The recent lifestyle has put many people in a state of high stress, and the outbreak of COVID-19 in recent years has caused a steady increase in the number of people diagnosed with "Coronasomnia" (Covid-somnia) after recovering from the disease. For reasons outlined above, a lot number of people were suffering from Insomnia. To propose some method to improve patients' sleep disorders become a popular research issue. The American Academy of Sleep Medicine strongly recommends using the Cognitive Behavioral Therapy for insomnia (CBT-I) method, one of the non-pharmacological treatments for insomnia. However, CBT-I is primarily a physical therapy, so patients may not be able to access this therapy due to time and location constraints. This project aims to combine the technology of Cognitive Behavioral Therapy for Insomnia (CBT-I) and chatbot to help insomnia patients learn more about their sleep habits and improve their sleep quality at home through remote access. Investigators will design a friendly chatbot based on the CBT-I concept to assist insomnia patients to improve their sleep quality and life quality. This project will be executed at Taipei Municipal Wanfang Hospital. Patients of insomnia will be referred by the attending physician from outpatient clinic. It is estimated that 120 patients will be enrolled, 60 in the experimental group and 60 in the control group. The experimental group will receive four weeks of cognitive behavioral therapy for insomnia via a chatbot, while the control group will be treated as usual. Patients will be assessed for improvement in sleep severity at the end of four weeks and follow up after 12 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
72
A chatbot designed based on cognitive behavioral therapy for insomnia
Treatment as usual
WanFang Hospital
Taipei, Taiwan, Taiwan
The Pittsburgh Sleep Quality Index
Value: 0\~21, higher score means a worse outcome
Time frame: From enrollment to the end of treatment at 4 weeks
Patient Health Questionnaire
Value: 0\~27, higher score means a worse outcome
Time frame: From enrollment to the end of treatment at 4 weeks
Beck Depression Inventory
Value: 0\~63, higher score means a worse outcome
Time frame: From enrollment to the end of treatment at 4 weeks
Beck Anxiety Inventory
Value: 0\~63, higher score means a worse outcome
Time frame: From enrollment to the end of treatment at 4 weeks
Brief Symptom Rating Scale
Value: 0\~20, higher score means a worse outcome
Time frame: From enrollment to the end of treatment at 4 weeks
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