Interactive Cognitive Behavioral Therapy for Insomnia

Abstract This study aims to assess the feasibility and acceptability of using state of the art voicecontrolled intelligent assistants to deliver automated cognitive behavioral therapy for insomniaCBT Ifor breast cancer survivorsBCSwho suffer from higher rates of insomnia than the general populationInsomnia has numerous detrimental health consequences and too few welltrained CBT I therapists are available to offer treatmentThe user will interact with voice recognition through spoken voice dialogs with an internet connected speaker instead of a computer and keyboardThe long term goal is to provide acceptable CBT I with voice recognition instead of cumbersomein person visits or web basedbright computer screensIn our specific aimsour multidisciplinary team will invite breast cancer survivors with insomnia to inform development of a voice accessible prototypeWe will build and debug the prototype before conducting feasibility testing to assess the prototype s acceptability with BCSThe central hypothesis is that the majority of participants will report satisfaction with the intervention and express interest in using it for CBT I at homeWe also anticipate that participants will gain knowledge of CBT I and insomnia treatment through interaction with the deviceThis intervention includes engaging and educational elementsand multiple areas of innovation which overcome current impediments to the delivery of scalableautomated CBT IWe anticipate that the results will demonstrate feasibilityand will provide data to inform a Phase II study testing the efficacy of the CBT I system on insomnia through a randomized controlled trial as well as more feedback on usability of the system throughout developmentThis contribution is significantbecause successful completion of Phase I aims will demonstrate how this product might advance the effective implementation of an evidence based therapy that can scale to the growing population of breast cancer survivors with insomnia who lack access to trained CBT I therapists Project Narrative We aim to develop and test delivery of Cognitive Behavioral Therapy for Insomnia using an Artificial Intelligence home device among breast cancer survivorsThe aims of this study are to understand survivor preferencesdevelop an AI prototypeand test usability of the programbefore testing efficacy in a Phase II trial