CEBATI: Comparison of Efficacy of Behavioral Approaches for Treatment of Insomnia

Sponsor

Pacific Institute of Medical Sciences (Other)

Overall Status

Recruiting

CT.gov ID

NCT03461666

Collaborator

(none)

160

Enrollment

Locations

Arms

45.8

Anticipated Duration (Months)

Patients Per Site

1.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study compares the efficacy of four different types (Cognitive Behavior Therapy for Insomnia (CBT-I); Focus of Attention (FOA); Combined CBT-I and FOA; and Sleep Hygiene (control group) for the treatment of insomnia. This study is a randomized, open label study, and the participants are asked to assess the benefits they get from the intervention. This study involve 6 weekly in person one-to-one sessions after screening and completion of the 1-week, 3-month, 6-month and 12-month follow-up assessment. The trained study staff will administering the treatment. The Research Department will administer the outcome measures. The review of insomnia improvement will be assessed at at end of treatment, 3 months, 6 months and 12 months follow-up.

Condition or Disease	Intervention/Treatment	Phase
Primary Insomnia	Behavioral: Cognitive Behavior Therapy-Insomnia Behavioral: Focus of Attention Behavioral: Combined-CBT-I and FOA Group Behavioral: Sleep Hygiene	N/A

Detailed Description

This study compares the efficacy of four different types (Cognitive Behavior Therapy for Insomnia (CBT-I), Focus of Attention (FOA), Combined CBT-I and FOA and Sleep Hygiene) of therapies approaches for the treatment of insomnia. This study is a randomized, open label study, the participants are asked to review the benefits they get from the intervention. This study involve 6 weekly sessions after screening and completion of the end of treatment, 3-month, 6-month and 12-month follow-up assessment. The trained study staff will administer study scales during therapy session. The subjective review of insomnia improvement will be assessed at end of treatment, 3 months, 6 months and 12 months follow-up assessment. Subjects are adult who meet, DSM-5 the diagnostic criteria for primary Insomnia.

Inclusion/Exclusion criteria to be assessed at Screening (Visit 1) and Visit 2. For those found eligible who complete the study, participation will include Screening (Visit 1), 6 weekly sessions after screening, and completion of the post-treatment and 6-month followup assessment.

Once subject sign the consent form, subject will be asked inclusion and exclusion criteria and will be given details about the study as per protocol.

Those eligible will be randomly assigned to one of four behavioral treatment approaches. The participant will have six weekly one hour in person sessions in which the assigned treatment will be administered. The participant will be assessed at the end of treatment and again at 6 month followup.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

160 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

parallel groupparallel group

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

A Randomized, Open Label, Sleep Hygiene Controlled 6-Week Study to Compare the Efficacy of Four (CBT-I, FOA, Combined CBT-I and FOA and Sleep Hygiene) Different Behavioral Approaches for the Treatment of Adult Subjects With Insomnia

Actual Study Start Date :

Sep 5, 2018

Anticipated Primary Completion Date :

Nov 1, 2021

Anticipated Study Completion Date :

Jul 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Cognitive Behavior Therapy-Insomnia Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.	Behavioral: Cognitive Behavior Therapy-Insomnia Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Focus of Attention Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Combined-CBT-I and FOA Group Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Sleep Hygiene Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.
Active Comparator: Focus Of Attention Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.	Behavioral: Cognitive Behavior Therapy-Insomnia Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Focus of Attention Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Combined-CBT-I and FOA Group Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Sleep Hygiene Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.
Active Comparator: Combined-CBT-I and FOA Group Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.	Behavioral: Cognitive Behavior Therapy-Insomnia Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Focus of Attention Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Combined-CBT-I and FOA Group Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Sleep Hygiene Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.
Active Comparator: Sleep Hygiene Participants receive 6 one hour in person behavioral psycho-intervention sessions from a treatment provider.	Behavioral: Cognitive Behavior Therapy-Insomnia Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Focus of Attention Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Combined-CBT-I and FOA Group Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each. Behavioral: Sleep Hygiene Behavioral Psycho-intervention education therapy.Face to Face, Six sessions, one hour each.

Outcome Measures

Primary Outcome Measures

Self Report Sleep Measures [through study completion, an average of 1 year]
SRSM: assess overall quantity of sleep satisfaction on the Self Report Sleep Measures.

Secondary Outcome Measures

Insomnia Severity Index [through study completion, an average of 1 year]
ISI: assess the severity of insomnia.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 72 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Male and female outpatients who are 18 or older to 72 years. Insomnia Severity Index > or = 10
Meet diagnostic criteria for Insomnia Disorder per DSM-5 Willing and able to sign Informed consent form Not planning on moving away from the area for the subsequent 12 weeks.

Exclusion Criteria:

Participants who answer "yes" to any of the following will be excluded:
Females who are lactating or who are pregnant
Night shift workers, and individuals who nap 3 or more times per week over the preceding month
Consumption of caffeine beverages (i.e. tea, coffee, or cola) comprising usually more than 5 cups or glasses per day
Participation in another trial for insomnia
Persons unable to complete the study questionnaires and psychological tests
Persons who are unable to participate for the entire duration of the study, or in the opinion of the investigators, are likely to be non-compliant with the obligations inherent in the trial participation
Persons self-describing with severe anxiety or severe depression (BDI score of 29 or higher) or severe anxiety (BAI score of 36 or higher).
Persons with a history of epilepsy, seizures, or dementia
Any significant, severe or unstable, acute or chronically progressive medical or surgical condition
Serious head injury or stroke within the past year
Current alcohol or substance abuse/dependence (must have >90 days of sobriety)
Presence of other neurological disorders (e.g., multiple sclerosis, Parkinson's Disease)
Presence of an untreated or unstable medical or psychiatric comorbid condition (e.g., major depressive disorder or psychotic disorder requiring admission within the last two years). People using psychotropic medication, hypnotic or sedative medications may be included if they are on a stable dosage for the last 2 months prior to the study, if the dose remains stable throughout the study, and if the medication is judged to not interfere with the study outcomes.
Currently on medications known to produce insomnia (e.g., stimulants)
Sleep apnea (AHI >15) or previous diagnosis of sleep apnea. Study participants who use a continuous positive airway pressure (CPAP) device for sleep apnea will be eligible for participation if they are below the apnea/hypopnea cutoff while using CPAP and agree to use the device during study participation.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Puget Sound Psychiatric Center	Bothell	Washington	United States	98011
2	Puget Sound Psychiatry Center	Bothell	Washington	United States	98011

Sponsors and Collaborators

Pacific Institute of Medical Sciences

Investigators

Principal Investigator: Max Hines, Ph.D, Puget Sound Psychiatry center

Study Documents (Full-Text)

More Information

Publications

None provided.

Responsible Party:

Pacific Institute of Medical Sciences

ClinicalTrials.gov Identifier:

NCT03461666

Other Study ID Numbers:

PSPC-17-01

First Posted:

Mar 12, 2018

Last Update Posted:

Sep 30, 2020

Last Verified:

Sep 1, 2020

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Pacific Institute of Medical Sciences

Primary insomnia

Behavioral treatment of primary insomnia

Focus of attention

cognitive behavioral therapy for insomnia

Additional relevant MeSH terms:

Sleep Initiation and Maintenance Disorders

Study Results

No Results Posted as of Sep 30, 2020