Web-based Cognitive Behavioral Treatment for Insomnia in Dementia Caregivers

CAREGIVER

Inclusion criteria

• 18+ yrs
• Dementia caregiver living with person with dementia
• willing to be randomized, 4. read/understand English
• insomnia diagnosis
• no prescribed or over-the-counter sleep meds or stabilized 6+ weeks.

Insomnia:

• complaints for 6+ mos
• adequate opportunity and circumstances for sleep
• 1+ of the following: difficulty falling asleep, staying asleep, or waking too early
• daytime dysfunction (mood, cognitive, social, occupational) due to insomnia
• Screening interview indicates Insomnia Severity Index score ≥11 or Insomnia Severity Index score 9-10
• baseline diaries indicate >30 mins of sleep onset latency or wake after sleep onset on 3+ nts.

Exclusion criteria

• unable to consent
• cognitive impairment [Telephone Interview for Cognitive Status (TICS) <25 or Mini Mental State Examination (MMSE) <26]
• sleep disorder other than insomnia [i.e., sleep apnea (apnea/hypopnea index, AHI >15)]
• bipolar or seizure disorder
• other major psychopathology except depression or anxiety (e.g., suicidal ideation/intent, psychosis)
• severe untreated psychiatric comorbidity
• psychotropic or other medications (e.g., beta-blockers) that alter sleep
• non-pharmacological tx for sleep or mood outside current trial.

PERSONS WITH DEMENTIA

Inclusion criteria

• 18+ yrs
• Persons with dementia living with caregiver
• Have an eligible caregiver
• willing to be randomized

Exclusion criteria

• Person with dementia or legally authorized representative is unable to consent