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Accepted manuscript

Comparison of Multimodal Delivery of Cognitive Behavioral Therapy for Insomnia in Middle Aged Adults: A Randomized Clinical Trial Design and Methodology

Published online by Cambridge University Press:  07 March 2025

Alisa Huskey Open the ORCID record for Alisa Huskey [Opens in a new window] ,
Sarah E. Emert ,
Samantha M. Nagy ,
Kelly N. Kim ,
Jaqueline J. Leete ,
Nicole Lopez ,
Ethan Olson ,
William D.S. Killgore ,
Matthew D. Grilli  and
Daniel J. Taylor
Alisa Huskey
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ University of Arizona, Department of Psychiatry, Tucson, AZ
Sarah E. Emert
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ Idaho State University, Department of Psychology, Pocatello, ID
Samantha M. Nagy
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ
Kelly N. Kim
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ
Jaqueline J. Leete
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ
Nicole Lopez
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ
Ethan Olson
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ
William D.S. Killgore
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ University of Arizona, Department of Psychiatry, Tucson, AZ
Matthew D. Grilli
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ
Daniel J. Taylor*
Affiliation:
University of Arizona, Department of Psychology, Tucson, AZ
*
*Corresponding Author: Daniel J. Taylor, Ph.D., Professor, Director of Clinical Training, The University of Arizona, Department of Psychology, 1503 E University Blvd., Tucson, AZ 85721, [email protected]
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Abstract

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The recommended first-line treatment for insomnia is cognitive behavioral therapy for insomnia (CBTi), but access is limited. Telehealth- or internet-delivered CBTi are alternative ways to increase access. To date, these intervention modalities have never been compared within a single study. Further, few studies have examined a) predictors of response to the different modalities, b) whether successfully treating insomnia can result in improvement of health-related biomarkers, and c) mechanisms of change in CBTi. This protocol was designed to compare the three CBTi modalities to each other and a waitlist control for adults aged 50-65 years (N = 100). Participants are randomly assigned to one of four study arms: in-person- (n=30), telehealth- (n=30) internet-delivered (n=30) CBTi, or 12-week waitlist control (n=10). Outcomes include self-reported insomnia symptom severity, polysomnography, circadian rhythms of activity and core body temperature, blood- and sweat-based biomarkers, cognitive functioning, and magnetic resonance imaging.

Keywords

Chronic Insomnia disorderTreatmentCognitive Behavioral Therapy for InsomniaMiddle-aged adultsMechanisms of change
Type
Results
Information
Research Directions: Sleep Psychology , Accepted manuscript , pp. 1 - 28
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2025. Published by Cambridge University Press