Skip to main content
Top
Published in: Trials 1/2022

Open Access 01-12-2022 | Insomnia | Study protocol

Internet delivered, non-inferiority, two-arm, assessor-blinded intervention comparing mindfulness-based stress reduction and cognitive-behavioral treatment for insomnia: a protocol study for a randomized controlled trial for nursing staff with insomnia

Authors: Yaling Li, Nabi Nazari, Masoud Sadeghi

Published in: Trials | Issue 1/2022

Login to get access

Abstract

Background

Insomnia and poor sleep quality are highly prevalent conditions related to coronavirus disease 2019 (COVID-19) complications among clinical nurses. Although cognitive behavioral therapy for insomnia (CBT-I) is a first-line treatment, CBT-I suffers from several major drawbacks. This study investigates whether the application of the internet-delivered mindfulness-based stress reduction (iMBSR) intervention will produce effects that are non-inferior to the internet-delivered CBT-I (iCBT-I) intervention in reducing the severity of insomnia in clinical nurses with insomnia at the end of the study.

Methods

This study protocol presents an internet-delivered, parallel-groups, assessor-blinded, two-arm, non-inferiority randomized controlled trial. The primary outcome is sleep quality, assessed by the Insomnia Severity Index. Secondary outcomes include depression, dysfunctional beliefs, five facets of mindfulness, and client satisfaction.

Conclusion

It is expected that this study may address several gaps in the literature. The non-inferiority study design is a novel approach to evaluating whether a standardized, complementary treatment (i.e., MBSR) is as practical as a gold standard treatment rather than its potential benefits. This approach may lead to expanded evidence-based practice and improve patient access to effective treatments.

Trial registration

Trial registration number: ISRCTN36198096. Registered on 24th May 2022.
Appendix
Available only for authorised users
Literature
5.
go back to reference Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med. 2020;13(1):40. Published 2020 Jul 20. doi:10.1186/s12245-020-00299-5CrossRef Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med. 2020;13(1):40. Published 2020 Jul 20. doi:10.1186/s12245-020-00299-5CrossRef
9.
go back to reference Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis [published correction appears in Brain Behav Immun. 2021 Feb;92:247]. Brain Behav Immun. 2020;88:901–7. https://doi.org/10.1016/j.bbi.2020.05.026. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis [published correction appears in Brain Behav Immun. 2021 Feb;92:247]. Brain Behav Immun. 2020;88:901–7. https://​doi.​org/​10.​1016/​j.​bbi.​2020.​05.​026.
12.
go back to reference American Psychiatric Association. Diagnostic and statistical mental disorders (Dsm 5). In: American Psychiatric Association; 2013. p. 947. American Psychiatric Association. Diagnostic and statistical mental disorders (Dsm 5). In: American Psychiatric Association; 2013. p. 947.
14.
go back to reference Şandru C, Voinescu BI. The relationship between emotion regulation, dysfunctional beliefs about sleep and sleep quality – an exploratory study. J Evidence-Based Psychother. 2014;14(2):249–57. Şandru C, Voinescu BI. The relationship between emotion regulation, dysfunctional beliefs about sleep and sleep quality – an exploratory study. J Evidence-Based Psychother. 2014;14(2):249–57.
15.
go back to reference Alvaro PK, Honors BP, Roberts RM, et al. Review of sleep disturbances, anxiety and depression: a systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression; 2011. Alvaro PK, Honors BP, Roberts RM, et al. Review of sleep disturbances, anxiety and depression: a systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression; 2011.
23.
32.
go back to reference Hertenstein E, Nissen C, Riemann D. Pharmacological and non -ând pharmacological treatments of insomnia. In: Chokroverty S, Ferini-Strambi L, editors. Oxford textbook of sleep disorders: Oxford University Press; 2017. Hertenstein E, Nissen C, Riemann D. Pharmacological and non -ând pharmacological treatments of insomnia. In: Chokroverty S, Ferini-Strambi L, editors. Oxford textbook of sleep disorders: Oxford University Press; 2017.
34.
go back to reference Carney CE, Edinger JD. Identifying critical beliefs about sleep in primary insomnia. Sleep. 2006;29(4):444–53. Carney CE, Edinger JD. Identifying critical beliefs about sleep in primary insomnia. Sleep. 2006;29(4):444–53.
40.
45.
go back to reference Sanjeev KG. Handbook of research on clinical applications of meditation and mindfulness-based interventions in mental health. Vol i; 2021. Sanjeev KG. Handbook of research on clinical applications of meditation and mindfulness-based interventions in mental health. Vol i; 2021.
57.
62.
go back to reference Garland SN, Carlson LE, Stephens AJ, Antle MC, Samuels C, Campbell TS. Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia comorbid with cancer: a randomized, partially blinded, noninferiority trial. J Clin Oncol. 2014;32(5):449–57. https://doi.org/10.1200/JCO.2012.47.7265.CrossRef Garland SN, Carlson LE, Stephens AJ, Antle MC, Samuels C, Campbell TS. Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia comorbid with cancer: a randomized, partially blinded, noninferiority trial. J Clin Oncol. 2014;32(5):449–57. https://​doi.​org/​10.​1200/​JCO.​2012.​47.​7265.CrossRef
67.
go back to reference Brooks AT, Tuason RT, Chakravorty S, et al. Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial.Pilot Feasibility Stud. 2018;4:183. Published 2018 Dec. https://doi.org/10.1186/s40814-018-0376-3. Brooks AT, Tuason RT, Chakravorty S, et al. Online cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia among individuals with alcohol use disorder: study protocol for a randomized controlled trial.Pilot Feasibility Stud. 2018;4:183. Published 2018 Dec. https://​doi.​org/​10.​1186/​s40814-018-0376-3.
69.
go back to reference Sato D, Yoshinaga N, Nagai E, Nagai K, Shimizu E. Effectiveness of internet-delivered computerized cognitive behavioral therapy for patients with insomnia who remain symptomatic following pharmacotherapy: randomized controlled exploratory trial. J Med Internet Res. 2019;21(4):e12686. https://doi.org/10.2196/12686 Published 2019 Apr 11.CrossRef Sato D, Yoshinaga N, Nagai E, Nagai K, Shimizu E. Effectiveness of internet-delivered computerized cognitive behavioral therapy for patients with insomnia who remain symptomatic following pharmacotherapy: randomized controlled exploratory trial. J Med Internet Res. 2019;21(4):e12686. https://​doi.​org/​10.​2196/​12686 Published 2019 Apr 11.CrossRef
70.
go back to reference Peter L, Reindl R, Zauter S, Hillemacher T, Richter K. Effectiveness of an online CBT-I intervention and a face-to-face treatment for shift work sleep disorder: a comparison of sleep diary data. Int J Environ Res Public Health. 2019;16(17):3081. https://doi.org/10.3390/ijerph16173081 Published 2019 Aug 24.CrossRef Peter L, Reindl R, Zauter S, Hillemacher T, Richter K. Effectiveness of an online CBT-I intervention and a face-to-face treatment for shift work sleep disorder: a comparison of sleep diary data. Int J Environ Res Public Health. 2019;16(17):3081. https://​doi.​org/​10.​3390/​ijerph16173081 Published 2019 Aug 24.CrossRef
73.
go back to reference First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV axis I disorders, clinician version (SCID-CV); 1996. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV axis I disorders, clinician version (SCID-CV); 1996.
74.
go back to reference Kabat-Zinn, Jon. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. Rev. and updated edition, Bantam Books trade paperback edition. New York, Bantam Books, 2013. Kabat-Zinn, Jon. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. Rev. and updated edition, Bantam Books trade paperback edition. New York, Bantam Books, 2013.
75.
go back to reference Teasdale JD, Williams JMG, Segal ZV. The mindful way workbook: an 8 week program to free yourself from depression and emotional distress. New York: The Guilford Press. 2014. Teasdale JD, Williams JMG, Segal ZV. The mindful way workbook: an 8 week program to free yourself from depression and emotional distress. New York: The Guilford Press. 2014.
76.
go back to reference Edinger JD, Carney C. Overcoming insomnia: a cognitive-behavioral therapy approach: therapist guide. New York: Oxford University Press; 2015. Edinger JD, Carney C. Overcoming insomnia: a cognitive-behavioral therapy approach: therapist guide. New York: Oxford University Press; 2015.
77.
go back to reference Perlis ML, Al E. Cognitive-behavioral treatment of insomnia a session-by-session guide. New York: N.Y. Springer; 2008. Perlis ML, Al E. Cognitive-behavioral treatment of insomnia a session-by-session guide. New York: N.Y. Springer; 2008.
Metadata
Title
Internet delivered, non-inferiority, two-arm, assessor-blinded intervention comparing mindfulness-based stress reduction and cognitive-behavioral treatment for insomnia: a protocol study for a randomized controlled trial for nursing staff with insomnia
Authors
Yaling Li
Nabi Nazari
Masoud Sadeghi
Publication date
01-12-2022
Publisher
BioMed Central
Keywords
Insomnia
COVID-19
Published in
Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-022-06986-3

Other articles of this Issue 1/2022

Trials 1/2022 Go to the issue