NCT01176123

Brief Summary

Understanding the effectiveness of Cognitive Behavioral Therapy for trauma-related insomnia (CBT-I) is important because sleep difficulties often persist after traditional post-trauma treatments are completed and other trauma-related symptoms have resolved. The objective of this study is to examine whether CBT-I will equivocally reduce problems falling and staying asleep (insomnia) related to military-related PTSD when administered in person versus through telephone therapy to veterans living in rural areas. Rural populations are at a disadvantage in receiving treatment because of lack of access to healthcare services. Telemedicine uses technology (e.g., telephones) to provide distance counseling to the populations who lack access to health care. Thus, telephone-counseling strategies could provide broad access to interventions for management of trauma-related insomnia. Veterans who live more than 30 miles from Veterans Affairs (VA) PTSD specialty services will be offered participation in this study. All veterans receive 6 weeks of individual CBT-I for trauma-related insomnia. Participants will be randomized to one of two treatment conditions: (1) CBT-I in person or (2) CBT-I via telemedicine (defined as receiving treatment by telephone). No changes will be made to the CBT-I, other than mode of delivery, for the telemedicine group. Through this study the investigators hope to demonstrate the effectiveness of CBT-I for trauma-related insomnia can be delivered effectively to rural veterans in person and via telemedicine.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2011

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 4, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 5, 2010

Completed
6 months until next milestone

Study Start

First participant enrolled

February 3, 2011

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 27, 2011

Completed
Last Updated

March 20, 2020

Status Verified

March 1, 2020

First QC Date

August 4, 2010

Last Update Submit

March 18, 2020

Conditions

Keywords

Cognitive behavioral therapyInsomniaTraumatic Stress

Study Arms (2)

CBT-I in person

ACTIVE COMPARATOR

Cognitive behavioral therapy for insomnia delivered in person

Behavioral: Cognitive Behavioral Therapy for Insomnia

CBT-I via telephone therapy

EXPERIMENTAL

Cognitive behavioral therapy for insomnia delivered by telephone

Behavioral: Cognitive Behavioral Therapy for Insomnia

Interventions

Cognitive Behavioral Therapy for Insomnia

CBT-I in personCBT-I via telephone therapy

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Veterans living 30 or more miles from VA PTSD specialty services
  • Diagnosis of PTSD or subthreshold PTSD symptoms
  • Trauma-related insomnia

You may not qualify if:

  • Primary sleep disorder other than insomnia(e.g., Restless Leg Syndrome)
  • Psychosis
  • Active alcohol dependence
  • Active drug dependence

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Southeast Louisiana Veterans Health Care System

New Orleans, Louisiana, 70112, United States

Location

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Intervention Hierarchy (Ancestors)

Behavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Laurel Franklin, PhD

    Southeast Louisiana Veterans Health Care System

    PRINCIPAL INVESTIGATOR
  • Sheila Corrigan, PhD

    Southeast Louisiana Veterans Health Care System

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Staff Psychologist

Study Record Dates

First Submitted

August 4, 2010

First Posted

August 5, 2010

Study Start

February 3, 2011

Study Completion

September 27, 2011

Last Updated

March 20, 2020

Record last verified: 2020-03

Locations