Feasibility and Acceptability of an Internet-based Cognitive-behavioral Treatment for Insomnia in Adults With Asthma
Asthma, Insomnia Chronic
About this trial
This is an interventional treatment trial for Asthma focused on measuring asthma, insomnia, cognitive-behavioral treatment
Eligibility Criteria
Inclusion Criteria:
- Primary diagnosis of moderate-severe persistent asthma
- Not well controlled asthma (score ≤ 19 on the Asthma Control Test)
- Age 18-75 years
- Meets criteria for Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Insomnia Disorder
- At least moderate insomnia severity (score ≥ 10 on Insomnia Severity Index)
- Telephone number, email address, and reliable Internet access
Exclusion Criteria:
- History of bipolar or psychosis
- Substance abuse disorder within past 3 months
- Dementia or probable dementia diagnosis
- Plans to move or leave present source of care during the following 6 months.
- Non-English speaking, illiterate, or possesses sensory deficits
Sites / Locations
- University of Pittsburgh
Arms of the Study
Arm 1
Experimental
Internet-based CBT-I
Sleep Healthy Using the Internet (SHUTi) is a self-guided, automated, interactive, and tailored web-based program modeled on the primary tenets of cognitive-behavioral treatment for insomnia (CBT-I): sleep restriction, stimulus control, cognitive restructuring, sleep hygiene, and relapse prevention. Intervention content is allocated out over time through 6 "Cores." Users obtain access to a new Core based on a time and event-based schedule (e.g., 7 days after completion of previous Core). SHUTi uses online sleep diaries to track progress and to tailor treatment (e.g., assign a sleep restriction window).