AzTrials
AzTrials

InsomniaNiteCAPP JRNCT07091149

Digital Cognitive Behavioral Treatment of Insomnia in Youth: An RCT Examining Feasibility, Acceptability, and Efficacy of NiteCAPP Jr

A study testing CBT-I in people with Insomnia, run by University of South Florida at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The proposed pilot will examine feasibility, acceptability, and preliminary efficacy of a digital CBT-I tailored for school-aged children. Read more about this study

Who is it for?
Ages 6 to 12 years
Conditions the study is for
Insomnia
What is being tested?
CBT-I
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteUnited States
Study dates
10 Apr 2025to 1 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Child inclusion:
  • 6-12 yrs
  • Verbal IQ > 70 (to ensure verbal skills are sufficient to participate in treatment)
  • participation of child's parent or legal guardian living in the same home
  • child diagnosed with insomnia, 5) willing to accept random assignment.
  • Insomnia:
Show all 10Show fewer
  • 1) insomnia complaints for 3+ months by child report or caregiver observation that consist of (a) difficulties falling asleep, staying asleep, and/or waking up too early, (b) daytime dysfunction (mood, cognitive, social, occupational) due to insomnia, and (c) Pediatric Insomnia Severity Index score >8
  • Caregiver inclusion:
  • ability to read and understand English at the 5th grade level
  • willing to accept random assignment.

Who cannot join

  • Child exclusion:
  • child unable to provide informed consent or child unable to provide assent
  • child unwilling to accept random assignment
  • child participation in another randomized research project
  • child unable to complete forms or implement treatment procedures due to cognitive impairment
  • child untreated medical comorbidity including other sleep disorders (e.g., apnea, epilepsy, psychotic disorders, suicidal ideation/intent, [frequent] parasomnias)
Show all 16Show fewer
  • child psychotropic or other medications that alter sleep with the exceptions of stimulants, sleep medications, and/or melatonin as described in #7 (see Notes below for details)
  • child stimulants, sleep medications (prescribed or OTC), and/or melatonin within the last 1 month (unless stabilized on medication for 3+ months)
  • child participation in non-pharmacological treatment (including CBT) for sleep outside current trial
  • child other conditions adversely affecting trial participation.
  • Caregiver exclusion criteria:
  • unable to provide informed consent
  • unwilling to accept random assignment
  • caregiver participation in another randomized research project
  • unable to complete forms or implement treatment procedures due to cognitive impairment
  • caregiver participation in non-pharmacological treatment (including CBT) for sleep outside current trial

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Britani Holland, PhD contact

813-974-1804

blalone@usf.eduJ

Jhanavi Sabharwal contact

jhanavi3@usf.edu

United States1 site, 1 recruiting
  • University of South Florida

    Tampa, Florida, 33612

    Christina S McCrae, PhD

    Recruiting

Other trials in United States

About this study

The proposed pilot will examine feasibility, acceptability, and preliminary efficacy of a digital CBT-I tailored for school-aged children.

Read the detailed description

This is a pilot study to examine feasibility, acceptability, and preliminary efficacy of a digital CBT-I tailored for school-aged children aged 6-12 with insomnia and their caregiver(s) compared to a waitlist control.

Conditions
Insomnia
Being tested
CBT-I
Keywords
dCBTi, digital intervention, insomnia, children
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CBT-IBehavioural

    Cognitive behavioral therapy for insomnia

Study groups in NCT07091149
Study groupRoleWhat they receive
CBT-IExperimentalImmediate CBT-I for typically developing children using a 4-session digital intervention.
Receives: Behavioral: CBT-I
Waitlist ControlOtherParticipants in the waitlist control will have delayed treatment (4 weeks later).
Receives: Behavioral: CBT-I

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Electronic Sleep Diaries - Child

    Primary: child sleep onset latency (lights-out until sleep onset) and total sleep time. All other sleep diary variables are secondary (e.g., sleep efficiency (total sleep time/time in bed x 100%). Child (with caregiver assistance) and caregiver complete electronic diaries each morning (~5 mins) during each 1-week assessment and throughout treatment.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  2. Actigraphy - Child

    Primary variables: child sleep onset latency and total sleep time. All other actigraphy variables are secondary. Children wear actigraphs (Fitbit Inspire 3, Google), watch-like device, that monitors light and gross motor activity. Data analyzed using 30s epochs. Validated algorithm estimates SOL, TST, WASO, sleep efficiency and other variables provided by diaries. A combination of diary and actigraphy data estimates bed/waketime variability. Children wear devices 24/7 during each 1-week assessment.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  3. Session Completion

    Percentage of treatment sessions completed

    Measured: within 1 week post-treatment

  4. Treatment Adherence

    Percentage of instructions followed as indicated on treatment adherence logs

    Measured: within 1 week post-treatment

  5. Internet Intervention Utility Questionnaire (IIUQ)

    16-item measure designed to assess usability, likeability, usefulness, understandability, and convenience of an Internet intervention using a 5-point Likert scale, ranging from 0 (not at all) to 4 (very). Two additional open-ended questions ask about the most and least helpful aspects of the program. Scoring range is 0-64.

    Measured: within 1 week post-treatment

  6. Treatment Satisfaction Survey

    9-item measure designed to provide feedback on the study, including its structure, assessments, scheduling, working with study staff, and the usability of the intervention platforms using a 10-point Likert scale, ranging from 1 (strongly disagree) to 10 (strongly agree) and open-ended questions

    Measured: within 1 week post-treatment

  7. Pediatric Insomnia Severity Index

    The Pediatric Insomnia Severity Index is a six-item questionnaire that assesses insomnia symptom severity in children 4-10 years old. Items are rated on a 0-6 point scale based on the child's sleep over the past week. Scoring range is 0-30 with with higher scores indicating greater insomnia severity.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

Secondary outcomes (16)
  1. Child Sleep Habits Questionnaire-Abbreviated

    The Child Sleep Habits Questionnaire - Abbreviated consists of 22 questions regarding child sleep behaviors on a 1 point scale (0 = never, 7 = always). Higher scores indicating issues with sleep habits.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  2. Pediatric Symptom Checklist-17

    The Pediatric Symptom Checklist-17 is a 17-item questionnaire that measures attention, internalizing, and externalizing problems on a 0-2 scale. Scores range from 0-34 with higher score indicates a greater level of psychosocial impairment.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  3. Behavior Rating Inventory of Executive Function -2nd Edition (BRIEF-2)

    The Behavior Rating Inventory of Executive Function -2nd Edition (BRIEF-2) is an 86-item caregiver-report measure of day-to-day executive functioning and impairment. T-scores ranging from 30-90 with higher scores indicating greater executive functioning difficulties

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  4. Pediatric Daytime Sleepiness Scale

    The Pediatric Daytime Sleepiness Scale is an 8-item questionnaire that measures daytime sleepiness and school-related outcomes on a 5-point scale. Scores range from 0-32 with higher scores indicating greater daytime sleepiness.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  5. Revised Children's Anxiety and Depression Scale-25

    The Revised Children's Anxiety and Depression Scale-25 (caregiver report) is a 25-item scale that measures levels of anxiety and depression on a 4-point scale. Scores range from 0-75 with higher scores indicating more severity in symptoms.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  6. Strengths and Difficulties Questionnaire

    The Strengths and Difficulties Questionnaire is a 25-item questionnaire that measures five scales (emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behavior) on a 4-point scale. Scores range from 0-40 with higher scores indicating greater difficulties across emotional, behavioral, and peer domains.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  7. Heart rate variability - Child

    HRV will be assessed using Holter Monitoring during an established stress reactivity protocol. Participants will be seated at rest and undergo Holter Monitoring procedures: 1) 5 min baseline, 2) 30 secs vibrotactile stimuli (Conair WM200X, Stamford, CT) at 80 Hz oscillations applied to left hand, 3) 3 min recovery, 4) 30 secs vibrotactile stimuli applied to right hand, 5) 3 min recovery, 6) cold pressor stimulation to right hand (place hand to bottom of bowl of ice water calibrated to 4° C), 7) 3 min recovery, 8) cold pressor stimulation to left hand. Time and spectral analysis of short-term HRV during baseline, vibration and cold pressor stimuli will be conducted in BioPAC software. Time (reflects beat-to-beat variability-RMSDNN, pNN50) and frequency [reflects underlying HR rhythms-High (0.15-0.4 Hz), low (0.04-0.15 Hz), very low (below 0.04 Hz), LF/HF ratio] domains will be examined.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  8. Peds Quality of Life

    PedsQL is a 23-item scale measuring children's QOL. It has excellent internal consistency, clinical validity, and factor-analytic support. Caregiver forms will be completed. Scores ranges from 0-100 with higher scores indicating better quality of life.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  9. Heart rate variability - Caregiver

    HRV will be assessed using Holter Monitoring during an established stress reactivity protocol. Participants will be seated at rest and undergo Holter Monitoring procedures: 1) 5 min baseline, 2) 30 secs vibrotactile stimuli (Conair WM200X, Stamford, CT) at 80 Hz oscillations applied to left hand, 3) 3 min recovery, 4) 30 secs vibrotactile stimuli applied to right hand, 5) 3 min recovery, 6) cold pressor stimulation to right hand (place hand to bottom of bowl of ice water calibrated to 4° C), 7) 3 min recovery, 8) cold pressor stimulation to left hand. Time and spectral analysis of short-term HRV during baseline, vibration and cold pressor stimuli will be conducted in BioPAC software. Time (reflects beat-to-beat variability-RMSDNN, pNN50) and frequency [reflects underlying HR rhythms-High (0.15-0.4 Hz), low (0.04-0.15 Hz), very low (below 0.04 Hz), LF/HF ratio] domains will be examined.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  10. Actigraphy - Caregiver

    Caregiver sleep diary variables include sleep onset latency (lights-out until sleep onset), wake after sleep onset, total sleep time, and sleep efficiency (total sleep time/time in bed x 100%). Caregivers wear actigraphs (Fitbit Inspire 3, Google), a watch-like device that monitors light and gross motor activity. Data analyzed using 30s epochs. Validated algorithm estimates SOL, TST, WASO, sleep efficiency and other variables provided by diaries. A combination of diary and actigraphy data estimates bed/waketime variability. Caregivers wear devices 24/7 during each 1-week assessment.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  11. Electronic Sleep Diaries - Caregiver

    Caregiver sleep diary variables include sleep onset latency (lights-out until sleep onset), wake after sleep onset, total sleep time, and sleep efficiency (total sleep time/time in bed x 100%). Caregiver will complete electronic diaries each morning (~5 mins) during each 1-week assessment and throughout treatment.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  12. State-Trait Anxiety Inventory (STAI-Y1) - Caregiver

    State-Trait Anxiety Inventory (STAI-Y1) includes 20 self-descriptive statements rated according to how the caregiver generally feels on a 4-point scale [1 (not at all) to 4 (very much so)]. Scores range from 20-80 with higher scores indicate greater levels of anxiety.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  13. Beck Depression Inventory -II - Caregiver

    Beck Depression Inventory (BDI-II) includes 21 items that measures the severity of depressive symptomatology on a 4-point scale (0-absence of symptoms; 3-severe). Scores range from 0-63 with higher scores indicating higher severity of depressive symptoms.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  14. Fatigue Severity Scale - Caregiver

    Fatigue Severity Scale includes 9 items on severity of fatigue and how fatigue interferes with activities on a 7-point scale (1-strongly disagree; 7-strongly agree). Scores range from 9-63 with higher scores indicating severe fatigue symptoms.

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  15. Daily Fatigue - Caregiver

    Daily Fatigue rated on electronic diaries (0-none;100-most intense imaginable)

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

  16. Caregiver Strain Index - Caregiver

    Caregiver Strain Index (CSI) includes 12 items on caregiving impact on well-being. Scoring range 0-26 with higher scores indicate greater caregiver strain

    Measured: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jul 2025
  2. Study start10 Apr 2025
  3. Primary completion1 May 2027 (estimated)
  4. Study completion1 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
Participants will be randomized to either CBT-I or a waitlist control
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07091149
Sponsor's protocol ID
STUDY006258
Acronym
NiteCAPP JR
Status last verified
Sep 2026
First submitted
10 Apr 2025
Last updated
11 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • McCrae CS, Stearns MA, Mazurek MO, Page J, Holland B, Takagishi J, Emmanual P, Zhang X, Kapolka M, Craggs C, Gonzalez D, Owens J. Digital Cognitive Behavioral Treatment of Insomnia in Youth: Protocol for an RCT Examining Feasibility, Acceptability, and Efficacy of LAMBI. Behav Sleep Med. 2026 May 28:1-15. doi: 10.1080/15402002.2026.2667840. Online ahead of print.

    PubMed 42210669

Questions about this trial

What is this clinical trial studying?

A study testing CBT-I in people with Insomnia, run by University of South Florida at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 11 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Britani Holland, PhD (813-974-1804, blalone@usf.eduJ), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Electronic Sleep Diaries - Child (time frame: baseline, within 1 week post treatment, 1 month follow up, 3 month follow up). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07091149, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in