Internet Insomnia intervention: Development/Feasibility

描述（由申请人提供）：失眠是一个常见的问题，影响超过9500万美国人。除了成为焦虑、身体不适和情绪低落的来源外，失眠症的治疗估计每年花费109亿美元，失眠症导致的生产力降低的成本为410亿美元，每年约有56，000起车祸被认为是由于失眠和疲劳。认知行为疗法（CBT）已被发现具有显着的短期和长期益处以及良好的患者接受度。然而，虽然它通常是治疗的选择，但CBT治疗失眠的可用性受到许多因素的限制，包括缺乏训练有素的临床医生，知识渊博的专业人员的地理分布不良，费用以及由于工作时间表和竞争承诺而无法获得治疗和临床医生。 这项研究将开发和评估一种具有成本效益的，更容易获得的替代治疗失眠的方法的可行性。传统的CBT，包括行为、认知和教育方面，将被操作化并转化为互联网干预系统，因此个人可以在自己方便的时候随时获得个性化的治疗。本研究的第一阶段将涉及开发网络程序。我们的研究团队在开发此类网络干预方面拥有丰富的经验，在失眠方面也有相当丰富的经验。第二阶段将是互联网干预的试点测试。40名失眠患者将在6周治疗计划前后接受评估。据推测，互联网干预将促进睡眠，情绪和认知功能的改善，同时降低与失眠相关的成本。表明可行性的结果将允许改进和优化互联网干预，第3阶段，并创建一个潜在的未来临床试验。

DESCRIPTION (provided by applicant): Insomnia is a common problem, affecting over 95 million Americans. In addition to being a source of worry, physical discomfort, and moodiness, the estimated annual cost for the treatment of insomnia is $10.9 billion, costs of reduced productivity due to insomnia is $41 billion, and approximately 56,000 automobile accidents are cited as due to insomnia and fatigue each year. Cognitive-behavioral therapy (CBT) has been found to have significant short-term and long-term benefits as well as excellent patient acceptance. However, while it is often the treatment of choice, availability of CBT for insomnia is limited by many factors, including lack of trained clinicians, poor geographical distribution of knowledgeable professionals, expense, and inaccessibility to treatment and clinicians due to work schedules and competing commitments. This study will develop and evaluate the feasibility of a cost-effective, more accessible alternative treatment approach for insomnia. Traditional CBT, including the behavioral, cognitive, and educational aspects, will be operationalized and transformed for an Intemet intervention system, so individuals can access a personalized treatment any time, at their own convenience. Phase 1 of this study will involve developing the web program. Our research team has extensive experience developing such web interventions, as well as considerable experience with insomnia. Phase 2 will be a pilot test of the Internet intervention. Forty individuals with insomnia will be assessed pre and post the six week treatment program. It is hypothesized that the Internet intervention will promote improvements in sleep, mood, and cognitive functioning, while reducing costs associated with insomnia. Findings indicating feasibility will allow refinement and optimization of the Internet intervention, Phase 3, and creation of a potential future clinical trial.