About this trial
The goal of this randomized controlled trial is to pilot the virtual delivery of cognitive behavioral therapy for insomnia (CBT-I) and nightmares (CBT-I\&N) via telehealth as an early intervention for treating posttraumatic sleep disturbance in acute trauma patients exposed to interpersonal violence.
The main aims are to:
1. Test the acceptability, feasibility, and satisfaction of sleep-focused CBT delivered early after trauma 2. Evaluate the impact of sleep-focused CBT delivered early after trauma on sleep disturbance 3. Evaluate the impact of sleep-focused CBT delivered early after trauma on PTSD symptoms
The investigators will compare CBT-I and CBT-I\&N to sleep education control.
Participants will meet with a provider for 6 weekly sessions via telehealth and complete surveys on the participants' symptoms.
Eligibility criteria
Qualifiers
Michigan residents treated at Henry Ford Hospital
Fluent in English
Age 18 years or older
Presenting to ED following exposure to Criterion A trauma (exposure to actual or threatened death, serious injury, or sexual violence) characterized by interpersonal violence (defined as any victimization experience that involved being intentionally and directly harmed by another individual
Disqualifiers
Presenting to ED for non-interpersonal trauma
Defined as any experience that does not involve being intentionally and directly harmed by another individual
i.e., falls, motor vehicle collisions, self-injury or suicide attempt
Current or past history of schizophrenia or other psychoses based on EMR data
Trial design
Treatments tested in this trial
- Cognitive Behavioral Therapy for Insomnia
- Cognitive Behavioral Therapy for Insomnia and Nightmares
- Sleep Education
- Sleep Education enhanced with Nightmare Education
Treatment groups
Sponsors and collaborators
Henry Ford Health System
Lead sponsor
American Academy of Sleep Medicine
Collaborator