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Implementing Cognitive Behavioral Therapy for Insomnia (SWELL) for Older Veterans

This study, called SWELL, is looking at the best ways to bring an effective insomnia treatment to older Veterans. Many older Veterans experience chronic insomnia (difficulty sleeping for three months or more), which can affect their quality of life. The treatment being studied is Cognitive Behavioral Therapy for Insomnia (CBTI), which has been adapted for older Veterans and shown to improve sleep and daily functioning. The study will compare two approaches for implementing CBTI: a "Foundational Arm" with tools and training, and a "REACH arm" which includes everything in the Foundational Arm plus additional support. We want to see how well these approaches help clinics offer CBTI to more Veterans. The study plans to include 20 VA facilities and is currently unclear on its recruitment status.

Study design
This study is an interventional trial that will compare two different ways of implementing a treatment. It is a cluster randomized trial, meaning groups of clinics will be assigned to different implementation strategies.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary goal, "Reach," will be measured at 18 months.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07216261

Implementing Cognitive Behavioral Therapy for Insomnia (SWELL): Function QUERI 3.0

Recruiting
NAAges 60+InterventionalHealth services
VA Office of Research and Development
~20 participants
Updated 2026-05-07 on ClinicalTrials.gov
What's tested:Implementation Strategy: Foundational ArmImplementation Strategy: REACH arm

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Reach
Measured over 18 months

Conditions

Chronic Insomnia

Explore related trials

Chronic Insomnia

Where it's being run

1 sites across 1 states
North Carolina1

Study leadership

  • Jaime Hughes, PhD · PRINCIPAL_INVESTIGATOR · Durham VA Medical Center, Durham, NC
  • Jennifer L Martin, PhD · PRINCIPAL_INVESTIGATOR · VA Greater Los Angeles Healthcare System, Sepulveda, CA

Who to contact

Caitlin B Kappler, MSW
[email protected]
(919) 286-6936
Email the study team

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Facility is part of the U.S. Department of Veterans Affairs (VA) health system.
Primary care clinic providing care to older Veterans
Clinic is located 25 miles from the nearest other VA clinic participating in the program
Identified site champion (e.g., clinician or staff member) who is willing to assume required program responsibilities for implementation.
meet diagnostic criteria for chronic insomnia disorder (with or without documented diagnosis)
absence of a CBTI contraindication oi.e., comorbid condition that makes CBTI unsafe), including uncontrolled seizure disorders, bipolar disorder I, and/or too medically or psychiatrically unstable to engage in a multi-session treatment opatients can be referred to SWELL by a clinician or self-referred

Exclusion

No members of the SWELL team working in the clinic
younger than 60
do not meet criteria for enrollment

What this trial measures

  • Reach18 months

    Reach will be defined as the number of older Veterans who initiate SWELL at a site. Initiation is defined as completing the first SWELL treatment session.