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Comparing ways to bring talk therapy for chronic insomnia to older veterans

Compares ways of offering insomnia talk therapy to older veterans at 20 facilities.

Key facts

Who runs it
VA Office of Research and Development
Where
Durham, United StatesSee the site
Trial code
Registry title
Implementing Cognitive Behavioral Therapy for Insomnia (SWELL): Function QUERI 3.0
Status
Recruiting
People taking part
20 people, planned
Started
30 Apr 2026
Expected to end
30 Sept 2030
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Implementation Strategy: Foundational Arm
  • Implementation Strategy: REACH arm
Record updated
7 May 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for older Veterans aged 60 or over with long-lasting insomnia, seen in VA primary care clinics. It compares ways of bringing a talk therapy for insomnia (CBTI) into these clinics.

Age
60 years and older
Sex
All sexes
Disease stage
Chronic insomnia disorder, with or without a written diagnosis.

Main reasons for not taking part

  • Younger than 60
  • Seizure disorder that is not under control
  • Bipolar disorder I
  • Too medically or mentally unstable to attend a therapy with several sessions
  • Another health problem that makes CBTI unsafe

The registry criteria, word for word

Show all 11 criteriaShow less

Who can take part

  • Site Inclusion Criteria:
  • Facility is part of the U.S. Department of Veterans Affairs (VA) health system
  • Primary care clinic providing care to older Veterans
  • Clinic is located 25 miles from the nearest other VA clinic participating in the program
  • Identified site champion (e.g., clinician or staff member) who is willing to assume required program responsibilities for implementation; Patient Inclusion Criteria:
  • meet diagnostic criteria for chronic insomnia disorder (with or without documented diagnosis)
  • absence of a CBTI contraindication oi.e., comorbid condition that makes CBTI unsafe), including uncontrolled seizure disorders, bipolar disorder I, and/or too medically or psychiatrically unstable to engage in a multi-session treatment opatients can be referred to SWELL by a clinician or self-referred

Who cannot take part

  • younger than 60
  • Site Exclusion Criteria:
  • No members of the SWELL team working in the clinic; Patient Exclusion Criteria:
  • do not meet criteria for enrollment

Where in United States

  • Durham VA Medical Center, Durham, NCDurham, United StatesContact: Heidi D BassaniTaking people

About the trial

What the trial wants to find out

Implementing Cognitive Behavioral Therapy for Insomnia with Older Veterans (SWELL): Function QUERI 3.0 aims to compare implementation approaches while also gathering information on clinical effectiveness of the EBP in its new context. The overall goal is to implement, evaluate, and sustain SWELL in 20 VA facilities using a type III effectiveness-implementation hybrid study framework and parallel cluster randomized trial (CRT) design.

The 2 groups in the trial

  • Foundational ArmExisting treatment, for comparison

    Foundational Arm uses the Replicating Effective Program (REP) implementation strategy and includes 3 elements that were developed and tested in our prior Function QUERI work: program initiation, self-guided resources, and technical assistance.

    Treatment: Implementation Strategy: Foundational Arm

  • REACH (Reach Equity And Collective Health) ArmTreatment being tested

    The REACH Arm will include the same activities as the foundational arm plus REACH activities: 1) external facilitation and 2) equity-focused data-driven monitoring.

    Treatment: Implementation Strategy: REACH arm

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
Implementing Cognitive Behavioral Therapy for Insomnia With Older Veterans: Function QUERI 3.0 (QUE 25-008)
Plain-language title
Comparing ways to bring talk therapy for chronic insomnia to older veteransGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 14 November 2026.
Record updated
7 May 2026