TY - JOUR
T1 - The GoodNight study-online CBT for insomnia for the indicated prevention of depression
T2 - Study protocol for a randomised controlled trial
AU - Gosling, John A.
AU - Glozier, Nick
AU - Griffiths, Kathleen
AU - Ritterband, Lee
AU - Thorndike, Frances
AU - Mackinnon, Andrew
AU - Hehir, Kanupriya Kalia
AU - Bennett, Anthony
AU - Bennett, Kylie
AU - Christensen, Helen
PY - 2014/2/13
Y1 - 2014/2/13
N2 - Background: Cognitive Behaviour Therapy for Insomnia (CBT-I) delivered through the Internet is effective as a treatment in reducing insomnia in individuals seeking help for insomnia. CBT-I also lowers levels of depression in this group. However, it is not known if targeting insomnia using CBT-I will lower depressive symptoms, and thus reduce the risk of major depressive episode onset, in those specifically at risk for depression. Therefore, this study aims to examine whether Internet delivery of fully automated self-help CBT-I designed to reduce insomnia will prevent depression.Method/design: A sample of 1,600 community-dwelling adults (aged 18-64), who screen positive for both subclinical levels of depressive symptoms and insomnia, will be recruited via various media and randomised to either a 9-week online insomnia treatment programme, Sleep Healthy Using The internet (SHUTi), or an online attention-matched control group (HealthWatch). The primary outcome variable will be depression symptom levels at the 6-month post-intervention on the Patient Heath Questionnaire-9 (PHQ-9). A secondary outcome will be onset of major depressive episodes assessed at the 6-month post-intervention using 'current' and 'time from intervention' criteria from the Mini International Neuropsychiatric Interview.Discussion: This trial is the first randomised controlled trial of an Internet-based insomnia intervention as an indicated preventative programme for depression. If effective, online provision of a depression prevention programme will facilitate dissemination.Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR), Registration number: ACTRN12611000121965.
AB - Background: Cognitive Behaviour Therapy for Insomnia (CBT-I) delivered through the Internet is effective as a treatment in reducing insomnia in individuals seeking help for insomnia. CBT-I also lowers levels of depression in this group. However, it is not known if targeting insomnia using CBT-I will lower depressive symptoms, and thus reduce the risk of major depressive episode onset, in those specifically at risk for depression. Therefore, this study aims to examine whether Internet delivery of fully automated self-help CBT-I designed to reduce insomnia will prevent depression.Method/design: A sample of 1,600 community-dwelling adults (aged 18-64), who screen positive for both subclinical levels of depressive symptoms and insomnia, will be recruited via various media and randomised to either a 9-week online insomnia treatment programme, Sleep Healthy Using The internet (SHUTi), or an online attention-matched control group (HealthWatch). The primary outcome variable will be depression symptom levels at the 6-month post-intervention on the Patient Heath Questionnaire-9 (PHQ-9). A secondary outcome will be onset of major depressive episodes assessed at the 6-month post-intervention using 'current' and 'time from intervention' criteria from the Mini International Neuropsychiatric Interview.Discussion: This trial is the first randomised controlled trial of an Internet-based insomnia intervention as an indicated preventative programme for depression. If effective, online provision of a depression prevention programme will facilitate dissemination.Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR), Registration number: ACTRN12611000121965.
UR - http://www.scopus.com/inward/record.url?scp=84894045375&partnerID=8YFLogxK
U2 - 10.1186/1745-6215-15-56
DO - 10.1186/1745-6215-15-56
M3 - Article
SN - 1745-6215
VL - 15
JO - Trials
JF - Trials
IS - 1
M1 - 56
ER -