Behavioral Treatment of Insomnia in Active-Duty Service Members With Traumatic Brain Injury

What this Trial Is About

Researchers are evaluating Cognitive Behavioral Therapy for Insomnia (CBT-I) in active-duty sailors who have experienced traumatic brain injury (TBI). The study aims to compare the effects of traditional in-person CBT-I and CBT-I delivered through a digital health platform called Clinician Operated Assistive Sleep Technology (COAST) against usual treatment on symptoms of insomnia, post-concussive effects, psychological health, and brain function. Participants will be assessed before treatment, after treatment, and three months later to understand the therapies' impacts. The study involves three groups: one receiving in-person CBT-I at a TBI clinic or via telehealth, another receiving CBT-I remotely through the COAST digital platform, and a third group receiving treatment as usual without insomnia-specific care. Both CBT-I interventions last six weeks and are delivered by doctoral-level clinicians. Participants in all groups will use the COAST app to complete daily sleep logs and assessments throughout the study. Participants will attend baseline and follow-up appointments where various questionnaires and inventories will be completed to measure insomnia severity, post-concussion symptoms, psychological conditions like PTSD, depression, anxiety, fatigue, and disability. Sleep diaries will be kept daily during the intervention and for one week before the follow-up visit. Medication use and sleep apnea therapy stability will be monitored, and assessments will occur at multiple time points including baseline, mid-treatment, post-treatment, and three months after treatment ends. The total participation duration spans from initial evaluation through the 3-month follow-up.

Behavioral Treatment of Insomnia in Active-Duty Service Members With Traumatic Brain Injury