Self-Help Video for Insomnia in College Students

Study Overview
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Brief Summary
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The purpose of this study is to test the effectiveness of a 1-session abbreviated cognitive-behavior therapy for insomnia among college students. The investigators will examine the following hypotheses in the present study: 1) Viewing the treatment video will produce an increment in sleep knowledge relative to baseline and minimum treatment control; and 2) Viewing the treatment video will result in improved sleep relative to baseline and minimum treatment control. Students who self-identify as having insomnia will be recruited from the University of Alabama's Psychology subject pool. Students who enroll in the study will receive a link to the demographic and screening questionnaire. Individuals who have a history of other sleep disorders or who currently present with symptoms strongly suggestive of sleep disorders, such as obstructive sleep apnea or narcolepsy will be excluded. Individuals who are shift-workers and those with a history of severe mental illness will also be excluded. Participants who meet criteria for this study will then be directed to complete a measure of sleep knowledge. Once they have completed the measure of sleep knowledge, they will be directed to complete the Consensus Sleep Diary (CSD) for 14 days as soon as possible after awakening in the morning. During the second week of completing the CSD, participants will be directed to complete the Insomnia Severity Index and the Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep-Related Impairments Short Forms on the last day they complete a CSD. Participants will be randomized to a treatment group or a minimum treatment control group upon completion of these baseline measures. Those in the treatment group will be emailed the following components of the insomnia treatment: a link to the treatment video, an mp3 file with a relaxation recording, and a pdf file of a brochure reviewing the information presented in the treatment video. Participants will be asked to view the treatment video and begin practicing the relaxation technique presented in the mp3 file as soon as possible. Participants in the minimum treatment control group will receive a link to a sleep education video. Two weeks after participants have viewed the videos, they will be asked to complete post-treatment measures in the same sequence as they did at baseline. One month after the post-treatment measures have been completed, both groups will be asked to complete the same measures again for follow-up.

Official Title
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Self-Help Video for Insomnia in College Students

Conditions
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Sleep Initiation and Maintenance Disorders

Intervention / Treatment
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* Behavioral: Abbreviated cognitive behavioral therapy
* Behavioral: Sleep education/sleep hygiene


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be a student at The University of Alabama Must be 18-24 years old Must have a complaint of insomnia Exclusion Criteria: history of sleep disorder other than insomnia symptoms strongly suggestive of sleep disorders other than insomnia shift-work history of severe mental illness (e.g., psychotic disorders, bipolar disorder, severe depression, or personality disorders)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 24 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Abbreviated cognitive behavioral therapy<br>Arm 1 is a multi-component package including sleep hygiene, stimulus control, cognitive therapy, and passive relaxation. | Behavioral: Abbreviated cognitive behavioral therapy<br>* see arm description<br>|
| Active Comparator: Sleep education/sleep hygiene<br>Arm 2 consists of education about sleep and fatigue as well as sleep hygiene recommendations (e.g., avoiding nicotine and caffeine late in the day). | Behavioral: Sleep education/sleep hygiene<br>* see arm description<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Consensus Sleep Diary |  | Change in sleep diary variables at post-treatment (from baseline to 4 weeks after baseline) | 
| Consensus Sleep Diary |  | Change in sleep diary variables at 1-month follow-up (post-treatment and 1-month follow-up) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Insomnia Severity Index |  | Change in score at post-treatment (from baseline to 4 weeks after baseline) | 
| Measure of Sleep Knowledge | An 8-item true/false questionnaire that assesses participants' knowledge about sleep and cognitive behavioral therapy for insomnia treatment (stimulus control, sleep hygiene, relaxation, and cognitive therapy). A participant's score on this measure is the number of correct responses. | Change in number of correct responses at post-treatment (from baseline to 4 weeks after baseline) | 
| Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep-Related Impairments Short Forms |  | Change in sleep disturbance and daytime impairments at post-treatment (from baseline to 4 weeks after baseline) | 
| Insomnia Severity Index |  | Change in score at 1-month follow-up (post-treatment and 1-month follow-up) | 
| Measure of Sleep Knowledge | An 8-item true/false questionnaire that assesses participants' knowledge about sleep and cognitive behavioral therapy for insomnia treatment (stimulus control, sleep hygiene, relaxation, and cognitive therapy). A participant's score on this measure is the number of correct responses. | Change in sleep knowledge at 1-month follow-up (post-treatment and 1-month follow-up) | 
| Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep-Related Impairments Short Forms |  | Change in sleep disturbance and daytime impairments at 1-month follow-up (post-treatment and 1-month follow-up) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sleep Initiation and Maintenance Disorders, Cognitive Therapy