Digital Cognitive Behavioral Therapy for Insomnia in China

Peking University217 enrolled

Overview

Digital cognitive behavioral therapy for insomnia (dCBT-i) is found to be effective but is rarely used in China. Hence, the investigators developed an automated Chinese dCBT-i program and examined its feasibility, acceptability, and preliminary effectiveness in individuals with insomnia symptoms.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

217

Conditions

Primary Insomnia

Interventions

Digital Cognitive Behavioral TherapyBEHAVIORAL

Cognitive behavioral therapy for insomnia (CBT-i) has been showed to be effective in reducing insomnia symptoms and insomnia-related symptoms, including sleepiness, dysfunctional beliefs and attitudes about sleep, anxiety and depressive symptoms

Sleep Hygiene Education (SHE)BEHAVIORAL

The SHE group received sleep hygiene education delivered in text form, and the same intervention as the dCBT-i group did after four weeks.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * were aged 18 or older; * had a positive screening result for chronic insomnia, i.e., a score of 16 or lower on the Sleep Condition Indicator (SCI); * had stable access to the internet via a smartphone. Exclusion Criteria: * additional sleeping conditions except for insomnia (such as restless legs syndrome and sleep apnea); * psychosis or mania; * serious physical health concerns necessitating surgery or with prognosis \<6 months; * undergoing medical or psychological treatment for insomnia with a health professional; * habitual night shift, evening, or rotating shift-workers.

Locations (1)

Peking University

Beijing, Beijing Municipality, China

Outcomes

Primary Outcomes

sleep diary

recording one's sleep efficiency, total sleep time, sleep onset latency, wakefulness after sleep onset, and subjective sleep quality

Time frame: week 4

Sleep Condition Indicator-8

Sleep Condition Indicator-8 is an 8-item scale validated against Diagnostic and Statistical Manual-5 criteria, concerning sleep quality and daytime personal functioning. It scores between 0 to 32, with higher scores meaning better sleep.

Time frame: week 4

Secondary Outcomes

the Insomnia Severity Index 7-item version

It scores between 0 to 28, with higher scores meaning more severe insomnia.

Time frame: week 4

the Dysfunctional Beliefs and Attitudes about Sleep Scale 16-item version

It scores between 16 to 80, with higher scores meaning more dysfunctional beliefs.

Time frame: week 4

the Epworth Sleepiness Scale

It scores between 0 to 24, with higher scores meaning greater sleepiness.

Time frame: week 4

the Patient Health Questionnaire 9-item version

It scores between 0 to 27, with higher scores meaning higher depressive symptoms.

Time frame: week 4

the Generalized Anxiety Disorder 7-item version

It scores between 0 to 21, with higher scores meaning higher anxious symptoms.

Time frame: week 4

Data from ClinicalTrials.gov

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