Comparing Telehealth-Delivered CBT-I to Web-Based CBT-I to Enhance Sleep, Reduce Fatigue, and Promote Neuroprotection

Exclusion Criteria

• •Known untreated sleep disorder (such as sleep apnea or restless legs syndrome)
• •\>3 on STOP BANG indicating increased risk of sleep apnea
• •Restless legs syndrome as determined by RLS-Diagnosis Index
• •Circadian rhythm sleep-wake disorder as determined by the Sleep Disorders-Revised
• •Parasomnia as determined by the Sleep Disorders-Revised
• •If taking benzodiazepines, non-benzodiazepines, or melatonin supplements or agonists for insomnia, taking \< 3 months or dose has changed in past 3 months
• •Score of ≥20 on the Patient Health Questionnaire (PHQ-9) indicating severe depression or endorsement of suicidal ideation (answer 1, 2 or 3 on #9 of the PHQ-9)
• •Score of ≥15 on the Generalized Anxiety Disorder (GAD-7) indicating severe anxiety
• •Current or history (up to 2 years) of alcohol or drug or alcohol abuse as indicated by DSM-5 criteria
• •History of other nervous system disorder such as stroke or Parkinson's disease
• •Currently pregnant or intending to become pregnant in the next 6 months
• •Severe mental illness such as schizophrenia or bipolar disorder
• •Severe neurological or sensory impairments that would interfere significantly with testing
• •Relapse and/or corticosteroid use in the past 8 weeks
• •History of (within 5 years) or currently conducting overnight shift work including hours of midnight-4am
• •Currently receiving a behavioral sleep health intervention