NCT07036705

Brief Summary

This two-arm randomized trial will provide digital cognitive behavioral therapy for insomnia (CBT-I) to all participants and passive body heating (PBH) sessions using a sauna blanket to half of participants over a 9-week treatment period. Participants are adults aged 18 years or older with insomnia disorder.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
14mo left

Started Sep 2025

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress34%
Sep 2025Jul 2027

First Submitted

Initial submission to the registry

June 16, 2025

Completed
9 days until next milestone

First Posted

Study publicly available on registry

June 25, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

September 29, 2025

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2027

Last Updated

April 24, 2026

Status Verified

April 1, 2026

Enrollment Period

1.8 years

First QC Date

June 16, 2025

Last Update Submit

April 22, 2026

Conditions

Keywords

Passive Body HeatingCognitive Behavioral Therapy for InsomniaCBT-IInsomnia DisorderDigital InterventionMood DisordersPBH

Outcome Measures

Primary Outcomes (1)

  • Intervention Acceptability

    Proportion of participants with a score of ≥7 on the following net promoter item: "How likely would you be to recommend participating in this study to a friend or family member with insomnia?" Responses range from "Would not recommend" (0) to "Would definitely recommend" (10).

    9 weeks

Study Arms (2)

Cognitive Behavioral Therapy for Insomnia (CBT-I)

ACTIVE COMPARATOR

Participants will receive digital Cognitive Behavioral Therapy for Insomnia (CBT-I).

Behavioral: Cognitive Behavioral Therapy for Insomnia (CBT-I)

Cognitive Behavioral Therapy for Insomnia and Passive Body Heating (CBT-I+PBH)

EXPERIMENTAL

Participants will receive digital Cognitive Behavioral Therapy for Insomnia (CBT-I) and Passive Body Heating (PBH) using a sauna blanket.

Behavioral: Cognitive Behavioral Therapy for Insomnia (CBT-I)Device: Passive Body Heating (PBH)

Interventions

Cognitive behavioral therapy for insomnia (CBT-I) is a behavioral (psychotherapeutic) intervention for insomnia disorder. Participants will complete digital CBT-I online using the Sleep Healthy Using the Internet (SHUTi) program.

Cognitive Behavioral Therapy for Insomnia (CBT-I)Cognitive Behavioral Therapy for Insomnia and Passive Body Heating (CBT-I+PBH)

Passive body heating (PBH) is a body-based treatment that participants will complete using a sauna blanket, which is similar in form factor to an adult-sized sleeping bag (head is not within the heated area). Participants will complete at least three 15-minute PBH sessions per week. Participants will complete PBH sessions in the sauna blanket placed on the floor or on a couch (i.e., not in their bed) at a setting of Level 6, 1-2 hours before bed.

Cognitive Behavioral Therapy for Insomnia and Passive Body Heating (CBT-I+PBH)

Eligibility Criteria

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

You may qualify if:

  • years or older
  • English-speaking
  • Willing to use birth control if assigned female sex at birth
  • Willing to receive study text messages during participation
  • Location to plug sauna blanket into regular wall outlet
  • Ability to lie in sauna blanket for 15 minutes
  • Ability to fit in the sauna blanket
  • Daily access to the internet via computer, smartphone, or tablet
  • Elevated insomnia symptoms as indexed by a score of 11 or greater on the Insomnia Severity Index (ISI) at two screening timepoints
  • Primary insomnia disorder (characterized by difficulty initiating sleep) as indexed by a positive diagnosis on the Structured Clinical Interview for DSM-5 Sleep Disorders (SCISD)

You may not qualify if:

  • Night shift or swing shift worker
  • Current or planned routine body heating practices (e.g., saunas, hot tubs, long baths) within 4 hours before bed that are 10 minutes or more in duration (≥2x per week)
  • Pregnant or plans to become pregnant during the participation period
  • Traveling internationally between screening assessment and anticipated post-intervention assessment, or during anticipated post-follow-up assessment period (\~1 week)
  • Other diagnosed sleep disorders or suspected sleep disorders
  • Medical conditions that might increase the risk of passive body heating using an infrared sauna blanket
  • Medication use that might increase the risk of passive body heating using an infrared sauna blanket
  • Mental health disorder that may better explain insomnia, require priority treatment, or be exacerbated by time in bed restriction
  • Medical condition that may better explain insomnia, require priority treatment, or be exacerbated by time in bed restriction
  • Lifetime diagnosis of a bipolar disorder, psychosis, or other psychotic disorder
  • Current (past 3 months) major depressive disorder
  • Current (past 12 months) suicidality, alcohol use disorder, other substance use disorder (except mild cannabis use disorder), panic disorder, agoraphobia, social anxiety disorder, obsessive-compulsive disorder, attention-deficit/hyperactivity disorder, post-traumatic stress disorder, and eating disorders
  • If using medications for mental health treatment (e.g., antidepressant medication) must have been on a stable dose for prior 8 weeks
  • Currently receiving cognitive behavioral therapy for insomnia (CBT-I)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Osher Center for Integrative Health

San Francisco, California, 94115, United States

RECRUITING

Related Publications (2)

  • Haghayegh S, Khoshnevis S, Smolensky MH, Diller KR, Castriotta RJ. Before-bedtime passive body heating by warm shower or bath to improve sleep: A systematic review and meta-analysis. Sleep Med Rev. 2019 Aug;46:124-135. doi: 10.1016/j.smrv.2019.04.008. Epub 2019 Apr 19.

    PMID: 31102877BACKGROUND
  • Lee S, Oh JW, Park KM, Lee S, Lee E. Digital cognitive behavioral therapy for insomnia on depression and anxiety: a systematic review and meta-analysis. NPJ Digit Med. 2023 Mar 25;6(1):52. doi: 10.1038/s41746-023-00800-3.

    PMID: 36966184BACKGROUND

Related Links

MeSH Terms

Conditions

Sleep Initiation and Maintenance DisordersMood 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

  • Ashley E Mason, PhD

    University of California, San Francisco

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sarah M Fisher, MS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
The clinical outcomes assessor who conducts the post-treatment clinical interviews will be masked to study randomization.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned to receive (1) digital cognitive behavioral therapy for insomnia (CBT-I) or (2) digital cognitive behavioral therapy and passive body heating sessions using a sauna blanket (CBT-I+PBH).
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 16, 2025

First Posted

June 25, 2025

Study Start

September 29, 2025

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

July 1, 2027

Last Updated

April 24, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

The final IPD dataset will include self-reported demographic data, other self-reported data (e.g., subjective sleep measures, mood symptoms), and wearable-derived sleep data (wearable-derived sleep data will be shared as nightly aggregates).

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Beginning 3 months after the publication of results and unending.
Access Criteria
Data will be accessible via the Vivli platform. To access IPD arising from this project, users must complete the Vivli data request form and sign the Vivli Data Use Agreement, which limits subsequent use to the terms of the approved request and requires that users maintain data security, and refrain from any attempts to reidentify research participants or engage in any unauthorized uses of the data. In order to get access to the data, the user must submit a valid scientific question, include a statistical analysis plan, and complete all required fields on the Vivli data request form. Vivli will review the data request for completeness. Anyone who has submitted an approved data request and signed a data use agreement on Vivli will be given access to the data. Vivli will then make the data available, without cost, to users for a set period of time. Vivli will maintain storage and access of the data for as long as it maintains scientific utility.
More information

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