Background: Many people with alcohol use disorders have a sleep problem called insomnia. One treatment is Cognitive Behavioral Therapy for Insomnia (CBT-I). Researchers want to study adults experiences with a web-based CBT-I program called SHUTi. Objective: To test if a web-based insomnia therapy program works well and helps people with alcohol use disorders. Eligibility: Adults ages 18-65 who joined another protocol and have been an inpatient on that protocol at least 14 days. Design: Participants will be screened with questions about insomnia. They will wear a device on their wrist and finger for one night while sleeping. This checks for sleep apnea. Participants will complete 1 of 2 programs: 1. SHUTi: Participants will start using the program in the hospital and finish it about 6 weeks later. They will get a computer tablet to access SHUTi at least 3 times a week. They will get surveys, stories, videos, and interactive data about sleep. They will complete at least 5 daily sleep diaries every week. SHUTi will be customized based on the diaries. 2. Education-only program: This is like SHUTi but it is not interactive and is not customized. Participants will access it at least once a week. They will finish at their own pace within 6 weeks. These participants may access SHUTi later. All participants will wear a device on their wrist for 4 straight days at several different time points. It records activity and sleep data. They will do this 3 times. Participants will answer questions about the program before starting it and after finishing. Interviews will be audio recorded. Participants will do follow-up surveys 6-7 months after they are discharged from the hospital.
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Internet Evaluation and Utility Questionnaire: Average Number of Log in to SHUTi Per Week During the Last 9 Weeks
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Average Time Spent on SHUTi After Logging in
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants With Technical Difficulties Using SHUTi or Tablet
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "How Comfortable Are You Using the Handheld Tablet?"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "How Easy Was SHUTi to Use?"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "How Convenient Was SHUTi to Use?"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "Extent of SHUTi Keeping Their Interest and Attention"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Likeability"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Appearance Likeability"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Privacy Concerns"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "SHUTi Satisfaction"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "Usefulness of SHUTi Information"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "Understanding SHUTi Information"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "Trust in SHUTi Information Provided"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use When Sleep Problems Continue or Return
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Likelihood of Continued SHUTi Use Due to Technical Difficulties
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Evaluation and Utility Questionnaire: Participants Response to "Internet as a Delivery Method for Insomnia Intervention"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "SHUTi Helpfulness"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Increase in Insomnia Knowledge"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Quality of Life Improvement"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Mood Improvement"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Physical Activity Improvement"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Ability to Manage Insomnia"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Falling Asleep"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Waking up in the Middle of the Night"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Difficulties Waking up Too Early"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Sleep Quality"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Impact and Effectiveness Questionnaire: Participants Response to "Improvement in Daytime Functioning"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Tablet as a Primary Device Used to Access SHUTi"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Working Internet Connection"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to Connection Problem to SHUTi
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Slow Internet Connection"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Problems With Device"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Forgetting to Access SHUTi"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Not Wanting to Access SHUTi"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Personal Issues Interfering With SHUTi Use"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Work Issues Interfering With SHUTi Use"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Navigating SHUTi"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty Understanding SHUTi Content"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Not Being Useful"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to SHUTi Program Being Too 'Wordy'
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to Screen Being Too Hard to Read
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much to do in SHUTi"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Diaries Taking Too Long to Complete"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "SHUTi Helping With Insomnia"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Too Many Sleep Rules"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Spouse/Significant Other/Roommate Having Issues With Participant Using SHUTi"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Difficulty With Sleep Restriction Instructions"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Who Responded to "Sleep Efficiency Not Improving"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Too Much Homework"
Timeframe: 9-11 Weeks post SHUTi initiation
Internet Intervention Adherence Questionnaire: Participants Response to "Homework Difficulty"
Timeframe: 9-11 Weeks post SHUTi initiation
Average Login Counts
Timeframe: 6-7 months post discharge from inpatient admission for this study
Mean Diary Completion Counts
Timeframe: 6-7 months post discharge from inpatient admission for this study
Average Number of Sessions Completed
Timeframe: 9-11 Weeks post SHUTi initiation