NCT02988375

Brief Summary

The primary objective of the proposed research is to determine the efficacy of Digital Cognitive Behavior Therapy (dCBTI) in reducing severity of depression and also in preventing the incidence and relapse of depression among insomniacs. In addition, we will identify salient sociological/environmental variables, such as age, sex, education, socioeconomic status (SES), racial/ethnic minority-status, work schedule, child-care responsibilities (i.e., having children under the age of 3), stigma, that moderate the effects of this intervention.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
1,385

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2016

Typical duration 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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 8, 2016

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

December 7, 2016

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 9, 2016

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 26, 2018

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 13, 2018

Completed
5.3 years until next milestone

Results Posted

Study results publicly available

January 12, 2024

Completed
Last Updated

January 12, 2024

Status Verified

January 1, 2024

Enrollment Period

2.1 years

First QC Date

December 7, 2016

Results QC Date

December 16, 2022

Last Update Submit

January 11, 2024

Conditions

Keywords

insomniadepressiondigital CBTIonline CBTI

Outcome Measures

Primary Outcomes (4)

  • Severity of Depression as Measured by the Quick Inventory of Depressive Symptomatology (QIDS) Pre-Treatment

    Severity of depression as measured by the Quick Inventory of Depressive Symptomatology (QIDS; ranges 0-27 with higher scores meaning greater severity) and incidence of depression

    Pre-treatment (Day 1)

  • Severity of Depression as Measured by the Quick Inventory of Depressive Symptomatology (QIDS) Post-Treatment

    Severity of depression as measured by the Quick Inventory of Depressive Symptomatology (QIDS; ranges 0-27 with higher scores meaning greater severity)

    Post-treatment (~6 week after Screening)

  • Severity of Depression as Measured by the Quick Inventory of Depressive Symptomatology (QIDS), 1-year Follow-up

    Severity of depression as measured by the Quick Inventory of Depressive Symptomatology (QIDS; ranges 0-27 with higher scores meaning greater severity)

    1-year follow-up (58 week after screening)

  • Severity of Symptoms of Insomnia [Time Frame: Pre-treatment (Day 1)]

    Insomnia Severity Index Score (ISI; total score range 0-28, with higher scores meaning greater severity)

    Pre-treatment (Day 1)

Secondary Outcomes (2)

  • Severity of Symptoms of Insomnia - Post Treatment

    Post-treatment (~6 week after Screening)

  • Severity of Symptoms of Insomnia - 1 Year Post Treatment

    1-year follow-up (58 week after screening)

Study Arms (2)

dCBTI

EXPERIMENTAL

Online access to the digital CBTI program Sleepio

Behavioral: dCBTI

Sleep Education

PLACEBO COMPARATOR

Weekly email messages with sleep hygiene recommendations

Behavioral: Sleep Education

Interventions

dCBTIBEHAVIORAL
dCBTI
Sleep EducationBEHAVIORAL
Sleep Education

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Meets Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition(DSMV) criteria for insomnia

You may not qualify if:

  • Lack of insomnia, untreated sleep disorder (e.g., obstructive sleep apnea, restless leg syndrome), bipolar disorder, history of seizure disorder, high depression chronicity (self-reported daily or near daily depressed mood and anhedonia)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Related Publications (4)

  • Cheng P, Kalmbach DA, Hsieh HF, Castelan AC, Sagong C, Drake CL. Improved resilience following digital cognitive behavioral therapy for insomnia protects against insomnia and depression one year later. Psychol Med. 2023 Jul;53(9):3826-3836. doi: 10.1017/S0033291722000472. Epub 2022 Mar 8.

  • Cheng P, Casement MD, Cuellar R, Johnson DA, Kalmbach D, Cuamatzi Castelan A, Drake CL. Sleepless in COVID-19: racial disparities during the pandemic as a consequence of structural inequity. Sleep. 2022 Jan 11;45(1):zsab242. doi: 10.1093/sleep/zsab242.

  • Cheng P, Casement MD, Kalmbach DA, Castelan AC, Drake CL. Digital cognitive behavioral therapy for insomnia promotes later health resilience during the coronavirus disease 19 (COVID-19) pandemic. Sleep. 2021 Apr 9;44(4):zsaa258. doi: 10.1093/sleep/zsaa258.

  • Cheng P, Kalmbach DA, Tallent G, Joseph CL, Espie CA, Drake CL. Depression prevention via digital cognitive behavioral therapy for insomnia: a randomized controlled trial. Sleep. 2019 Oct 9;42(10):zsz150. doi: 10.1093/sleep/zsz150.

MeSH Terms

Conditions

Sleep Initiation and Maintenance DisordersDepression

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental DisordersBehavioral SymptomsBehavior

Results Point of Contact

Title
Dr. Christopher Drake
Organization
Henry Ford Health

Study Officials

  • Christopher Drake, PhD

    Henry Ford Medical Center - Columbus

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Sleep Research

Study Record Dates

First Submitted

December 7, 2016

First Posted

December 9, 2016

Study Start

March 8, 2016

Primary Completion

April 26, 2018

Study Completion

September 13, 2018

Last Updated

January 12, 2024

Results First Posted

January 12, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will not share

Locations