App-delivered Cognitive-behavioral Therapy for Insomnia Among Patients With Musculoskeletal Complaints
Insomnia, Pain, Chronic
About this trial
This is an interventional treatment trial for Insomnia
Eligibility Criteria
Inclusion Criteria:
- Taking part in inpatient rehabilitation due to long-term musculoskeletal complaints
- Insomnia Severity Index (ISI) score >11.
Exclusion Criteria:
- Not having a smartphone or tablet.
- Individuals with work schedules that includes night shifts during the intervention
- Pregnancy
- Inadequate opportunity to sleep or living circumstances that prevent modification of sleep patterns such as having an infant
- Currently receiving psychological treatment for insomnia
- Medical history of contraindicating use of CBT-I such as epilepsy, recent cardiac surgery, and an attack phase of multiple sclerosis
Sites / Locations
- Unicare HelsefortRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Digital Cognitive-behavioral therapy for insomnia (dCBT-I)
Usual care
In addition to the standard rehabilitation program, participants will receive the sleep intervention delivered via a smartphone app. We will use a Norwegian a program named Assistert Selvhjelp (In English: "Assisted Self-Help"). The app is fully automated and requires no contact with healthcare personnel. It can also be assessed on computers, but in the present project we will use the app-delivered version. It is based on the principles from face-to-face CBT-I including several modules consisting of sleep hygiene, stimulus control sleep restriction, cognitive therapy, and relaxation training. The modules also consist of learning material (e.g., quizzes and materials explaining and educating the patients about important sleep dimensions).
Participants randomized to usual care will receive the standard inpatient rehabilitation program. This is a traditional rehabilitation program consisting of physical activity, mindfulness excises, psychoeducation and acceptance and commitment therapy. One of the educational sessions is about sleep. Although this educational session overlaps with some of the content included in the intervention (e.g., sleep hygiene, stimulus control), it does not include any of the interactive features of the app.