Overview
The overall objective of this study is to conduct a randomized effectiveness-implementation trial to test the non-inferiority of tele-Brief Behavioral Treatment for Insomnia vs. tele-Cognitive-Behavioral Therapy for Insomnia among socioeconomically disadvantaged adults with insomnia in the primary care setting.
Eligibility
Inclusion Criteria:
- Aged 18 years or older
- Meet clinical diagnostic criteria for insomnia
- Insomnia severity score > 10
- Eligible to receive care through publicly supported medical assistance, OR
- Identify as race or ethnic minority
- Has capacity for informed consent
Exclusion Criteria:
- Untreated, current major depressive disorder
- History of bipolar or psychosis
- Active substance abuse or drug abuse
- Excessive daytime sleepiness
- Seizure within the past 1 year
- Main sleep period outside of 8pm - 11am
- Regular nightshift work
- Untreated, previously diagnosed moderate to severe sleep apnea
- Severe medical condition, which may require hospitalizations over the next 6 months
- Active suicidal ideation, if elicited passively during screening
- Pregnant or planning to become pregnant