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CBT-I in Older African American Adults

Key facts

Who runs it
Rutgers, The State University of New Jersey
Where
Newark, United StatesSee the site
Trial code
Status
Recruiting
People taking part
20 people, planned
Started
2 Jun 2025
Expected to end
Jun 2027
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Cognitive-behavioral therapy for insomnia
  • Sleep hygiene education
Record updated
20 February 2026

Who can take part

Age
60 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 14 criteriaShow less

Who can take part

  • Reading level 6th grade or better and can speak and understand English well
  • Self-identify as African American or Black
  • Ages 60 and over
  • Score of >2 in PSQI sleep duration, sleep disturbance, or overall sleep quality calculated components
  • Participating in the "Pathways to Healthy Aging in African Americans" study
  • Has established chronic insomnia issues for at least three months
  • Subjects must be willing to participate in 8 sessions of CBT-I via Zoom for the CBT-I group
  • Subjects must be willing to come for pre/post assessment visits
  • MoCA score of between 20-26

Who cannot take part

  • Currently taking any of the following medications consistently: Benzodiazepines (ProSom, Restoril, Ativan and Xanax); Z Drugs (eszopiclone (Lunesta), zaleplon (Sonata) and zolpidem (Ambien, Ambien CR, Edluar, and Zolpimist); antidepressants that affect sleep (doxepin, mirtazapine, trazodone); antihistamines (diphenhydramine and doxylamine succinate); barbiturates (methohexital, pentobarbital, primidone, secobarbital)
  • Previous experience with CBT-I
  • Diagnosed with any sleep disorder other than insomnia (i.e. obstructive sleep apnea using STOP-BANG, restless leg syndrome, REM sleep behavior disorder, etc.)
  • Primary causes for frequent awakenings are due to a medical condition that is not related to insomnia, such as chronic pain, urinary frequency, upper respiratory infection
  • Classified as high fall risk

Where in United States

  • Rutgers UniversityNewark, United StatesContact: Payton WhiteTaking people

About the trial

What the trial wants to find out

Sleep problems, like insomnia, are common in older African Americans. About 25% of older adults in the US have at least 2 symptoms of insomnia, such as having trouble falling asleep, staying asleep, or getting good sleep for a month or more. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a recommended non-pharmacological treatment for insomnia. Unlike medicines that might only help for a short time or have many side effects, CBT-I deals with the root causes of insomnia. It helps people change how they think and act about sleep, leading to better habits and attitudes. This can make sleep better for a long time, even after the treatment is over. While CBT-I is commonly used among adults with insomnia, its benefits among older adults and specifically older African American adults are not well understood. Thus, the current pilot study will investigate the feasibility of CBT-I in older African American adults and establish preliminary evidence for the potential benefit of CBT-I on sleep as well as cognition in this population.

Read full original descriptionShow less

For this study, participants will be asked to complete pencil-and-paper questionnaires, psychological tests of cognition, 7-day actigraphy, 2 nights of at home sleep monitoring, which collects specific sleep measures such as brain waves and sleep stage timing, and computer-based neuropsychological tests before and after intervention. Study interventions will consist of 8 weekly sleep training sessions via Zoom or a single session of education on strategies to improve sleep quality. Sleep training sessions will include education about strategies to improve sleep quality, changing thought process that contribute to insomnia, training the brain on the optimal sleep environment, and reducing sleep initially to establish a consistent sleep schedule before increasing sleep time. Three months after the post-intervention visit, participants will be asked to come back in for a follow-up evaluation which consists of complete pencil-and-paper questionnaires, psychological tests of cognition, 7-day actigraphy, 2 nights of at home sleep monitoring, and computer-based neuropsychological tests.

The 2 groups in the trial

  • CBT-ITreatment being tested

    Treatment: Cognitive-behavioral therapy for insomnia

  • Sleep hygiene educationExisting treatment, for comparison

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Cognitive Behavioral Therapy for Insomnia in Older African American Adults
Record updated
20 February 2026