Effectiveness and Adherence to an Online Sleep Program

• Insomnia symptoms [ Time Frame: 5 months ] [ Designated as safety issue: No ]
  To determine if the program helps improve insomnia symptoms as measured by the Pittsburgh Insomnia Rating Scale (PIRS)
• Sleep pattern [ Time Frame: 5 months ] [ Designated as safety issue: No ]
  To determine if the program helps improve sleep-onset latency (SOL), total sleep time (TST), waking after sleep onset (WASO) (within Go To Sleep! group analysis only)
• Daytime Dysfunction [ Time Frame: 5 months ] [ Designated as safety issue: No ]
  To determine if the program improves daytime dysfunction (Pittsburgh Sleep Quality Index subscale)
• Stress [ Time Frame: 5 months ] [ Designated as safety issue: No ]
  To assess whether the program reduces stress as measured by the Perceived Stress Scale (PSS10)
• Program adherence [ Time Frame: 5 months ] [ Designated as safety issue: No ]
  To assess program adherence and its relation to program effectiveness

This research will examine the effectiveness of a 6-week online sleep program (Go! To Sleep) which provides a set of various psycho-educational materials and behavioral techniques to reduce insomnia symptoms, improve sleep, and improve quality of life.

• Active Comparator: Go! to Sleep
  Participants access and utilize the 6-week online program that provides a set of various psycho-educational materials and behavioral techniques to treat insomnia.
  Intervention: Behavioral: Go! to Sleep
• No Intervention: Control Group
  No intervention provided. These participants will receive the Go! to Sleep program after the research trial has been completed (10 weeks after registration).

Inclusion Criteria:

• Age 18 to 70 years old.
• Currently living in the continental United States and Canada.

• Symptoms of insomnia based on the DSM-IV definition of insomnia disorder:

  • Self-reported sleep difficulties (including sleep-onset latency, waking after sleep onset, early waking of more than 30 min duration) 3 or more times a week in the past 3 months.
  • Self-reported insomnia problem for more than 3 months.
  • Self-reported significant daytime impairment due to sleep difficulties.
• Willingness to log onto the internet on a regular basis for the duration of the study (3-7 months).
• Willingness and able to complete almost daily a sleep log to track sleep pattern for up to 2 months at a time (approximately 2-3 min daily).
• Willingness to be in the Wait-list control group and not have access to the program for 3 months.

Exclusion Criteria:

• Pregnant or planning to be pregnant in the next 6 months.
• Lack of internet access and/or Mac computer at place of residence.
• Currently participating or have participated in group or individual therapy for insomnia in the prior month.
• PHQ9 depression score >14.
• Recent treatment (less than 3 months) or medication for depression or anxiety.
• Change in treatment or medication for depression or anxiety in the past month or planned change in the next 3 months.
• Current treatment (therapy, prescription) for any other psychological or emotional conditions (including but not limited to: mania, manic-depression, psychosis, schizophrenia, adjustment disorder).
• Diagnosed and currently suffering from a sleep disorder (including, but not limited to sleep apnea, restless leg syndrome, sleep walking, narcolepsy) which is untreated or has been treated for less than a month.
• Suffer from physical symptoms or medical conditions that may affect sleep (including but not limited to: pain, arthritis, tinnitus, diabetes, night time cough, shortness of breath, hot flashes, frequent urination, heartburn).
• Steroid an stimulant use (including but not limited to prednisone, methylprednisolone or Solumedrol (for inflammatory disorders), methylphenidate, or Ritalin (for Attention-Deficit Hyperactivity disorder), Provigil (for narcolepsy), Wellbutrin or Zyban (for tobacco cessation), cocaine or MDMA (a.k.a. Ecstasy)).
• Irregular workshift.
• Having young children who may affect sleep pattern.
• Taking over-the-counter or prescribed sleep medication 3 or more times a week.
• Alcoholism.
• Inability to access the internet on a consistent regular basis for the duration of the study (3-7 months).
• Inability to complete daily sleep log to track sleep patterns for up to 2 months at a time.
• Unwillingness to be assigned to the wait-list control group for 3 months prior to gaining access to the program.