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Cognitive behavioral therapy for insomnia (CBT-I) has been the 'gold standard' for the treatment of insomnia. There is a need to increase access to treatment, particularly for patients in more rural locations where providers may be scarce. One solution is to utilize telemedicine which is "the use of electronic communications to provide and support health care when distance separates the provider from the patient." So the purpose of the study is to determine if receiving CBT-I by video teleconferencing works just as well as in-person treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CBT-I in person | Active Comparator |
| |
| CBT-I via telemedicine | Experimental |
| |
| Waitlist Control | Other | Patients in this arm will receive in person CBT-I treatment after conclusion of the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CBT-I in person | Behavioral | 6 weeks of CBT-I in person, one 1-hour long session per week |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in ISI scores | Total score on the Insomnia Severity Index (0-28) | Once at baseline assessment and once again at follow-up after CBT-I intervention approximately 9 weeks later |
| Measure | Description | Time Frame |
|---|---|---|
| Change in actigraphic sleep efficiency | Measured using an actigraph wristband | Patients will wear the wristband for a week during sleep baseline assessment and again for a week at follow-up, approximately 8 weeks later |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34428360 | Derived | Gehrman P, Gunter P, Findley J, Frasso R, Weljie AM, Kuna ST, Kayser MS. Randomized Noninferiority Trial of Telehealth Delivery of Cognitive Behavioral Treatment of Insomnia Compared to In-Person Care. J Clin Psychiatry. 2021 Aug 24;82(5):20m13723. doi: 10.4088/JCP.20m13723. |
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| CBT-I via Telemedicine | Behavioral | 6 weeks of CBT-I via telemedicine, one 1-hour long session per week |
|
| No intervention | Other | Patients in this arm will receive no intervention but will receive CBT-I treatment after conclusion of the study |
|
| D001523 |
| Mental Disorders |