This study evaluates an internet-delivered cognitive behavioural therapy for insomnia (ICBTi) intervention, known as the PSP Sleep Course, adapted for public safety personnel (PSP) experiencing sleep difficulties. The study seeks to replicate prior results from an Australian version of the Sleep Course assessing its effectiveness and acceptability when offered to Canadian PSP.
18 years of age or older
Canada resident
Trainee, staff, or retired public safety personnel (PSP)
Willingness to learn information and skills to manage sleep difficulties
Current severe medical or psychiatric disorder (e.g. current and recent mania or psychosis, recent hospitalization for mental health concerns, actively suicidal, medical condition client thinks will interfere with treatment, severe substance use)
Unable to read and understand English. (All content is provided in English and staff is English speaking; pending findings of the research PSPNET will explore translating the course into French)
Single group
Sleep Course
BehavioralThe Sleep Course was previously developed and evaluated in Australia and has since been tailored to Canadian public safety personnel. The PSP Sleep Course is 7 weeks (4 lessons) and is available in self- or therapist-guided versions. Therapist-guided participants can access optional therapist support via secure online messages or phone calls (up to twice a week). Both versions are accessible for up to 6 months.
Insomnia
Insomnia Severity Index (ISI) includes 7 items rated on a 0 to 5 scale. Total scores range from 0 to 28. Higher total scores indicate greater severity of insomnia symptoms over the past two weeks. Scores of ≥ 10 indicate probable insomnia.
Sleep Quality
Sleep Quality Scale (SQS) includes 1-item with total scores ranging from 0-10. Higher scores indicate better overall sleep quality for over the past week. No clinical cut-off score.
Sleep-Related Impairment
The PROMIS Sleep Related Impairment Short Form (SRI-SF) includes 8 items rated between 0 (not at all) to 4 (very much). Total scores range from 8-40 with higher scores indicating greater sleep related impairment. No clinical cut-off score.
Sleep Attitudes and Beliefs
Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16) includes 16 items rated on a 0 to 10-point scale. Total scores range from 0 to 160 with higher scores indicating greater dysfunctional beliefs about sleep. Scores ≥ 4.3 probable level of dysfunctional beliefs associated with clinical insomnia.
Depression
Patient Health Questionnaire (PHQ-9) includes 9 items rated between 0 to 3. Total scores range from 0 to 27 with higher total scores indicating greater severity of depression. Score of ≥10 indicate probable Major Depressive Disorder.
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University of Regina
Lead sponsor
Government of Canada
Collaborator
