- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01928173
Self-Help Video for Insomnia in College Students
The purpose of this study is to test the effectiveness of a 1-session abbreviated cognitive-behavior therapy for insomnia among college students. The investigators will examine the following hypotheses in the present study: 1) Viewing the treatment video will produce an increment in sleep knowledge relative to baseline and minimum treatment control; and 2) Viewing the treatment video will result in improved sleep relative to baseline and minimum treatment control.
Students who self-identify as having insomnia will be recruited from the University of Alabama's Psychology subject pool. Students who enroll in the study will receive a link to the demographic and screening questionnaire. Individuals who have a history of other sleep disorders or who currently present with symptoms strongly suggestive of sleep disorders, such as obstructive sleep apnea or narcolepsy will be excluded. Individuals who are shift-workers and those with a history of severe mental illness will also be excluded.
Participants who meet criteria for this study will then be directed to complete a measure of sleep knowledge. Once they have completed the measure of sleep knowledge, they will be directed to complete the Consensus Sleep Diary (CSD) for 14 days as soon as possible after awakening in the morning. During the second week of completing the CSD, participants will be directed to complete the Insomnia Severity Index and the Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep-Related Impairments Short Forms on the last day they complete a CSD.
Participants will be randomized to a treatment group or a minimum treatment control group upon completion of these baseline measures. Those in the treatment group will be emailed the following components of the insomnia treatment: a link to the treatment video, an mp3 file with a relaxation recording, and a pdf file of a brochure reviewing the information presented in the treatment video. Participants will be asked to view the treatment video and begin practicing the relaxation technique presented in the mp3 file as soon as possible. Participants in the minimum treatment control group will receive a link to a sleep education video.
Two weeks after participants have viewed the videos, they will be asked to complete post-treatment measures in the same sequence as they did at baseline. One month after the post-treatment measures have been completed, both groups will be asked to complete the same measures again for follow-up.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Alabama
-
Tuscaloosa, Alabama, United States, 35487
- The University of Alabama
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Must be a student at The University of Alabama
- Must be 18-24 years old
- Must have a complaint of insomnia
Exclusion Criteria:
- history of sleep disorder other than insomnia
- symptoms strongly suggestive of sleep disorders other than insomnia
- shift-work
- history of severe mental illness (e.g., psychotic disorders, bipolar disorder, severe depression, or personality disorders)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Abbreviated cognitive behavioral therapy
Arm 1 is a multi-component package including sleep hygiene, stimulus control, cognitive therapy, and passive relaxation.
|
see arm description
|
ACTIVE_COMPARATOR: Sleep education/sleep hygiene
Arm 2 consists of education about sleep and fatigue as well as sleep hygiene recommendations (e.g., avoiding nicotine and caffeine late in the day).
|
see arm description
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Consensus Sleep Diary
Time Frame: Change in sleep diary variables at post-treatment (from baseline to 4 weeks after baseline)
|
Change in sleep diary variables at post-treatment (from baseline to 4 weeks after baseline)
|
Consensus Sleep Diary
Time Frame: Change in sleep diary variables at 1-month follow-up (post-treatment and 1-month follow-up)
|
Change in sleep diary variables at 1-month follow-up (post-treatment and 1-month follow-up)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Insomnia Severity Index
Time Frame: Change in score at post-treatment (from baseline to 4 weeks after baseline)
|
Change in score at post-treatment (from baseline to 4 weeks after baseline)
|
|
Measure of Sleep Knowledge
Time Frame: Change in number of correct responses at post-treatment (from baseline to 4 weeks after baseline)
|
An 8-item true/false questionnaire that assesses participants' knowledge about sleep and cognitive behavioral therapy for insomnia treatment (stimulus control, sleep hygiene, relaxation, and cognitive therapy).
A participant's score on this measure is the number of correct responses.
|
Change in number of correct responses at post-treatment (from baseline to 4 weeks after baseline)
|
Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep-Related Impairments Short Forms
Time Frame: Change in sleep disturbance and daytime impairments at post-treatment (from baseline to 4 weeks after baseline)
|
Change in sleep disturbance and daytime impairments at post-treatment (from baseline to 4 weeks after baseline)
|
|
Insomnia Severity Index
Time Frame: Change in score at 1-month follow-up (post-treatment and 1-month follow-up)
|
Change in score at 1-month follow-up (post-treatment and 1-month follow-up)
|
|
Measure of Sleep Knowledge
Time Frame: Change in sleep knowledge at 1-month follow-up (post-treatment and 1-month follow-up)
|
An 8-item true/false questionnaire that assesses participants' knowledge about sleep and cognitive behavioral therapy for insomnia treatment (stimulus control, sleep hygiene, relaxation, and cognitive therapy).
A participant's score on this measure is the number of correct responses.
|
Change in sleep knowledge at 1-month follow-up (post-treatment and 1-month follow-up)
|
Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep-Related Impairments Short Forms
Time Frame: Change in sleep disturbance and daytime impairments at 1-month follow-up (post-treatment and 1-month follow-up)
|
Change in sleep disturbance and daytime impairments at 1-month follow-up (post-treatment and 1-month follow-up)
|
Collaborators and Investigators
Investigators
- Principal Investigator: Kenneth Lichstein, PhD, University of Alabama at Birmingham
Publications and helpful links
General Publications
- Bastien CH, Vallieres A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001 Jul;2(4):297-307. doi: 10.1016/s1389-9457(00)00065-4.
- Carney CE, Buysse DJ, Ancoli-Israel S, Edinger JD, Krystal AD, Lichstein KL, Morin CM. The consensus sleep diary: standardizing prospective sleep self-monitoring. Sleep. 2012 Feb 1;35(2):287-302. doi: 10.5665/sleep.1642.
- Bixler EO, Kales A, Soldatos CR, Kales JD, Healey S. Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry. 1979 Oct;136(10):1257-62. doi: 10.1176/ajp.136.10.1257.
- Bootzin, R.R., & Epstein, D.R. (2000). Stimulus control instructions. In K.L. Lichstein & C.M. Morin (Eds.), Treatment of late-life insomnia (pp 167-184). Thousand Oaks, CA: Sage.
- Gustafson R. Treating insomnia with a self-administered muscle relaxation training program: a follow-up. Psychol Rep. 1992 Feb;70(1):124-6. doi: 10.2466/pr0.1992.70.1.124.
- Kales JD, Kales A, Bixler EO, Soldatos CR, Cadieux RJ, Kashurba GJ, Vela-Bueno A. Biopsychobehavioral correlates of insomnia, V: Clinical characteristics and behavioral correlates. Am J Psychiatry. 1984 Nov;141(11):1371-6. doi: 10.1176/ajp.141.11.1371.
- Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York-London: The Guilford Press.
- Rosen GM. Self-help treatment books and the commercialization of psychotherapy. Am Psychol. 1987 Jan;42(1):46-51. doi: 10.1037//0003-066x.42.1.46. No abstract available.
- Rybarczyk B, Lopez M, Schelble K, Stepanski E. Home-based video CBT for comorbid geriatric insomnia: a pilot study using secondary data analyses. Behav Sleep Med. 2005;3(3):158-75. doi: 10.1207/s15402010bsm0303_4.
- Taylor DJ, Gardner CE, Bramoweth AD, Williams JM, Roane BM, Grieser EA, Tatum JI. Insomnia and mental health in college students. Behav Sleep Med. 2011;9(2):107-16. doi: 10.1080/15402002.2011.557992.
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 13-OR-052-ME
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