CBT-I on Alcohol Treatment Outcomes Among Veterans

Summary

Project SAVE aims to examine the feasibility, acceptability, and initial efficacy of a CBT-I supplement to alcohol treatment of Veterans.

Conditions

• Insomnia
• Alcohol Use Disorder

Interventions

BEHAVIORAL

Cognitive Behavioral Therapy for Insomnia

Study therapists will follow the 2014 CBT-I in Veterans manual developed by leading researchers in the behavioral sleep medicine field. Intervention components include (1) sleep hygiene: limiting naps; avoiding caffeine, tobacco, alcohol, and rich/heavy foods before bedtime; exercising; establishing a bedtime routine; and creating a comfortable sleep environment; (2) sleep restriction: limiting time in bed in order to improve sleep efficiency, or the percentage of time in bed that is actually spent sleeping; time in bed will be titrated each week based on sleep efficiency; (3) stimulus control: strengthening association between bedroom and sleep to decrease conditioned arousal; (4) relaxation: diaphragmatic breathing, progressive muscle relaxation, and visual imagery to reduce arousal; and (5) cognitive therapy: identifying and challenging thoughts that interfere with sleep.

BEHAVIORAL

Sleep Hygiene

Study therapists will review a one-page handout on sleep hygiene with all participants. This is the only intervention that participants assigned to the sleep hygiene condition will receive. This is consistent with what may be expected as standard care in a doctor's visit with a primary care physician.

BEHAVIORAL

Alcohol Use Disorder Treatment as Usual

CBT-based groups for Alcohol Use Disorder will focus on the acquisition of skills needed to cope effectively with urges and cravings to drink and manage high-risk situations.

Sponsors & Collaborators

• Harry S. Truman Memorial Veterans' Hospital

  collaborator FED

• University of Missouri-Columbia

  lead OTHER

Principal Investigators

• Mary Beth Miller, PhD · University of Missouri-Columbia

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2019-07-15

Primary Completion

2022-07-31

Completion

2022-07-31

Countries

• United States

Study Locations