App-delivered Sleep ThERapy for Older Individuals With Insomnia (ASTEROID)
Insomnia
About this trial
This is an interventional treatment trial for Insomnia focused on measuring sleep, digital, older people, brief behavioural therapy
Eligibility Criteria
Inclusion Criteria:
- Older adults aged ≥ 60 years
- Able to give informed online consent
- Insomnia Severity Index ≥ 10, including a score of 3 in at least one of the first three items (nocturnal symptoms).
- English fluency
- Access to a smartphone and willingness/proficiency to use a mobile app
Exclusion Criteria:
- Shift-workers
- Travel to a destination with >2 hours time-difference (within 30-days)
- Serious medical and/or psychiatric illnesses/disorders or self-harm risk (Patient Health Questionnaire-9, item 9, 1+ score of risk of suicidal ideation)
- Diagnosed sleep disorders other than insomnia
- Regular sleep medications or sleep devices (>2 times a week over last 6 months)
- Currently receiving or previously received (within the last 12 months) psychotherapy for insomnia including Cognitive Behavioural Therapy (CBT).
- Drive for work/operate heavy machinery
Sites / Locations
- Woolcock Institute of Medical ResearchRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Digital brief behavioural therapy for insomnia
Sleep Health Education wait-list control
Participants randomised to the digital brief behavioural therapy for insomnia (SleepFix app) will be provided an unique access code to download the app. The intervention uses sleep retraining therapy to reduce excess time spent in bed and retrain sleep by matching time in bed (minimum of five and a half hours) to total sleep time. All participants in the intervention arm will also be provided a sleep-tracking wearable device (Fitbit) which will synchronised bed times (going to bed and rising) and are synchronised with the SleepFix app. Participants wil complete a daily sleep diary, rate sleep quality and mood. The intervention is provided for 6 weeks.
Participants randomised to the control group will gain access to the first Sleep Health Education module immediately following completion of baseline questionnaires. There are three modules provided bi-weekly with information about sleep health and broad details about managing sleep disturbances. Participants will receive a link to this information as each module is made available. Upon completion of the study (week 26), the control group will receive free access to the SleepFix mobile application.