About this trial
The goal of this clinical trial is to learn if telehealth-based Cognitive Behavioral Therapy for Insomnia (CBT-I) adapted for Ulcerative Colitis (UC) works to treat insomnia in adults with UC. The main questions it aims to answer are:
* Is telehealth-based CBT-I adapted for UC feasible and acceptable to participants? * Does CBT-I for UC impact insomnia severity and sleep continuity?
Participants will:
* Answer questionnaires online before and after treatment * Complete an online daily sleep diary before, during, and after treatment * Participate in 5 telehealth treatment visits over 7-8 weeks * Participate in 5-10-minute phone calls between treatment visits
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Active UC based on PRUCSI
Insomnia Severity Index score > 8 and SOL or WASO > 30 minutes
Stability of sleep & UC meds for > 3 months
Access to internet or cell phone service sufficient for telehealth
Disqualifiers
PHQ-9 depression score > 15
GAD-7 anxiety score > 15
Unstable major psychiatric condition (e.g., bipolar disorder, psychotic disorder)
Current alcohol or substance abuse
Trial design
Single group
Treatments tested in this trial
CBT-I UC
BehavioralThis treatment is designed to help participants make changes to behavior patterns and thoughts that contribute to insomnia.
Treatment groups
Trial outcomes
Primary outcomes
Retention
Measured based on the percentage of participants who complete the full study.
Recruitment rate
Recruitment rate will be based on the average number of participants who are enrolled into the trial per month.
Acceptability
Visit completion will be based the number of visits (out of 5) completed by each participant.
Treatment acceptability questionnaire score
The Treatment Acceptability Questionnaire is a 4-item self-report questionnaire designed to assess the overall acceptability of an intervention. Scores range from 1 to 4 and higher scores are indicative of greater acceptability.
Secondary outcomes
Change in insomnia symptoms as measured by the Insomnia Severity Index
The Insomnia Severity Index (ISI) is a self-report questionnaire designed to measure severity of insomnia. The ISI is made up of 7 items on insomnia symptoms and related impairments and total scores range from 0-28. Higher scores are indicative of greater insomnia symptoms.
Change in diary-based sleep onset latency
A weekly average of self-reported time it takes to fall asleep each night, derived from a self-reported sleep diary
Change in diary-based wake after sleep onset
A weekly average of self-reported time spent awake in the middle of each night, derived from a self-reported sleep diary
Change in diary-based sleep efficiency
Change in sleep efficiency (total sleep time / time in bed), derived from a self-reported sleep diary.
Sponsors and contacts
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