Optimizing Sleep Health in Nurses

Piloting an Adaption of Cognitive Behavioral Therapy for Insomnia for Shift Workers (CBTI-Shift)

The aim of the proposed study is to pilot test two behavioral sleep intervention strategies for improving insomnia among night shift working nurses.

Night shift nurses with insomnia who meet all study criteria will receive one of two insomnia therapies. The specific therapy for insomnia will be determine by chance (like a flip of a coin), with an equal chance to receive either cognitive-behavioral therapy for insomnia or multicomponent relaxation therapy for insomnia, both modified for shift workers. Both therapies will be conducted over telehealth by interventionists trained in behavioral sleep medicine.

Inclusion Criteria:

• Current shift working nursing staff in Oregon
• Expect to continue on shift work schedule during the study
• Meets criteria for an insomnia disorder
• Elevated insomnia symptoms
• Have daily access to internet on a smartphone, tablet, or computer; and
• Can read and write in English

Exclusion Criteria:

• People with uncontrolled medical conditions
• Presence of safety risk or condition in which study participation may be ineffective or result in increased risk to safety
• Some current treatments for insomnia
• Permanent day, evening, or rotating shift schedule
• History of seizures or manic episode; or
• Current/expected pregnancy during the study period