Cognitive Behavioral Therapy for Insomnia

(SLEEP-OK Trial)

This trial tests a culturally adapted sleep program based on cognitive behavioral therapy for insomnia (CBT-I), specifically designed for older Korean immigrants in the U.S. The goal is to evaluate how well this program improves sleep for individuals who struggle with sleep issues and find mainstream treatments less effective due to cultural differences. Participants will either try the new CBT-I-based sleep intervention or receive general sleep information. Korean immigrants who are at least 60 years old and experience sleep problems might be a good fit for this study. As an unphased trial, this study offers a unique opportunity to explore a culturally tailored approach to better sleep.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that cognitive behavioral therapy for insomnia (CBT-I) is generally safe and well-tolerated. Studies indicate that it can be as effective as sleep medication but without the side effects often associated with drugs. Most participants in these studies did not report any negative effects. However, a few mentioned feeling tired or less motivated after starting CBT-I, though these feelings are uncommon.

CBT-I is often recommended as the first treatment choice for adults with insomnia. It employs various methods to improve sleep. The therapy has been shown to help with daytime tiredness and mood, and it may even enhance quality of life. While some people report mild negative effects at the beginning of the therapy, these usually resolve quickly.

Researchers are excited about this cognitive behavioral therapy for insomnia (CBT-I) sleep intervention because it offers a culturally adapted approach to treating insomnia. Unlike traditional treatments that often rely on medication, which can have side effects and dependency issues, this program uses a tailored educational method to tackle sleep problems. By focusing on behavioral changes and cognitive strategies, it aims to provide a more sustainable and holistic solution to improving sleep quality without the need for drugs.

Research has shown that cognitive behavioral therapy for insomnia (CBT-I) effectively treats long-term sleep problems. One study found that CBT-I improved insomnia severity scores by more than 8 points, significantly enhancing sleep quality. Approximately 45% of participants who used CBT-I experienced longer sleep durations. This therapy is as effective as sleep medication but without the side effects. Many individuals continue to sleep better even after therapy concludes, demonstrating long-term benefits. Participants in this trial may receive a culturally adapted sleep education program based on CBT-I principles, while others will receive general sleep information as part of the control group.²⁴⁶⁷⁸