sleep.
Secondary Outcome Measures
- the Insomnia Severity Index 7-item version [week 4]
It scores between 0 to 28, with higher scores meaning more severe insomnia.
- the Dysfunctional Beliefs and Attitudes about Sleep Scale 16-item version [week 4]
It scores between 16 to 80, with higher scores meaning more dysfunctional beliefs.
- the Epworth Sleepiness Scale [week 4]
It scores between 0 to 24, with higher scores meaning greater sleepiness.
- the Patient Health Questionnaire 9-item version [week 4]
It scores between 0 to 27, with higher scores meaning higher depressive symptoms.
- the Generalized Anxiety Disorder 7-item version [week 4]
It scores between 0 to 21, with higher scores meaning higher anxious symptoms.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
were aged 18 or older;
-
had a positive screening result for chronic insomnia, i.e., a score of 16 or lower on the Sleep Condition Indicator (SCI);
-
had stable access to the internet via a smartphone.
Exclusion Criteria:
-
additional sleeping conditions except for insomnia (such as restless legs syndrome and sleep apnea);
-
psychosis or mania;
-
serious physical health concerns necessitating surgery or with prognosis <6 months;
-
undergoing medical or psychological treatment for insomnia with a health professional;
-
habitual night shift, evening, or rotating shift-workers.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Peking University | Beijing | Beijing | China |
Sponsors and Collaborators
- Peking University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- dCBT-i-Chinese