RECRUITING

CBT-I vs. MBTI for Traumatic Brain Injury (TBI)-Related Insomnia and Post-Traumatic Stress Symptoms

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This study is a prospective two-arm, single blind randomized controlled trial design to compare the clinical effectiveness of telemedicine-delivered, 6-session, standardized cognitive behavioral therapy for insomnia (CBT-I) and mindfulness-based treatment for insomnia (MBTI) in treating insomnia symptoms and ameliorating depressive symptoms in persons with mild to moderate TBI and comorbid Post-Traumatic Stress Symptoms (PTSS) and insomnia symptoms in a 360 patients. Participants will undergo assessment (psychosocial questionnaires, neurocognitive testing, sleep monitoring) at baseline, at the end of treatment, and at 2-, 6- and 12-weeks post-treatment. The primary outcome is sleep as measured by the Insomnia Severity Index (ISI).

Official Title

CoMBat Insomnia: A Randomized Controlled Trial of Cognitive-Behavioral vs. Mindfulness-Based Treatment for TBI-Related Insomnia and Post-Traumatic Stress Symptoms

Quick Facts

Study Start:2024-05-10
Study Completion:2026-09
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05663034

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Current or former member of the uniformed services
  2. 2. Meet the Veterans Affairs Medical Center (VAMC) and Department of Defense (DoD) criteria for TBI
  3. 3. Time duration since injury \> 90 days
  4. 4. Insomnia symptom duration \> 90 days
  5. 5. Endorse insomnia symptoms (Insomnia Severity Index \[ISI\] score \> 9)
  6. 6. Display sufficient cognitive capacity to provide informed consent (Montreal Cognitive Assessment (MoCA), Z-score \> -2)
  7. 7. 18 years of age or greater
  8. 8. Access to and ability and to use computer
  1. 1. History of neurological diseases other than TBI and not attributable to TBI
  2. 2. Sleep apnea \[apnea hypopnea index (AHI) \>15; individuals with mild apnea (AHI \> 5 and \<14.9) will be informed, but allowed to participate\].
  3. 3. Patients using psychotropic medications may be included if they are on a stable dosage for the last three weeks prior to the study.

Contacts and Locations

Study Contact

Luis Buenaver, PHD
CONTACT
4105507986
lbuenav1@jhmi.edu
Elizabeth Wysocki, MS
CONTACT
ewysock2@jhu.edu

Principal Investigator

Luis Buenaver, PhD
PRINCIPAL_INVESTIGATOR
Johns Hopkins School of Medicine

Study Locations (Sites)

Intrepid Spirit Center - Eglin Air Force Base
Eglin Air Force Base, Florida, 32542
United States
Naval School Explosive Ordance Disposal - Eglin Air Force Base
Eglin Air Force Base, Florida, 32542
United States
Walter Reed National Medical Military Center
Bethesda, Maryland, 20814
United States
Womack Army Medical Center
Fort Bragg, North Carolina, 28310
United States
Madigan Army Medical Center
Fort Lewis, Washington, 98431
United States

Collaborators and Investigators

Sponsor: Johns Hopkins University

  • Luis Buenaver, PhD, PRINCIPAL_INVESTIGATOR, Johns Hopkins School of Medicine

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-05-10
Study Completion Date2026-09

Study Record Updates

Study Start Date2024-05-10
Study Completion Date2026-09

Terms related to this study

Keywords Provided by Researchers

  • Traumatic Brain Injury
  • Insomnia
  • Posttraumatic Stress Symptoms
  • Depression
  • Concussion
  • Head Injury
  • Brain Injury
  • Cognitive Behavioral Therapy for Insomnia
  • Mindfulness-based Treatment for Insomnia

Additional Relevant MeSH Terms

  • Traumatic Brain Injury
  • Insomnia
  • Depression
  • Post-traumatic Stress
  • Sleep
  • Memory Impairment
  • Cognitive Behavioral Therapy
  • Concussion, Brain
  • Head Injury
  • Brain Injury Traumatic Mild