Cognitive Behavioral Therapy for Trauma-Related Insomnia in Veterans
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Insomnia Sleep Studies |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/2/2016 |
| Contact: | Laurel Franklin, PhD |
| Email: | laurel.franklin@va.gov |
| Phone: | 504-571-8294 |
Comparing Telemedicine to In Person Delivery of Cognitive Behavioral Therapy for Trauma-Related Insomnia in Rural Veterans
Understanding the effectiveness of Cognitive Behavioral Therapy for trauma-related insomnia
(CBT-I) is important because sleep difficulties often persist after traditional post-trauma
treatments are completed and other trauma-related symptoms have resolved. The objective of
this study is to examine whether CBT-I will equivocally reduce problems falling and staying
asleep (insomnia) related to military-related PTSD when administered in person versus
through telephone therapy to veterans living in rural areas.
Rural populations are at a disadvantage in receiving treatment because of lack of access to
healthcare services. Telemedicine uses technology (e.g., telephones) to provide distance
counseling to the populations who lack access to health care. Thus, telephone-counseling
strategies could provide broad access to interventions for management of trauma-related
insomnia.
Veterans who live more than 30 miles from Veterans Affairs (VA) PTSD specialty services will
be offered participation in this study. All veterans receive 6 weeks of individual CBT-I for
trauma-related insomnia. Participants will be randomized to one of two treatment conditions:
(1) CBT-I in person or (2) CBT-I via telemedicine (defined as receiving treatment by
telephone). No changes will be made to the CBT-I, other than mode of delivery, for the
telemedicine group.
Through this study the investigators hope to demonstrate the effectiveness of CBT-I for
trauma-related insomnia can be delivered effectively to rural veterans in person and via
telemedicine.
(CBT-I) is important because sleep difficulties often persist after traditional post-trauma
treatments are completed and other trauma-related symptoms have resolved. The objective of
this study is to examine whether CBT-I will equivocally reduce problems falling and staying
asleep (insomnia) related to military-related PTSD when administered in person versus
through telephone therapy to veterans living in rural areas.
Rural populations are at a disadvantage in receiving treatment because of lack of access to
healthcare services. Telemedicine uses technology (e.g., telephones) to provide distance
counseling to the populations who lack access to health care. Thus, telephone-counseling
strategies could provide broad access to interventions for management of trauma-related
insomnia.
Veterans who live more than 30 miles from Veterans Affairs (VA) PTSD specialty services will
be offered participation in this study. All veterans receive 6 weeks of individual CBT-I for
trauma-related insomnia. Participants will be randomized to one of two treatment conditions:
(1) CBT-I in person or (2) CBT-I via telemedicine (defined as receiving treatment by
telephone). No changes will be made to the CBT-I, other than mode of delivery, for the
telemedicine group.
Through this study the investigators hope to demonstrate the effectiveness of CBT-I for
trauma-related insomnia can be delivered effectively to rural veterans in person and via
telemedicine.
Inclusion Criteria:
- Veterans living 30 or more miles from VA PTSD specialty services
- Diagnosis of PTSD or subthreshold PTSD symptoms
- Trauma-related insomnia
Exclusion Criteria:
- Primary sleep disorder other than insomnia(e.g., Restless Leg Syndrome)
- Psychosis
- Active alcohol dependence
- Active drug dependence
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