BBTI + BMT for Insomnia

(HIP HOP Trial)

This trial explores two phone-based treatments for individuals with both insomnia and chronic pain who are also living with HIV. It seeks to determine whether a behavioral approach focused on sleep habits, known as Brief Behavioral Treatment for Insomnia (BBTI), or a mindfulness approach that promotes relaxation, called Brief Mindfulness Training (BMT), is more effective in easing insomnia symptoms, reducing pain, and slowing biological aging. Ideal candidates for this trial are HIV patients who have experienced trouble sleeping at least three times a week for the past three months and also suffer from ongoing pain. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance sleep and pain management for those living with HIV.

The trial does not specify if you need to stop taking your current medications. However, it requires that people with HIV continue their stable antiretroviral therapy.

Past studies have shown that Brief Behavioral Treatment for Insomnia (BBTI) helps many people sleep better. It often proves more effective than other sleep tips, such as learning about good sleep habits. Participants typically adhere to BBTI and find it beneficial with minimal issues. Reports suggest that BBTI is as safe as sleep medication but offers better long-term benefits.

Research indicates that Brief Mindfulness Training (BMT) can also enhance sleep quality. Studies have found that mindfulness-based methods generally improve sleep without causing serious side effects. Some individuals experience better sleep and reduced stress after mindfulness training.

Researchers are excited about these treatments for insomnia because they offer unique, non-drug approaches that differ from traditional methods like medication or cognitive behavioral therapy. Brief Behavioral Treatment for Insomnia (BBTI) focuses on sleep restriction and stimulus control, delivered conveniently over the phone in just four weekly sessions, making it accessible and easy to follow. Meanwhile, Brief Mindfulness Training (BMT) emphasizes being present and aware of the body's sensations to promote relaxation and calmness, also provided through brief weekly phone sessions. These innovative approaches could offer effective, low-commitment alternatives for those seeking to improve sleep without medication.

This trial will compare Brief Behavioral Treatment for Insomnia (BBTI) with Brief Mindfulness Training (BMT). Research has shown that BBTI helps people with insomnia sleep better, with a review of several studies finding moderate to large improvements in insomnia symptoms. Specifically, one study found that participants experienced significant and lasting sleep improvements over six months.