{
    "abstract": "Alcohol use disorder (AUD) is a leading preventable cause of morbidity and mortality, but relapse rates are high even with available treatments. Insomnia is a robust predictor of relapse and pilot studies have shown that CBT for insomnia improves insomnia and daytime functioning in adults with AUD and insomnia. The impact of CBT for insomnia on relapse, however, is unclear. This trial will compare telemedicine-delivered CBT for insomnia (CBT-TM) with sleep hygiene education (SHE-TM) on improving insomnia/sleep, daytime symptom, and drinking outcomes in treatment-seeking AUD adults with insomnia. The study will also determine the effects of treatment on sleep mechanisms and their association with clinical outcomes.\nThis is a single-site randomized controlled trial with planned enrollment of 150 adults meeting criteria for both AUD and chronic insomnia. Eligible participants will be randomized 1:1 to 6\u2009sessions of telemedicine-delivered Cognitive Behavioral Therapy for Insomnia (CBT-TM) or Sleep Hygiene Education (SHE-TM) with clinical assessments conducted at pre-treatment, post- treatment, and at 3, 6, and 12\u2009months post-treatment. Overnight polysomnography will be conducted before and after treatment. Primary clinical outcomes will include post-treatment scores on the Insomnia Severity Index and the General Fatigue subscale of the Multidisciplinary Fatigue Inventory, and the percent of days abstinent (PDA) on the interview-administered Time Line Follow Back. EEG delta activity, derived from overnight polysomnography, will be the primary endpoint to assess the sleep homeostasis mechanism.\nThis adequately powered randomized controlled trial will provide clinically relevant information about whether targeting insomnia is effective for improving treatment outcomes among treatment-seeking adults with AUD. Additionally, the study will offer new scientific insights on the impact of an evidence-based non-medication treatment for insomnia on a candidate mechanism of sleep dysfunction in this population - sleep homeostasis.\nCClinicalTrials.gov NCT # 04457674 . Registered on 07 July 2020.",
    "authors": [
        {
            "affiliation": "Sleep and Circadian Research Laboratory, Department of Psychiatry, Michigan Medicine, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI, 48109-2700, USA. tarnedt@med.umich.edu.",
            "firstname": "J Todd",
            "initials": "JT",
            "lastname": "Arnedt"
        },
        {
            "affiliation": "Sleep and Circadian Research Laboratory, Department of Psychiatry, Michigan Medicine, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI, 48109-2700, USA.",
            "firstname": "M Elizabeth",
            "initials": "ME",
            "lastname": "Cardoni"
        },
        {
            "affiliation": "Sleep and Circadian Research Laboratory, Department of Psychiatry, Michigan Medicine, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI, 48109-2700, USA.",
            "firstname": "Deirdre A",
            "initials": "DA",
            "lastname": "Conroy"
        },
        {
            "affiliation": "Sleep and Circadian Research Laboratory, Department of Psychiatry, Michigan Medicine, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI, 48109-2700, USA.",
            "firstname": "Mandilyn",
            "initials": "M",
            "lastname": "Graham"
        },
        {
            "affiliation": "Sleep and Circadian Research Laboratory, Department of Psychiatry, Michigan Medicine, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI, 48109-2700, USA.",
            "firstname": "Sajni",
            "initials": "S",
            "lastname": "Amin"
        },
        {
            "affiliation": "Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, USA.",
            "firstname": "Kipling M",
            "initials": "KM",
            "lastname": "Bohnert"
        },
        {
            "affiliation": "UCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, USA.",
            "firstname": "Andrew D",
            "initials": "AD",
            "lastname": "Krystal"
        },
        {
            "affiliation": "University of Michigan Addiction Treatment Services, Department of Psychiatry, Michigan Medicine, University of Michigan, Ann Arbor, USA.\nVA Center for Clinical Management Research (CCMR) Department of Veterans Affairs Healthcare System, Michigan, Ann Arbor, USA.",
            "firstname": "Mark A",
            "initials": "MA",
            "lastname": "Ilgen"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2022. The Author(s).",
    "doi": "10.1186/s13063-021-05898-y",
    "journal": "Trials",
    "keywords": [
        "Alcohol use disorder, Insomnia, Non-medication treatment, Relapse"
    ],
    "methods": null,
    "publication_date": "2022-01-22",
    "pubmed_id": "35057834\n26039070\n15010446\n19560604\n25342593\n21896369\n29749059\n19875607\n21819471\n21474525\n11229980\n26151580\n24313237\n9326825\n25957855\n22471339\n26734927\n10397289\n9835309\n17117964\n25808396\n8037252\n7896994\n11772681\n19454639\n21263078\n10086433\n11315517\n16804151\n28655183\n15317632\n21377144\n30912860\n16445550\n9835298\n7185792\n6696142\n10607036\n9040282\n19848363\n11955463\n11003203\n22294818\n21312040\n19058790\n20469809\n15560773\n22294820\n10590970\n8024673\n26273913\n25845697\n7636775\n3739800\n11978233\n9230772\n2769898\n26879036\n9337490\n32658298",
    "results": null,
    "title": "Telemedicine-delivered cognitive-behavioral therapy for insomnia in alcohol use disorder (AUD): study protocol for a randomized controlled trial.",
    "xml": "<Element 'PubmedArticle' at 0x788503788680>"
}