Online Tai Chi Versus Digital CBT-I for Chronic Insomnia
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Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 18 and 65 years old?
Source: NCT07853651, who can take part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorTrial details
- Who runs it
- The Third Xiangya Hospital of Central South University
- Trial code
- NCT07853651
- Record updated
- 26 October 2026
- Original description
This multicenter randomized controlled trial will compare online Tai Chi (OTC) with digital cognitive behavioral therapy for insomnia (dCBT-I) in adults with chronic insomnia disorder. A total of 172 participants aged 18 to 65 years will be randomly assigned in a 1:1 ratio to receive either a 6-week standardized online Tai Chi intervention or a 6-week structured dCBT-I intervention. Both groups will receive the same standardized sleep hygiene education. The primary objective is to determine whether online Tai Chi is noninferior to dCBT-I in improving insomnia severity at Week 6, as measured by change in the Insomnia Severity Index (ISI) from baseline. Participants will be followed through Week 30. Approximately 120 participants will additionally participate in an actigraphy substudy with 7-day assessments at baseline, Week 6, and Week 30.Read full original descriptionShow less
Efficacy of Online Tai Chi Versus Digital Cognitive Behavioral Therapy for Insomnia in Adults With Chronic Insomnia Disorder: A Multicenter Pragmatic Randomized Controlled Noninferiority Trial
This multicenter randomized controlled trial will compare online Tai Chi (OTC) with digital cognitive behavioral therapy for insomnia (dCBT-I) in adults with chronic insomnia disorder. A total of 172 participants aged 18 to 65 years will be randomly assigned in a 1:1 ratio to receive either a 6-week standardized online Tai Chi intervention or a 6-week structured dCBT-I intervention. Both groups will receive the same standardized sleep hygiene education. The primary objective is to determine whether online Tai Chi is noninferior to dCBT-I in improving insomnia severity at Week 6, as measured by change in the Insomnia Severity Index (ISI) from baseline. Participants will be followed through Week 30. Approximately 120 participants will additionally participate in an actigraphy substudy with 7-day assessments at baseline, Week 6, and Week 30.
Inclusion: Age 18 to 65 years, inclusive; Meet DSM-5 diagnostic criteria for chronic insomnia disorder, confirmed by a trained study physician; ISI ≥12 at screening and at the end of the 7-day run-in period, with an absolute difference <4 points; Complete at least 5 valid sleep diary days during the run-in period; Have a suitable smart device and stable internet connection and be able to complete study procedures; Provide written informed consent; Be willing to accept randomized assignment, complete the 6-week intervention, and participate through Week 30.
Exclusion: Regular participation during the previous 3 months in a highly similar mind-body training program likely to affect treatment evaluation; Current systematic CBT-I, or prior CBT-I with continued regular implementation of core therapeutic strategies likely to affect treatment evaluation; Another untreated or inadequately controlled sleep disorder likely to affect outcomes or safety; Severe or unstable medical disease, clinically significant chronic pain interfering with sleep, or physical/motor impairment preventing safe participation; Clinically significant cognitive impairment preventing independent informed consent or reliable participation; Acute or unstable severe psychiatric illness, clinically significant suicide risk, or active substance use disorder requiring priority treatment; A condition making sleep restriction/compression unsuitable, including uncontrolled epilepsy, current mania/hypomania or clinically significant triggering risk, hazardous daytime sleepiness, or an inadequately mitigated safety-sensitive occupation; Regular night-shift/rotating shift work or another substantially disruptive sleep-wake schedule.