N/A
Completed N=215,267
Enhancing Access to Insomnia (EASI) Care in VA PCMHI Clinics
Source: ClinicalTrials.gov NCT04350866 ↗Enrolled (actual)
215,267
Serious AEs
—
Results posted
Jan 2026
Primary outcomePrimary: Veteran Participants Who Engaged in BBTI — 14; 1; 21; 0 Participants — p=<0.0001
Summary
This multi-site project (four VA Medical Centers) will test two approaches to improving the delivery of a behavioral insomnia treatment in the Primary Care setting to Veterans. The first approach is training providers to deliver Brief Behavioral Treatment for Insomnia (BBTI). The second approach is to give providers trained in BBTI additional support and resources to enhance their ability to deliver BBTI, what we call implementation. This project will measure delivery of BBTI over four phases: (1) pre-training; (2) pre-implementation; (3) implementation; and (4) post-implementation.
The main questions to answer:
Does delivery of BBTI improve with training alone and does it improve further with the addition of implementation support?
Does delivery of BBTI remain at similar levels after implementation support is removed?
Do Veterans who engage in BBTI reduce their insomnia symptoms?
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Veteran Participants Who Engaged in BBTI |
14; 1; 21; 0; 0; 14 | <0.0001 sig |
| SECONDARY Veterans in PCMHI Identified With Insomnia |
718; 314; 717; 354; 0; 167 | — |
| SECONDARY Veterans in Primary Care Identified With Insomnia |
6383; 2737; 7038; 2378; 0; 1875 | — |
| SECONDARY BBTI Effectiveness (Intent to Treat) |
16.85; 13.41; 16.09; 11.40; 18.30; 13.69 | <0.0001 sig |
| SECONDARY BBTI Effectiveness (Per Protocol) |
18.48; 12.31; 17.13; 8.13; 18.88; 13.79 | <0.0001 sig |
| SECONDARY PCMHI Providers (Staff) Who Delivered (Adopted) BBTI |
17; 33; 17; 23; 29; 27 | — |
| SECONDARY Implementation/Treatment Fidelity (Staff) |
31.46; 31.02; 33.64; 33.55 | — |
| SECONDARY Barriers & Facilitators (CFIR Determinants) |
1; 1; 2; 2; 1; -2 | — |
| SECONDARY Implementation Strategy Utilization Survey |
— | — |
Eligibility Criteria
Inclusion Criteria
All Veterans in Primary Care and Primary Care Mental Health Integration (PCMHI) at the participating sites.
Exclusion Criteria
Not meeting above criteria
Data sourced from ClinicalTrials.gov (NCT04350866). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.