Clinician Training Program to Integrate Digital CBTI Into Routine Psychotherapy

Study Overview
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Brief Summary
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The goal of this study is to pilot test and refine a training program for licensed therapists to promote the integration of digital cognitive behavior therapy for insomnia (dCBTi) into their routine mental health care services.

Official Title
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A Clinician Training Program to Integrate Digital Cognitive Behavior Therapy for Insomnia Into Routine Psychotherapy

Conditions
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Insomnia

Intervention / Treatment
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* Behavioral: supported digital CBTI
* Device: digital CBTI


Participation Criteria
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Eligibility Criteria
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Therapist Criteria: Inclusion Criteria: Licensed mental health clinicians Have a clinical care model that includes seeing patients weekly or biweekly Provide therapy in English Treat patients with depression and/or anxiety Can identify 1-2 patients who are willing to consent to be training cases. Exclusion Criteria: Not meeting all of the inclusion criteria Patient Criteria: Inclusion Criteria: Aged 18+ years old Receive weekly or biweekly therapy from participating study therapist Identify improving sleep as a goal for treatment and experience insomnia (Insomnia Severity Index score greater than or equal to 10) Have daily access to a smartphone, tablet, or computer Can read, write, and speak in English Exclusion Criteria: Conditions known to make study treatment less effective (e.g., current chronic medication use known to interfere with sleep, alcohol or substance use disorder, thought disorder) Conditions for which dCBTi is a safety risk (e.g., bipolar disorder, excessive daytime sleepiness) Current psychotherapy for insomnia

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Integrated digital CBTI<br>Therapists will be trained to integrate digital CBTI alongside routine psychotherapy. Patients will receive integrated digital CBTI | Behavioral: supported digital CBTI<br>* in session support for adherence to and engagement with digital CBTI<br>Device: digital CBTI<br>* CBTI app<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Insomnia Severity Index (ISI) | Validated questionnaire; total score range between 0 and 28, with higher numbers representing greater insomnia severity, patient outcome. | Pre-treatment and immediately post-treatment (treatment phase is 12 weeks) | 
| Change in Knowledge of Supporting Integrated dCBTi | Therapist outcome assessing knowledge gained during training program measured via a study-specific questionnaire on which higher scores indicating more knowledge | Pre-training (at the start of the one day training) and immediately post-training (at the end of the one day training) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time spent supporting dCBTi | From a structured post-session note completed by the therapist, therapist-reported how much time spent devoted to supporting dCBTI | Through study duration, usually 3 months |