The GoodNight Trial of SHUTi
The GoodNight Trial of Sleep Healthy Using the Internet (SHUTi), an online intervention for insomnia
Insomnia is a strong risk factor for the development of depression and quite often, precedes its development. Insomnia also complicates treatment of depression and can persist even if the depression improves, posing a risk for relapse of depression.
The GoodNight Trial was designed to determine whether depression could be prevented in those with concurrent subclinical depression symptoms and insomnia.
History of the project
The GoodNight Trial used Sleep Health Using the Internet (SHUTi), an internet-based cognitive behaviour therapy (iCBT) intervention for insomnia.
This approach has the merit of using less stigmatised tangible symptoms (sleep problems) to engage people in a prevention and early intervention program for depression.
We invited people with elevated depression symptoms to undertake an online intervention for insomnia, and then looked at whether their risk for developing clinical depression was reduced 9 and 18 months later. To our knowledge, this approach had not been tried before.
NHMRC Project Grant GNT1005867
The GoodNight Trial found that targeting insomnia reduced depression and suicidal ideation. To date, these reductions have been found to persist for 18 months.
SHUTi has been available in Australia via Black Dog Institute at a discounted rate through a relationship with SHUTi’s provider, BeHealth Solutions. BeHealth Solutions have transferred ownership of the program to a new parent company and our distribution agreement concluded on 31 December 2018. Current Australian subscribers will continue to receive access and support for the duration of their subscription, however, new registrations will not be possible and SHUTi is currently only available to approved clinical trial participants.
We hope that an arrangement may be negotiated between Black Dog and the new provider in the future.
- Gosling, J. A., Glozier, N., Griffiths, K., Ritterband, L., Thorndike, F., Mackinnon, A., . . . Christensen, H. (2014). The GoodNight study-online CBT for insomnia for the indicated prevention of depression: Study protocol for a randomised controlled trial. Trials, 15(1). https://dx.doi.org/10.1186/1745-6215-15-56
- Christensen, H., Batterham, P. J., Gosling, J. A., Ritterband, L. M., Griffiths, K. M., Thorndike, F. P., . . . Mackinnon, A. J. (2016). Effectiveness of an online insomnia program (SHUTi) for prevention of depressive episodes (the GoodNight Study): A randomised controlled trial. Lancet Psychiatry, 3(4), 333-341. https://dx.doi.org/10.1016/s2215-0366(15)00536-2
- Batterham, P. J., Christensen, H., Mackinnon, A. J., Gosling, J. A., Thorndike, F. P., Ritterband, L. M., . . . Griffiths, K. M. (2017). Trajectories of change and long-term outcomes in a randomised controlled trial of internet-based insomnia treatment to prevent depression. BJPsych Open, 3(5), 228-235. https://dx.doi.org/10.1192/bjpo.bp.117.0052311