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Not yet recruitingNCT03624400Updated Nov 29, 2024

Internet-delivered Cognitive Behaviour Therapy for Sleep Problems in ASD

An interventional study of Internet-based CBT-I and Internet-based psychoeducation in Autism Spectrum Disorder, Sleep Disturbance and Insomnia, sponsored by Stockholm University. Not yet recruiting at 1 site in Sweden. Open to participants aged 13 Years to 17 Years. Per ClinicalTrials.gov, last updated 2024-11-29.

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

Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
13 Years to 17 Years
Sex
All
01

Study summary

This trial investigates the behavioural effects of Internet-based Cognitive behaviour therapy for insomnia (CBT-I) in adolescents with autism spectrum disorder with sleep problems. This is a randomised controlled trial.

Read the detailed description

Sleep problems are common in adolescents with autism spectrum disorder (ASD)1. Internet-based Cognitive behaviour therapy for insomnia (iCBT-I) is considered as an evidence-based treatment for insomnia 2. To date, no Internet-based CBT-I delivered treatment for sleep problems in adolescents with ASD has been undertaken. The objective of the study is to investigate the efficacy and effectiveness of the Internet-based CBT-I for sleep problems in adolescents with ASD.

02

Conditions studied

  • Autism Spectrum Disorder
  • Sleep Disturbance
  • Insomnia

Keywords

  • Autism spectrum disorder
  • Sleep
  • Cognitive-behavioral treatment
  • Internet delivered treatment
03

In context

Autism Spectrum Disorder

1,724 studies on the registry are indexed under Autism Spectrum Disorder; 500 are open to participants now.

This study's planned enrollment of 240 is above the median of 52 across 1,368 interventional studies indexed under Autism Spectrum Disorder.

Browse Autism Spectrum Disorder studies →

Lead sponsor

Stockholm University is the lead sponsor of 25 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
13 Years to 17 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

  • Adolescents with a clinical ASD diagnosis based on the Diagnostic and Statistical Manual-fifth edition (). Participants have been investigated with the Autism Diagnostic Observation Schedule (ADOS).
  • Insomnia diagnosis or sleep problems according to DSM-5
  • Intelligence quotient (IQ) > 70 according to Wechsler Intelligence Scale for Children - fourth edition
  • Psychiatric comorbidities according to DSM-5: anxiety disorders or depression.

Exclusion criteria

Exclusion Criteria:

  • The presence of clinically assessed self-injury
  • High risk of suicidal behaviour
  • borderline personality disorder or any form of schizophrenia or related disorders;
  • substance abuse as well as physical illness or condition that was largely influence sleep condition.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    Internet-based CBT-I

    N= 120 participants are offered Internet-based Cognitive behaviour therapy for insomnia (CBT-I)

    Behavioral: Internet-based CBT-I

  • Active comparator
    Internet-based psychoeducation

    N= 120 participants are offered Internet-based psychoeducation about sleep problems in ASD.

    Behavioral: Internet-based psychoeducation

Interventions

  • BehavioralInternet-based CBT-I

    The adapted Internet-based CBT-I for adolescents with ASD includes sleep hygiene, restriction of time in bed, stimulus control, cognitive therapy, and relaxation techniques. The treatment consists of 8 weekly modules and each module consists of several website pages that will be presented in a fixed order, with preprogrammed modules containing information, interactive questionnaires, descriptions of exercises and movies.

  • BehavioralInternet-based psychoeducation

    Internet-based psychoeducation contains information about ASD, sleep difficulties and aspects of sleep hygiene. The intervention takes place in 8 weeks modules.

06

What researchers measure

Primary outcomes

  1. Change in sleep impairment by using The Insomnia Severity Index (ISI)

    The ISI is a seven-item measure that yields a quantitative index of sleep impairment and treatment outcome. Participants rate the following components on a 5-point Likert scale ranging from 0 (not at all) to 4 (extremely): (a) severity of sleep-onset, sleep-maintenance, and early morning awakening problems; (b) satisfaction with current sleep pattern; (c) interference with daily functioning; (d) noticeability of impairment attributed to the sleep problem; and (e) level of distress caused by the sleep problem. Total scores range from 0 to 28, with higher scores indicating greater perceived insomnia severity.

    Time frame: Baseline, post intervention (8 weeks), 3 months post intervention follow-up and 6 months post intervention follow-up

Secondary outcomes

  1. Sleep diaries by using Actigraphy

    An actigraph is a small instrument worn on the wrist or ankle to measure body movement and nighttime sleep parameters.

    Time frame: Baseline, post intervention (8 weeks), 3 months post intervention follow-up and 6 months post intervention follow-up

  2. Quality of sleep by using Athens Insomnia Scale (AIS)

    AIS is a self-administered questionnaire assessing the quality of sleep.

    Time frame: Baseline, post intervention (8 weeks), 3 months post intervention follow-up and 6 months post intervention follow-up

  3. Everyday functioning by using Developmental disabilities modification of the Children's Global Assessment scale (DD-CGAS)

    The DD-CGAS is an instrument used by clinicians to rate patients' global everyday functioning.

    Time frame: Baseline, post intervention (8 weeks), 3 months post intervention follow-up and 6 months post intervention follow-up

  4. Anxiety problems by using Spence Children's Anxiety Scale

    The SCAS is a 38-item parent report measure of children's anxiety.

    Time frame: Baseline, post intervention (8 weeks), 3 months post intervention follow-up and 6 months post intervention follow-up

  5. Emotion regulation difficulties by using The brief version of Difficulties in Emotion Regulation Scale (DERS-16)

    The DERS-16 is a brief version of self-report measure of emotion regulation difficulties.

    Time frame: Baseline, post intervention (8 weeks), 3 months post intervention follow-up and 6 months post intervention follow-up

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Study locations

1 site
  • Nora Choque Olsson
    Stockholm, Sverige, Sweden
    • Nora Choque Olsson, PhD · Contact
    • Markus Jansson-Fröjmark, PhD · Contact
08

References and documents

Publications

  • Owens J. Classification and epidemiology of childhood sleep disorders. Prim Care. 2008 Sep;35(3):533-46, vii. doi: 10.1016/j.pop.2008.06.003. PubMed 18710669 ↗
  • Bastien CH, Morin CM, Ouellet MC, Blais FC, Bouchard S. Cognitive-behavioral therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations. J Consult Clin Psychol. 2004 Aug;72(4):653-9. doi: 10.1037/0022-006X.72.4.653. PubMed 15301650 ↗
  • Georen L, Jansson-Frojmark M, Nordenstam L, Andersson G, Olsson NC. Internet-delivered Cognitive Behavioral Therapy for insomnia in youth with autism spectrum disorder: A pilot study. Internet Interv. 2022 May 23;29:100548. doi: 10.1016/j.invent.2022.100548. eCollection 2022 Sep. PubMed 35651733 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03624400
Lead sponsor
Stockholm University
Responsible party
Nora Choque Olsson (PhD, Principal investigator, Stockholm University) — Principal investigator
First posted
Aug 10, 2018
Start date
Jan 15, 2025 (estimated)
Primary completion
Jun 30, 2028 (estimated)
Completion
Dec 30, 2029 (estimated)
Last update
Nov 29, 2024

Study contacts

Nora Choque Olsson, PhD
Contact
nora.choque-olsson@psychology.su.se
+46703788827
Markus Jansson-Fröjmark, Professor
Contact
markus.jansson-frojmark@ki.se
Nora Choque Olsson, PhD
principal investigator · Stockholm 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 not yet recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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