Sleep MAPP Care Pathway for Insomnia
(Sleep MAPP Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This pilot implementation trial will evaluate the Sleep Disorder Management Assistance for Providers and Patients (Sleep MAPP) Care Pathway in one Veterans Health Administration Polytrauma/TBI System of Care clinic. The care pathway combines a provider-facing decision-support tool that supports pre-visit administration and documentation of the Insomnia Severity Index with training and implementation support for clinic providers to deliver Brief Behavioral Therapy for Insomnia. The study will assess the feasibility and acceptability of the care pathway; describe changes in guideline-concordant insomnia screening and behavioral treatment; and describe preliminary changes in insomnia symptoms, neurobehavioral symptoms, and participation in social roles among Veterans with mild traumatic brain injury who receive Brief Behavioral Therapy for Insomnia. Up to 30 clinic providers or staff and 50 Veterans will be invited to complete research surveys and interviews. Implementation and clinical outcomes will be obtained from routinely collected clinical data.
Who Is on the Research Team?
Adam R. Kinney, PhD OTR
Principal Investigator
Rocky Mountain Regional VA Medical Center, Aurora, CO
Are You a Good Fit for This Trial?
This trial is for Veterans with mild traumatic brain injury (such as concussion) who are experiencing trouble falling or staying asleep. Participants will be recruited from a specific VA clinic and must be able to complete surveys and interviews.Inclusion Criteria
Exclusion Criteria
What Are the Treatments Tested in This Trial?
Interventions
- Sleep MAPP Care Pathway
Trial Overview
The study is testing the Sleep MAPP Care Pathway, which helps providers screen for insomnia and deliver brief behavioral therapy to improve sleep in Veterans with TBI. The focus is on how practical and helpful this approach is in real-world care.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
The participating Polytrauma/TBI System of Care clinic will implement the Sleep MAPP Care Pathway, which is designed to increase delivery of two guideline-recommended clinical practices: insomnia screening with the Insomnia Severity Index and Brief Behavioral Treatment for Insomnia (BBTI). Implementation will be supported by a multicomponent strategy bundle that includes deployment of the Sleep MAPP clinical decision support tool, training providers to deliver BBTI, and complementary implementation supports.
Find a Clinic Near You
Who Is Running the Clinical Trial?
VA Office of Research and Development
Lead Sponsor
VA Pittsburgh Healthcare System
Collaborator
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