Comparing online CBT-I and usual care for better sleep and less opioid use in chronic pain

You may qualify if

• 18+ yrs
• Willing to be randomized,
• Can read/understand English
• Diagnosed with chronic widespread pain and insomnia (as described below)
• Prescribed opioid medication for 1+ mo, 3+ times per week
• Desire to reduce or eliminate opioid use
• Written agreement from physician prescribing opioid medication
• No prescribed or OTC sleep meds for 1+ mo, or stabilized on meds for 6+ wks

You can't join if

• Unable to provide informed consent
• Cognitive impairment (MMSE <26)
• Sleep disorder other than insomnia [i.e., sleep apnea (apnea/hypopnea index, AHI >15)
• Periodic Limb Movement Disorder (myoclonus arousals per hour >15)]
• Bipolar or seizure disorder (due to risk of sleep restriction treatment)
• Other severe, untreated major psychopathology except for depression or anxiety (e.g.,suicidal ideation/intent, psychotic disorders)
• Psychotropic or other medications (e.g., beta-blockers) that alter pain or sleep (medications prescribed for pain or sleep are allowed)
• Participation in other non-pharmacological treatment for pain, sleep, or mood outside the current trial
• Internal metal objects or electrical devices
• Pregnancy
• Presumptive/confirmed lumbar nerve root compression
• Confirmed lumbar spinal stenosis
• <6 mos post-back surgery
• Other spinal disorders