grant

A hybrid effectiveness-implementation trial evaluating behavioral treatments for insomnia for socioeconomic disadvantaged adults in primary care

Organization BRIGHAM AND WOMEN'S HOSPITALLocation BOSTON, UNITED STATESPosted 20 Sept 2022Deadline 30 Jun 2028
NIHUS FederalResearch GrantFY202521+ years oldAbbreviationsAddressAdministratorAdoptionAdultAdult HumanAdverse ExperienceAdverse eventApplication ContextBehavior Conditioning TherapyBehavior ModificationBehavior TherapyBehavior TreatmentBehavioralBehavioral Conditioning TherapyBehavioral ModificationBehavioral TherapyBehavioral TreatmentBiometricsBiometryBiostatisticsCardiovascular DiseasesCaringClinicClinicalClinical ResearchClinical StudyClinical TrialsCognition TherapyCognitive DisturbanceCognitive ImpairmentCognitive PsychotherapyCognitive TherapyCognitive declineCognitive function abnormalCognitive treatmentCommunitiesConditioning TherapyConsolidated Framework for Implementation ResearchConsolidated Framework for Implementation ScienceConsolidated Framework for Implementing ChangeDataData CollectionDiagnosisDisparitiesDisparityDissemination and ImplementationDisturbance in cognitionDrug TherapyEconomic IncomeEconomical IncomeEconomically Deprived PopulationEligibilityEligibility DeterminationEmployeeEnsureEspanolEvidence based treatmentFoundationsFutureGoalsGuidelinesHealthHealth InequityHistoryHospitalsHourHouseholdImpaired cognitionImpairmentIncomeInequalities in HealthInequities in HealthInequityInfrastructureInsomniaInsomnia DisorderInsuranceInterventionInterviewKnowledgeLanguageLow Income PopulationLow incomeLow income groupMajor Depressive DisorderMedicaidMedicalMedical AssistanceMedical DirectorsMental DepressionMental HealthMental HygieneModelingNon-pharmacologic TherapyNonpharmacologic InterventionNonpharmacologic TherapyNonpharmacologic approachNonpharmacologic treatmentNurse PractitionersOutcomeParticipantPatientsPersonsPharmacological TreatmentPharmacotherapyPhasePhonePhysician ExecutivesPremature MortalityPreventivePrimary CareProtocolProtocol ScreeningProtocols documentationPsychological HealthQOLQuality of lifeRandomization trialRecommendationRecording of previous eventsRegulatory approvalReportingResearchResearch DesignRiskRisk FactorsSamplingSeveritiesSiteSleepSleep DisordersSleeplessnessSocial WorkersSocioeconomically disadvantagedSpanishSpecialtyStructureStudy TypeSymptomsTelephoneTestingTimeTrainingUnderserved PopulationUnited StatesWomanWorkacceptability and feasibilityadulthoodadverse consequenceadverse outcomearmbehavior interventionbehavioral interventionburden of diseaseburden of illnesscardiovascular disease riskcardiovascular disordercardiovascular disorder riskclinical depressioncognitive behavior interventioncognitive behavior modificationcognitive behavior therapycognitive behavioral interventioncognitive behavioral modificationcognitive behavioral therapycognitive behavioral treatmentcognitive dysfunctioncognitive losscompare treatmentcontextual factorscostdepressiondiariesdisease burdendrug interventiondrug treatmenteconomically deprived groupeconomically deprived peopleeconomically disadvantaged groupeconomically disadvantaged individualeconomically disadvantaged peopleeconomically disadvantaged populationeffectiveness and implementation trialeffectiveness testingeffectiveness-implementation randomized trialeffectiveness/implementation hybrid trialeffectiveness/implementation trialethnic minorityethnic minority groupethnic minority individualethnic minority peopleethnic minority populationevidence baseexperiencefall asleepfuture implementationhealth inequalitieshealth related quality of lifehistorieshypnoticimplementation determinantsimplementation factorsimplementation scienceimplementation trialimprovedincomesindexinginformantlow income individuallow income peoplemajor depressionmajor depression disordermedical specialtiesmortalitymultidisciplinarynon-drug therapynon-drug treatmentnondrug therapynondrug treatmentpatient populationpaymentpharmaceutical interventionpharmacological interventionpharmacological therapypharmacology interventionpharmacology treatmentpharmacotherapeuticsphysical conditioningphysical healthpilot testpost interventionprimary care clinicprimary care patientprimary care settingprimary outcomeprogramsquality of sleepracial minorityracial minority groupracial minority individualracial minority peopleracial minority populationrandomized effectiveness trialrandomized trialrecruitregulatory authorizationregulatory certificationregulatory clearancesecondary outcomeside effectsleep amountsleep diseasessleep durationsleep dysfunctionsleep episodesleep healthsleep hygienesleep illnesssleep intervalsleep lengthsleep onsetsleep periodsleep problemsleep qualitysleep quantitysleep timesleep wellnesssocio-economic disadvantagesocio-economically disadvantagedsocio-economically underprivilegedsocioeconomic disadvantagesocioeconomically underprivilegedstudy designtelehealthtime asleeptime during sleeptime in sleeptime spent asleeptime spent sleepingtreatment comparisontrial enrollmentunder served groupunder served individualunder served peopleunder served populationunderclassunderserved groupunderserved individualunderserved peopleuptake
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ABSTRACT
Insomnia, present among 15-25% of low-income adults and other overlapping socioeconomically

disadvantaged groups such as racial/ethnic minorities, is frequently undertreated, impairs quality of life, and is

associated with increased risk for depression, cardiovascular disease, and premature mortality. Our long-term

goal is to test the…

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A hybrid effectiveness-implementation trial evaluating behavioral treatments for insomnia for socioeconomic disadvantage | Dev Procure