Comparing Insomnia Care As Usual to Digital Augmentation (CICADA)

Inclusion Criteria:

• Active duty service members, men and women, diagnosed with chronic insomnia and deemedeligible for CBTI by their treating clinician.
• Age 18 or older.
• Absence of, or stable, psychiatric, or medical comorbidity(ies), such that they do notcompromise safety when completing study procedures.
• If using prescribed sleep medication(s), have received the medication(s) at a stabledosage for at least 4 weeks, with no scheduled change in medication or dosage over theacute intervention phase (up to 12 weeks)
• Owning or ability to use a smartphone (iPhone or Android) that is no older than 5years old (e.g., iPhone 6, and Android phone with Lollipop 5.0 mobile operatingsystem)

Exclusion Criteria:

• Presence of an untreated or under-treated comorbid sleep disorder that requiresindependent treatment or that may be exacerbated by sleep restriction or stimulicontrol, e.g., obstructive sleep apnea (OSA) or rapid-eye-movement (REM) behaviordisorder or sleep walking with a history of injury to self or others.
• Acute psychiatric distress associated with marked impairments in functioning or thatlimits engagement in CBTI, adversely impacts the risk/benefit ratio of participatingin the study, or requires immediate attention, as indicated by, but not limited to,the examples listed below. Please note that each referring clinician will determinewhether a patient is eligible for the study.
• Having planned or attempted suicide or the harming of others in the past 6 months.
• Seeking and/or receiving treatment at psychiatric clinic facility at a level thatrequires inpatient or partial hospitalization level of psychiatric care.
• Currently requiring the support of an assigned case manager for services such ascoordination of medications, appointments, transportation, and/or for completingactivities of daily living.
• Active substance use disorder.
• Past or current psychotic or bipolar disorder or sub-threshold symptoms of psychoticor bipolar disorders.
• Currently pregnant, breastfeeding, or being the parent of a newborn < 3 months old.
• Untreated seizure disorder.
• Suspected, diagnosed, or inadequately treated sleep apnea (less than 4 hours of CPAPuse per night).
• Anticipates relocating/moving out of state in the next 3 months