Effectiveness and Adherence to an Online Sleep Program

Inclusion Criteria:

- Age 18 to 70 years old.

- Currently living in the continental United States and Canada.

- Symptoms of insomnia based on the Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV) definition of insomnia disorder:

- Self-reported sleep difficulties (including sleep-onset latency, waking after
sleep onset, early waking of more than 30 min duration) 3 or more times a week
in the past 3 months.

- Self-reported insomnia problem for more than 3 months.

- Self-reported significant daytime impairment due to sleep difficulties.

- Willingness to log onto the internet on a regular basis for the duration of the study
(3-7 months).

- Willingness and able to complete almost daily a sleep log to track sleep pattern for
up to 2 months at a time (approximately 2-3 min daily).

- Willingness to be in the Wait-list control group and not have access to the program
for 3 months.

Exclusion Criteria:

- Pregnant or planning to be pregnant in the next 6 months.

- Lack of internet access and/or Mac computer at place of residence.

- Currently participating or have participated in group or individual therapy for
insomnia in the prior month.

- Patient Health Questionnaire (PHQ9) depression score >14.

- Recent treatment (less than 3 months) or medication for depression or anxiety.

- Change in treatment or medication for depression or anxiety in the past month or
planned change in the next 3 months.

- Current treatment (therapy, prescription) for any other psychological or emotional
conditions (including but not limited to: mania, manic-depression, psychosis,
schizophrenia, adjustment disorder).

- Diagnosed and currently suffering from a sleep disorder (including, but not limited
to sleep apnea, restless leg syndrome, sleep walking, narcolepsy) which is untreated
or has been treated for less than a month.

- Suffer from physical symptoms or medical conditions that may affect sleep (including
but not limited to: pain, arthritis, tinnitus, diabetes, night time cough, shortness
of breath, hot flashes, frequent urination, heartburn).

- Steroid an stimulant use (including but not limited to prednisone, methylprednisolone
or Solumedrol (for inflammatory disorders), methylphenidate, or Ritalin (for
Attention-Deficit Hyperactivity disorder), Provigil (for narcolepsy), Wellbutrin or
Zyban (for tobacco cessation), cocaine or methylenedioxymethamphetamine (MDMA)
(a.k.a. Ecstasy)).

- Irregular workshift.

- Having young children who may affect sleep pattern.

- Taking over-the-counter or prescribed sleep medication 3 or more times a week.

- Alcoholism.

- Inability to access the internet on a consistent regular basis for the duration of
the study (3-7 months).

- Inability to complete daily sleep log to track sleep patterns for up to 2 months at a
time.

- Unwillingness to be assigned to the wait-list control group for 3 months prior to
gaining access to the program.