New programs aim to help seniors kick the sleeping pill habit
NCT ID NCT03687086
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two programs to help older adults stop taking sleeping pills like lorazepam or zolpidem. One program focused on placebo effects—the power of believing a treatment works—while the other did not. Both included cognitive behavioral therapy and special pill packaging. The goal was to see which program helped more people quit sleeping pills safely.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cognitive behavioral therapy
- What this could lead to
- If successful, this could provide a better way to help older adults stop taking sleeping pills, reducing health risks.
- What could go wrong
- This is a completed study, but results may not apply to everyone. The programs require weekly sessions, which may not be practical for all.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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188 people
The number who actually took part.
- Started
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Dec 2018
- Finished
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Nov 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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55 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \>= 55 years * Use of lorazepam, alprazolam, temazepam,and/or zolpidem for current or prior insomnia symptoms 2 or more nights per week for at least 3 months * Current or prior insomnia symptoms * Available to attend weekly in-person sessions over 9 weeks Exclusion Criteria: High risk for complications in outpatient hypnotic discontinuation program: * Seizure disorder * Supratherapeutic or high baseline hypnotic dose (\> diazepam-equivalent of 8 mg/night). * High baseline risk of complicated withdrawal;benzodiazepine intoxication or current or past symptoms of complicated benzodiazepine/alcohol withdrawal (e.g.,seizure, delirium at baseline (prior to taper)) * Polydrug use (e.g., chronic high dose opioids) * Unable to keep study medications in secure location * Evidence of prescription fraud (e.g., multiple prescriptions for same drug filled at multiple pharmacies during overlapping time periods, diversion) Discontinuation of hypnotic not appropriate: •Study-targeted hypnotic used to treat another clinical condition (e.g., panic disorder) Poor candidate for cognitive behavioral therapy for insomnia: * Presence of bipolar disorder * Cognitive impairment (e.g., Mini-Mental State Examination \< 24) * Sleep/wake difficulty is better explained by another sleep disorder such as restless legs syndrome, narcolepsy, insufficient sleep syndrome, or circadian rhythm sleep-wake disorders * Untreated sleep-disordered breathing (respiratory event index \>= 15 and \< 30 plus excessive daytime sleepiness, or REI \>=30) * Medically/psychiatrically unstable (e.g., planned major surgery during the study period;psychosis, suicidal, active alcohol/substance abuse based on history and medical records) * Unstable housing situation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of California, Los Angeles
Los Angeles, California, 90095, United States
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VA Greater Los Angeles
Los Angeles, California, 90073, United States
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