Implementation of Digital CBT for Insomnia in First Episode Psychosis
Research type
Research Study
Full title
Implementation of a Digital Cognitive Behavioural Therapy Intervention for Insomnia in First Episode Psychosis in the Context of Covid19: A Mixed Methods Study
IRAS ID
280858
Contact name
Andrew Gumley
Contact email
Sponsor organisation
NHS Greater Glasgow and Clyde
Clinicaltrials.gov Identifier
Duration of Study in the UK
0 years, 8 months, 0 days
Research summary
‘Lockdown’ regulations due to Covid-19 negatively affect population mental health and sleep. They have a bigger impact on people who already have mental health difficulties, including psychosis. Insomnia is common in people with psychosis, including people experiencing a ‘first episode’ of psychosis. Increased insomnia is related to increased psychosis symptomatology. Worry also increases insomnia. Under Covid19 regulations, insomnia and worry may worsen and lead to increased psychosis.\n\nCognitive Behavioural Therapy is effective in reducing insomnia (CBTi) in people with or without psychosis. CBT for insomnia can be delivered digitally (dCBTi) and could be accessed remotely during lockdown.\n\nWe would like to know if dCBTi could work for people experiencing a first episode of psychosis (FEP) and insomnia, during lockdown. We will investigate how people use the dCBTi application. We will measure how symptoms of insomnia, psychosis, mood and worry change when using dCBTi and how they relate to one another. We want to know what people with FEP and keyworkers in FEP services think of the application. We will use this information to build a logic model to describe how dCBTi can be used in services.\n\nMethods\n\nKeyworkers working with people experiencing a FEP will screen for insomnia. Those with insomnia will be given information about the study. We will contact interested participants to seek consent. We will meet participants by videocall or in person to assess their sleep and measure psychosis, insomnia, mood, and Covid-19-related worry symptoms before we begin and after intervention.\n\nThe ’Sleepio’ intervention has 6 sessions, accessed on a smartphone or browser. We will record how people use this application.\n\nPeople with FEP and keyworkers will have the option of taking part in pre- and post-intervention interviews to tell us about their expectations and experiences of the application.
REC name
West of Scotland REC 4
REC reference
21/WS/0010
Date of REC Opinion
24 Mar 2021
REC opinion
Further Information Favourable Opinion