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Feasibility and Acceptability of an Internet-based Cognitive-behavioral Treatment for Insomnia in Adults With Asthma

Primary Purpose

Asthma, Insomnia Chronic

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Internet-based CBT-I
Sponsored by
University of Pittsburgh
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring asthma, insomnia, cognitive-behavioral treatment

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Arm Type

Experimental

Arm Label

Internet-based CBT-I

Arm Description

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).

Outcomes

Primary Outcome Measures

Insomnia severity
Insomnia Severity Index
Asthma control
Asthma Control Test

Secondary Outcome Measures

Full Information

First Posted
December 19, 2016
Last Updated
April 3, 2018
Sponsor
University of Pittsburgh
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)
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1. Study Identification

Unique Protocol Identification Number
NCT03002402
Brief Title
Feasibility and Acceptability of an Internet-based Cognitive-behavioral Treatment for Insomnia in Adults With Asthma
Official Title
Feasibility and Acceptability of an Internet-based Cognitive-behavioral Treatment for Insomnia in Adults With Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
February 1, 2017 (Actual)
Primary Completion Date
July 17, 2017 (Actual)
Study Completion Date
July 17, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Pittsburgh
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the proposed study are to explore changes in sleep and asthma outcomes from baseline to post-treatment in adults with asthma and comorbid insomnia who underwent Internet-based cognitive-behavioral treatment for insomnia (CBT-I).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma, Insomnia Chronic
Keywords
asthma, insomnia, cognitive-behavioral treatment

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Internet-based CBT-I
Arm Type
Experimental
Arm Description
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).
Intervention Type
Behavioral
Intervention Name(s)
Internet-based CBT-I
Other Intervention Name(s)
Sleep Healthy Using the Internet (SHUTi)
Intervention Description
Internet-based cognitive-behavioral treatment for insomnia
Primary Outcome Measure Information:
Title
Insomnia severity
Description
Insomnia Severity Index
Time Frame
baseline and post-intervention (up to 9 weeks)
Title
Asthma control
Description
Asthma Control Test
Time Frame
baseline and post-intervention (up to 9 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Faith S Luyster, PhD
Organizational Affiliation
University of Pittsburgh
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15261
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Feasibility and Acceptability of an Internet-based Cognitive-behavioral Treatment for Insomnia in Adults With Asthma

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