Targeting Insomnia to Prevent Depression in the Menopause Transition

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age40+
SponsorSRI International

About this trial

This randomized clinical trial is focused on perimenopausal women who have difficulty sleeping. It will randomize digital cognitive behavioral therapy for insomnia (dCBT-I) or a sleep hygiene intervention (SHI). After treatment, participants will be assessed every 3-months over a 2-year period.

The two main questions the study aims to answer are:

1. Do participants receiving dCBT-I experience less severe depressive symptoms compared with sleep hygiene (SH) over 2 years of study participation? 2. Are the effects of dCBT-I on depressive symptom severity mediated by an improvement in insomnia symptoms?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

At least 40 years old and in the perimenopause,

Willingness to participate in a digital research protocol,

Current moderate to severe insomnia symptoms that started or worsened in association with perimenopause,

English fluency.

Disqualifiers

Current major depressive disorder

Existing diagnosis of a sleep disorder other than insomnia

Experiencing excessive daytime sleepiness

Having received CBT-I in the preceding 6 months

Trial design

Design model

Parallel

Treatments tested in this trial

  • digital cognitive behavioral therapy for insomnia

    Behavioral

    A digital CBT-I program that includes stimulus control, sleep restriction therapy, and cognitive therapy

  • Digital sleep hygiene education

    Behavioral

    A digital sleep hygiene education intervention that includes recommendations about environmental and behavioral factors that can support healthy sleep.

Treatment groups

230 Participants
are divided into 2 treatment groups
Group A: Digital cognitive behavioral therapy for insomniaExperimental treatment 1 intervention
Group B: Digital sleep hygiene educationActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Depressive symptom severity (PHQ-9 score)

Time frame
Baseline and every 3 months post randomization for 2 years
2

Insomnia severity index (ISI)

Score on the insomnia severity index

Time frame
Baseline and every 3 months post-randomization for 2 years

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

SRI International

Lead sponsor

Stanford University

Collaborator

This trial is not recruiting at the moment. You can still explore other options: