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Sponsor: Emory University
Conditions: Cognition Disorder, Alzheimer Disease
Interventions: REPAIR Sleep, Healthy Living
The goal of this study is to learn whether a videoconference-delivered CBT-I program (REPAIR Sleep) can improve sleep and psychological well-being in caregiver-PLwD dyads. The main questions it aims to answer are: * Does REPAIR Sleep improve insomnia severity and other sleep outcomes? * Does REPAIR Sleep improve psychological outcomes such as mood, stress, and quality of life? Researchers will compare REPAIR Sleep with Healthy Living to see whether REPAIR Sleep leads to greater improvements. Participants will: * Attend five weekly virtual sessions * Complete sleep diaries and questionnaires * Wear an actigraphy device * Complete follow-up assessments over 9 months
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: PLwCC and Caregiver * Have Insomnia Severity Index (ISI) ≥10 * Have difficulty initiating or maintaining sleep or waking up too early at least three nights per week * Have sleep disturbances persisting for at least three months * Have daytime impairment (e.g., fatigue, mood disturbance) * Community-dwelling * Co-residing with each other * Have internet access * No history of surgery in the past 4 weeks Caregivers -Regularly assist the care recipient with ≥1 of 7 basic activities of daily living61 or ≥1 of 7 Instrumental Activities of Daily Living for the past 6 months. PLwD -Reported or diagnosed cognitive impairment; able to complete simple directives. Exclusion Criteria: PLwCC or Caregiver: * A diagnosis of psychosis, major depressive disorder, or bipolar disorder that is not currently treated; * Having had substance or alcohol dependency, or active suicidality in the past year * Currently have narcolepsy or restless leg syndrome * Does shift work * Plan trans-meridian travel during the period of data collection blocks * Hearing or visual impairment Caregivers * Dementia or cognitive impairment. * Individuals who are not yet adults * Pregnant women * Prisoners * Individuals who are not able to clearly understand English.