Trial of Internet-Based Cognitive Behavioral Therapy for Insomnia in Patients Prescribed Insomnia Medications
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 136,630
- 试验地点
- 1
- 主要终点
- Days supply of dispensed insomnia medications
研究概览
简要总结
The investigators will conduct a randomized, controlled trial of internet-based cognitive behavioral therapy (iCBT) vs usual care for insomnia. The target population is patients prescribed medications for insomnia who have not had a dispensation of these medications in the preceding six months. The primary outcomes is dispensed days supply over the subsequent one year. Secondary outcomes include all types of health system clinical encounters. The investigators hypothesize that the group randomized into iCBT will have less insomnia medications dispensed than usual care controls, and less clinical encounters..
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A prescription for any of a set of selected insomnia medications.
- •Age >18 years at the time of the prescription.
- •A recent (<30 days before the prescription date) diagnosis of insomnia as determined by a set of selected International Classification of Disease (ICD) codes, to be used for medications that are not prescribed just for insomnia.
- •Membership for >365 days prior to the prescription date.
- •No evidence of a dispensed insomnia medication within six months (183 days) of the current prescription.
排除标准
- •Contained in inclusion criteria.
研究组 & 干预措施
iCBTI
Intervention: An internet-based cognitive behavioral therapy program for insomnia (iCBTI) that is tailored to the individual's needs based on responses to questions.
干预措施: Internet cognitive behavioral therapy for insomnia (iCBTI) (Behavioral)
Usual care
Intervention: A group class on insomnia provided at each Kaiser Permanente Southern California medical center.
干预措施: Class in sleeping well and improving insomnia (Behavioral)
结局指标
主要结局
Days supply of dispensed insomnia medications
时间窗: One year
Days supply of dispensed insomnia medications up to one year after randomization.
次要结局
- Health care inpatient and outpatient encounters(One year)