WELT-REST: WELT Randomized Evaluation of Sleep Therapy
WELT-REST
A Randomized Controlled Decentralized Clinical Pilot Trial to Assess the Effectiveness and Sagety of the Digital Cognitive Behavioral Therapy Intervention SleepQ for Insomnia
1 other identifier
interventional
80
1 country
1
Brief Summary
The goal of this clinical trial is to learn whether the SleepQ mobile app can help reduce insomnia symptoms in adults diagnosed with insomnia. The main questions it aims to answer are:
- Does adding the SleepQ app to care as usual (CAU) improve insomnia symptoms after 12 weeks?
- Does SleepQ also improve depressive symptoms, anxiety, beliefs about sleep and daily functioning? Researchers will compare CAU + SleepQ to CAU alone to see whether SleepQ provides additional benefits for sleep and well-being. Participants will take part remotely from home, be randomly assigned to either SleepQ+CAU or CAU alone, and complete online questionnaires at baseline, week 6, and week 12 about their sleep, mood, and daily functioning. Participants in the intervention group will use the SleepQ app for 12 weeks while continuing their usual care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2025
Shorter than P25 for not_applicable
1 active site
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
Study Start
First participant enrolled
December 1, 2025
CompletedFirst Submitted
Initial submission to the registry
December 3, 2025
CompletedFirst Posted
Study publicly available on registry
December 17, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2026
December 17, 2025
December 1, 2025
7 months
December 3, 2025
December 3, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Insomnia Severity Index (ISI) Score from Baseline to Week 12
The Insomnia Severity Index (ISI) is a 7-item validated self-report questionnaire assessing the severity and impact of insomnia symptoms. Total scores range from 0 to 28, with higher scores indicating more severe insomnia. ISI is administered at baseline and week 12. The outcom is calculated a the change in total ISI score from baseline to week 12.
From baseline to 12 weeks after enrollment
Secondary Outcomes (5)
Change in Patient Health Questionnaire-9 (PHQ-9) Score from Baseline to Week 12
From baseline to week 12
Change in Generalized Anxiety Disorder-7 (GAD-7) Score from Baseline to Week 12
From baseline to week 12
Change in Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16) Score from Baseline to Week 12
From baseline to week 12
Change in Work and Social Adjustment Scale (WSAS) Score from Baseline to Week 12
From baseline to week 12
Change in EuroQol Visual Analog Scale (EQ-VAS) Score from Baseline to Week 12
From baseline to week 12
Other Outcomes (1)
Change in Patient Satisfaction With the SleepQ App From Intervention Start to Week 12
From intervention start (code activation) to week 12
Study Arms (2)
SleepQ Digital Cognitive Behavioral Therapy for Insomnia (dCBT-I)
EXPERIMENTALCare-as-Usual (CAU)
NO INTERVENTIONInterventions
SleepQ is a fully digital, individualized 12-week cognitive behavioral therapy program for adults with insomnia. The intervention is delivered via the SleepQ mobile application and includes structured CBT-I components such as sleep restriction therapy, stimulus control, psychoeducation, cognitive restructuring, sleep hygiene training, and daily sleep diary input, in addition to Care-as-Usual (CAU).
Eligibility Criteria
You may qualify if:
- Adult patients ≥18 years old
- Confirmed current diagnosis of F51.0 Nonorganic insomnia or G47.0 Sleep disorders
- Possession of a mobile device with internet connection (must be run on iOS software, minimum version 18) with internet connection
- Sufficient German language proficiency required for the correct use of the intervention and the mobile device
- Personal e-mail address for registration
- Willing and able to provide written informed consent
- Insomnia Severity Index (ISI) socre of 15 or higher, indicating clinically relevant symptoms of insomnia
- Registered with a GP, sleep specialist or other health care professional
You may not qualify if:
- Use of a digital interventioan for insomnia treatment in the past 6 months or planned use of comparable digital intervention during the study period
- PHQ-9 score at screening ≥ 20 and/or item 9 f PHQ-9 ≥ 1
- GAD-7 score at screening ≥ 15
- Intermittent use and/or recent initiation (\< 3m) or planned use of insomnia specific prescription-only pharmacological therapy
- Intermittent use and/or recent initiation (\< 3m) or planned use of a psychotropic during the study period which has recognised potential effects on insomnia
- Participation in CBT or other psychotherapy to treat sleep disorders in the last 6 months (outpatient, inpatient) or planned start during the study period
- Known history or diagnosis of substance or alchol abuse or dependence within 12 months prior to screening (diagnosis of F10-F19, excluding F17.1 and F17.2)
- Current or planned participation in other clinical trials during the study period
- Working in shifts
- Currently pregnant or planning to become pregnant within the next 3 months
- Any surgical procedure that was scheduled, planned, or conducted within the timeframe of the study (minor outpatient procedures under local anaesthetic or with no anesthetic are permitted)
- Diagnosis of epilepsy
- Presence of serious mental illness, such as (schizophrenia F 20.-, acute transient psychotic disorders F23.-, active manic episode F30.-, bipolar disorder F31.-, severe depression F32.3, F33.3)
- Other diseases (such as acute or severe cardiac diseases, acute or severe respiratory diseases, acute or severe gastrointestinal diseases), conditions or therapies which, in the opinion of the investigator, could confound the study results or contraindicate participation.
- Acute suicidal thoughts or intentions within the past 12 months
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- WELT corplead
Study Sites (1)
Berlin Medical Association (Ärztekammer Berlin)
Berlin, 10969, Germany
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 3, 2025
First Posted
December 17, 2025
Study Start
December 1, 2025
Primary Completion (Estimated)
July 1, 2026
Study Completion (Estimated)
July 1, 2026
Last Updated
December 17, 2025
Record last verified: 2025-12