About this trial
Poor sleep is common among Asian Americans. Untreated sleep problems increase the risk of chronic diseases, cognitive decline, and mortality. Cognitive behavioral therapy for insomnia (CBTI) is considered the first-line treatment for chronic sleep problems and has demonstrated significant improvement in sleep health among older adults. However, existing CBTI is built upon Western culture, making it challenging to apply for Asian immigrants who maintain close ties to their native cultures that shape and influence their sleep habits. Addressing the lack of availability of a culturally adapted sleep intervention program is the first step to filling the gap in sleep health disparity among Asian immigrants.
This study aims to pilot test the feasibility and the preliminary efficacy of a culturally adapted sleep intervention program among older Korean immigrants with poor sleep, one of the fastest-growing immigrant groups in the United States with limited access to mainstream sleep therapies.
Eligibility criteria
Qualifiers
Korean immigrants (i.e., being a resident of the United States with a birthplace in Korea)
Able to speak, read, and write in Korean
Aged at least 60 years
Have a score of at least 15 on a Korean version of the Insomnia Severity Index
Disqualifiers
Those who are bedbound
Those who do not meet the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria for insomnia disorder
Those who have an untreated apnea-hypopnea index (AHI) at least 15 (moderate obstructive sleep apnea) and Epworth Sleepiness Scale (ESS) at least 11 (indicating mild sleepiness) OR AHI is equal to or greater than 30 (irrespective of ESS)
Trial design
Treatments tested in this trial
- CBT-I based sleep intervention
- Sleep Education
Treatment groups
Sponsors and collaborators
University of California, Los Angeles
Lead sponsor
National Institute on Aging (NIA)
Collaborator