Online COgnitive Behavioural Therapy for Sleep and Mental Health for Older Adults With Insomnia and Subjective Cognitive Complaints

Inclusion Criteria

• •Inclusion
• •age 60 years or older at the time of enrolment
• •Sleep Condition Indicator, SCI ≤ 16 and/or meeting DSM-V criteria based on the symptoms assessed by the SCI
• •subjective cognitive complaints (self-report version of Everyday Cognition scale (ECog), score ≥ 2 on any item)
• •ability to read and understand French or English
• •ability to use a smartphone or tablet, and access to home internet connection
• •If on hypnotic or psychotropic medication (including cannabis), being on stable dosage for at least 2 months prior to study entry
• •Score on the STOP-BANG questionnaire \< 3 corresponding to participants with low risk of obstructive sleep apnea
• •Exclusion
• •located outside of Québec or Ontario
• •current hospitalization or planned major surgery
• •uncorrected severe hearing or vision impairment
• •reported diagnosis of major neurocognitive disorder or mild cognitive impairment (MCI)
• •performance suggestive of major neurocognitive disorder or MCI on T-MoCA \< 17
• •reported diagnosis of schizophrenia or bipolar disorder
• •reported diagnosis or positive screen on the MINI for psychotic or bipolar disorders
• •high suicidal risk, as assessed by the modified Columbia-Suicide Severity Rating Scale
• •reported diagnosis or positive screening (apnea-hypopnea index \>30 on a level 3 home sleep apnea test) for another untreated sleep disorder (e.g., sleep disordered breathing (OSA), REM sleep behavior disorder (RBD), restless legs syndrome (RLS); individuals with treated and controlled OSA (residual apnea-hypopnea index \<30 and good therapeutic compliance) or RLS will not be excluded
• •current shift work
• •currently receiving CBT, having received CBTi in the past
• •frequent alcohol consumption having an impact on functionning (\>10 glasses/week and having a significant impact on functionning)
• •illicit drugs use (more than once a month)