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NCT06109363

A Stepped Care Model to Deliver CBT-I in Community

Recruiting now NA Last updated 10 July 2025
What this trial tests

NA trial testing Cognitive behavioral therapy for insomnia (CBT-I) in Insomnia in 1,100 participants. Currently enrolling.

Timeline
23 October 2023
Primary endpoint
22 January 2026
22 April 2026

Quick facts

Lead sponsorChinese University of Hong Kong
PhaseNA
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposehealth services research
Enrollment1,100
Start date23 October 2023
Primary completion22 January 2026
Estimated completion22 April 2026
Sites1 location across Hong Kong

Drugs / interventions tested

Conditions studied

Sponsor

Chinese University of Hong Kong

Who can join

Adults 18 to 70, any sex, with Insomnia or Sleep Disturbance. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Insomnia is one of the most common sleep disorders and affects approximately 10 - 40% of the population across different age groups in Hong Kong. Cognitive behavioral therapy for insomnia (CBT-I) is the first line treatment for adult insomnia due to its comparable effect to medication in short term but is more sustainable in the long run. However, only a few sufferers have received CBT-I, due to limited accessibility, lack of trained sleep therapists, time costing and geographical limitations. To increase CBT-I accessibility, different formats of CBT-I have been proposed. Empirical evidence including ours consistently suggested that self-help digital CBT-I is effective in improving sleep while its augmentation with a guided approach could further enhance the treatment gain. Previous evidence has suggested that although self-help CBT-I could lead to positive outcomes, the drop out rate is quite high and maybe less effective for patients with comorbidity or high level of distress. Thus, a stepped-care approach to CBT-I that utilizes online self help and therapist-guided modes of delivery might be a potential way to facilitate efficient dissemination of effective insomnia treatment resources. The effectiveness of the stepped care model will be evaluated in a real world setting using stepped-wedge cluster randomized controlled design. The program will be rolled out to different districts in Hong Kong sequentially in 18 districts over 4 steps with a eqaully spaced time periods.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of Cognitive behavioral therapy for insomnia (CBT-I)

Trials testing the same drug.

Other recruiting trials for Insomnia

Currently open trials in the same condition.

Other Chinese University of Hong Kong trials

Trials by the same sponsor.

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Data sources for this page

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