Chronic Insomnia Clinical Trial
Official title:
Pilot Study Evaluating the Efficacy of the Management of an Online Program of Cognitive Behavioral Therapy for Primary Insomnia
The purpose of this study is to evaluate the effectiveness of the management of chronic primary insomnia patients by a computer program guidance of behavioral and cognitive therapies for insomnia (BCT-I).
Chronic insomnia is a common sleep disorder (prevalence = 10%) and a risk identified on the
physical and mental health. Currently, the treatment involves the prescription of drug
treatments by general practitioners, which may be unsuitable for the medium term. It is
better to turn to Behavioral and Cognitive Therapies for Insomnia (BCT-I) in the case of
primary chronic insomnia. The objective of this study is to evaluate the effectiveness of a
computer program guidance BCT-I in patients with chronic primary insomnia. This biomedical
research psychotherapeutic assessment will be randomized, controlled versus psychoeducation
and conducted in 46 patients with chronic primary insomnia (defined according to Diagnostic
and Statistical Manual-5) for which a supported by BCT-I is indicated.
The 46 patients will be randomized into two groups. The subjects in Group 1 will be supported
by BCT-I online. And the subjects in group 2 will receive psychoeducation. All patients will
be followed by the research team for three months, during which 3 visits (V0 = pre-selection;
V1 = visit of randomization and start of the program; V2 = 3 months follow-up visit and end
of the study) will be performed in the University Hospital Sleep Disorder Unit of
Montpellier. Patients in Group 1 will conduct BCT-I online at home therapy. Patients in group
2 will receive a structured 45-minute session information insomnia (psychoeducation = work
performed daily by clinicians in charge of insomnia problems) to the visit 1. All patients in
the study will be equipped 2 sensors for the registration of sleep data.
The primary endpoint will be based on the severity of insomnia measured by the ISI after the
last online psychotherapy session (3 months) between the 2 groups of patients (BCT-I online
and without treatment - psychoeducation ). The analyse efficacity to be conducted by
intention to treat.
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