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Abstract

Abstract: DESCRIPTION: This study will test the efficacy of a technology-enhanced home behavioral treatment (THBT) or older adults with insomnia and comorbid chronic illness. The SBIR 1 study found that THBT yielded short-term reductions in insomnia compared to no treatment. These benefits were comparable to those obtained from a classroom treatment at much less cost. The goal of the proposed study will be extend these findings using a more precise methodology, measurement of longer-term benefits, and comparison to an alternative self-help treatment. Subjects will include 80 older adults with one of two common chronic diseases with high rates of comorbid insomnia: osteoarthritis and coronary artery disease. They will receive one of the two treatments: THBT with video instruction on cognitive-behavioral (CB) techniques and 3-D audio relaxation training; or bibliotherapy treatment using a previously tested CB self-help book. Outcomes will be assessed at post-treatment and 1 year follow-up using objective and self-report measures of sleep. Quality of life, functional status and health care utilization benefits will be assessed. This study complements an R01 proposal by the co-investigators which includes a classroom CB treatment and a placebo treatment, thus allowing for outcome comparisons across a continuum of behavioral treatment modalities. An easy-to-use home treatment package would have strong potential as a first-line treatment for geriatric insomnia. PROPOSED COMMERCIAL APPLICATION: Not available

Thesaurus Terms:
audiotape, behavior therapy, geriatric medicine, home health care, human therapy evaluation, sleep disorder, technology /technique development, videotape /videodisc
chronic disease /disorder, cognitive behavior therapy, comorbidity, sleep, sound, training
clinical research, human old age (65+), human subject, polysomnography

Institution:	INNER HEALTH, INC.
	1260 LINCOLN AVE
	SAN DIEGO, CA 92103
Fiscal Year:	2002
Department:
Project Start:	01-DEC-1998
Project End:	31-MAY-2003
ICD:	NATIONAL INSTITUTE ON AGING
IRG:	ZRG1