Optimization of Insomnia Treatment in Primary Care

Stepped Care Treatment for Insomnia Delivered in Primary Care Clinics: A Pragmatic Clinical Trial

The primary objective of this pragmatic clinical trial is to evaluate the efficacy, feasibility, and adaptability of pharmacological and non-pharmacological treatments for insomnia disorder, delivered in primary care clinics. The second objective is to evaluate the efficacy of a sequential (stepped care) approach for persistent insomnia.

Inclusion Criteria:

• Aged 18 years or over
• Meeting criteria for insomnia disorder
• Registered patient at one of the primary care clinics participating in the study
• Fluent in French
• Computer and internet access

Exclusion Criteria:

• Unstable or untreated psychiatric disorder
• Lifetime psychotic or bipolar disorder
• Current suicide risk
• Progressive or unstable medical disorder
• Untreated sleep disorder other than insomnia
• Use of medication altering sleep
• Irregular or atypical sleep-wake schedule
• Current or planned pregnancy