ClinicalTrials.gg
CompletedNCT03305354Updated Aug 20, 2019

Mobile Intervention to Improve Functional Health and Community Engagement of Post-9/11 Veterans With Chronic Insomnia

An interventional study of CBTI app intervention and Physical Activity intervention in Chronic Insomnia, sponsored by Northeastern University. Completed at 1 site in United States. Open to participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-08-20.

Sponsored by Northeastern University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States — 145 open to participants now, 182 under way, 5 of them phase 3. Sleep Initiation and Maintenance Disorders · United States.

Enrollment
589th of 854
33 · median 60
Started
2018
with 42 others
No phase
575 of 902
105 open now
Registered
429th of 902
by date

Among the 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States, this one is the 589th largest by enrollment of the 854 interventional ones that give a count, is one of 43 that started in 2018, is one of 575 with no phase, and was the 429th registered.

Sleep Initiation and Maintenance Disorders

2,722 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 726 are open to participants now.

Browse Sleep Initiation and Maintenance Disorders studies →

Open to participants now

145 of the 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States are open now. Recruiting first, the newest first:

140 more — sign in →

All 145 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 386 Sleep Initiation and Maintenance Disorders studies recruiting now, 152 (39%) set no upper age limit and 204 (53%) stop at 75 or younger; 59 take children under 18; 108 take healthy volunteers.

This study: 21 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States, or all of them as a file.
02

Study summary

Veterans of the most recent wars in Afghanistan and Iraq (collectively, post 9/11 Veterans) have notable sleep problems including chronic insomnia. Here, the investigators plan to compare two groups of veterans with insomnia: (1) one group that completes a 6 week self-management-guided use of a mobile app based on cognitive behavioral therapy for insomnia (CBTI alone) and (2) one group that completes a 6 week combined self-management-guided use of the mobile CBTI app in addition to a physical activity (PA) intervention (CBTI + PA). The investigators hypothesize that the group receiving the adjunctive 6-week PA intervention will have better subjective and objective sleep, higher step counts, and better functional health and social and community integration than those receiving CBTI alone. This pilot work will provide evidence to guide the design of a future randomized controlled trial.

Read the detailed description

To determine if the addition of physical activity (PA) to (CBTI) can further enhance sleep, physical activity, functioning, or social engagement over and above self-management use of a CBTI app alone, the investigators will randomly assign post-9/11 veteran participants with chronic, functionally impairing insomnia to either (1) a self-management-based use of an app based on cognitive behavioral therapy for insomnia (CBTI; CBTI alone arm) or to (2) a self-management-based use of the CBTI app + a physical activity (PA) intervention (CBTI + PA) that includes PA monitoring (via a Fitbit device) with individualized goal-setting to encourage increased daily steps across the 6 weeks. For the PA goal, the investigators will attempt to get all participants to at least the typical 10,000 daily steps goal cited as a strong predictor of positive health outcomes (Choi, Pak, \& Choi, 2007). The investigators will tailor the step goals based on the person's initial level of daily steps, and increment step goals weekly to maximize motivation and enhance the likelihood that the participant can meet the goal.

03

Conditions studied

  • Chronic Insomnia

Keywords

  • mobile health
  • physical activity
04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Eligible individuals will be US military Veterans
  • Eligible veterans will have served in the military during the post-9/11 period
  • Eligible veterans will have chronic, functionally impairing insomnia (i.e., at baseline veterans must have an Insomnia Severity Index score > 10 with insomnia duration of at least 1 month, and impaired daytime functioning.
  • Eligible individuals must be willing to use devices (e.g., Fitbit, WatchPAT)provided by the study team.
  • Eligible individuals may have mild or moderate obstructive sleep apnea (as determined by one out of either of two nights with a WatchPAT-based Apnea-Hypopnea Index [AHI] \<= 30 events/hour of sleep).

Exclusion criteria

Exclusion Criteria:

  • Periodic leg movements
  • Circadian rhythm disorder
  • Use of medications or health issues (e.g., permanent pacemaker, sustained non-sinus cardiac arrhythmias, finger deformity, etc.) that would interfere with the use of the WatchPAT sleep monitor
  • Severe obstructive sleep apnea (as determined by one out of either of two nights with a WatchPAT-based Apnea-Hypopnea Index [AHI] > 30 events/hour of sleep)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    CBTI app intervention

    Cognitive Behavioral Therapy for Insomnia delivered for 6 weeks via the CBT-I Coach app with use guided by a self-management guide

    Behavioral: CBTI app intervention

  • Active comparator
    CBTI app+Physical Activity Intervention

    Cognitive Behavioral Therapy for Insomnia delivered for 6 weeks via the CBT-I Coach app with use guided by a self-management guide plus self-management guidance on increased step counts

    Behavioral: CBTI app intervention · Behavioral: Physical Activity intervention

Interventions

  • BehavioralCBTI app intervention

    Self-management guided use of a mobile app called the CBT-I Coach to teach sleep hygiene and enhance sleep

  • BehavioralPhysical Activity intervention

    Self-management guided motivation to increase physical activity by increasing daily step counts

06

What researchers measure

Primary outcomes

  1. Insomnia Severity Index Total Score

    Total score on the Insomnia Severity Index

    Time frame: 6 weeks (Immediate post-intervention)

  2. Pittsburgh Sleep Quality Index Total Score

    Total score on the Pittsburgh Sleep Quality Index Total Score

    Time frame: 6 weeks (Immediate post-intervention)

Secondary outcomes

  1. Objective Sleep Efficiency

    Time spent in bed divided by time spent asleep as measured by the WatchPAT sleep monitor

    Time frame: 6 weeks (Immediate post-intervention)

  2. Daily step counts

    Daily step counts as measured by a Fitbit device

    Time frame: 6 weeks (Immediate post-intervention)

Other outcomes

  1. Functional Outcomes of Sleep

    Functional Outcomes of Sleep Questionnaire total score (10 item version)

    Time frame: 6 weeks (Immediate post-intervention)

  2. Social Engagement

    Total score on the Lubben Social Network Scale

    Time frame: 6 weeks (Immediate post-intervention)

  3. Community Engagement

    Total score on the Community Integration Questionnaire

    Time frame: 6 weeks (Immediate post-intervention)

  4. Physical Functional Health

    Physical Function score from the Veteran's RAND-12 scale

    Time frame: 6 weeks (Immediate post-intervention)

  5. Mental Functional Health

    Mental Function score from the Veteran's RAND-12 scale

    Time frame: 6 weeks (Immediate post-intervention)

07

Study locations

1 site
  • Edith Nourse Rogers Memorial VA Hospital
    Bedford, Massachusetts 01730, United States
08

References and documents

Publications

  • Reilly ED, Robinson SA, Petrakis BA, Gardner MM, Wiener RS, Castaneda-Sceppa C, Quigley KS. Mobile Intervention to Improve Sleep and Functional Health of Veterans With Insomnia: Randomized Controlled Trial. JMIR Form Res. 2021 Dec 9;5(12):e29573. doi: 10.2196/29573. PubMed 34889746 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Jun 2019, 16 months.

Of 1,207 non-industry interventional studies with no phase under Sleep Initiation and Maintenance Disorders, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 35. This study's 16 months is close to that.

Counting every sponsor, half of 1,285 studies reached it within 15 months; a quarter within 6 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 4, 2017
First posted
Oct 9, 2017
StartActual
Jan 31, 2018
Primary completionActual
Jun 27, 2019
CompletionActual
Jun 27, 2019
Last update
Aug 20, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03305354
Lead sponsor
Northeastern University
Collaborators
Edith Nourse Rogers Memorial Veterans Hospital
Responsible party
Karen Quigley (Research Associate Professor, Northeastern University) — Principal investigator
First posted
Oct 9, 2017
Start date
Jan 31, 2018
Primary completion
Jun 27, 2019
Completion
Jun 27, 2019
Last update
Aug 20, 2019

Study contacts

Karen S Quigley, PhD
principal investigator · Northeastern University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion