Online sleep therapy to prevent depression during and after pregnancy

Efficacy of digital cognitive behavior therapy for insomnia for the prevention of perinatal depression

NIH-funded research University of California, San Francisco · NIH-11402619

This project will see whether an online cognitive behavioral therapy for insomnia can help prevent depression during pregnancy and in the first year after childbirth for pregnant people with insomnia.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of California, San Francisco NIH-funded
Lab location1 site (San Francisco, United States)
Project IDNIH-11402619 on NIH RePORTER

What this research studies

If you are pregnant and have insomnia but not current depression, you could join a trial where 498 participants are randomly assigned to either a digital CBT-I program or a credible sleep-education control. The trial is blinded and follows participants from pregnancy through 12 months after birth, with sleep and mood measured at several time points. The therapy is delivered remotely to reduce travel and scheduling burdens and uses standard CBT-I techniques adapted for pregnancy. Researchers will compare new depression rates and sleep improvements between groups to see if treating insomnia lowers the chance of later depression.

Who could benefit from this research

Good fit: Ideal candidates are pregnant people who meet criteria for insomnia disorder but do not currently have depression.

Not a fit: People who already have active major depression, are not pregnant, or do not have insomnia would not be expected to benefit from this prevention-focused program.

Why it matters

Potential benefit: If successful, this approach could lower rates of perinatal depression by improving prenatal sleep and reducing a key risk factor before symptoms start.

How similar studies have performed: Previous studies show digital CBT-I effectively treats prenatal insomnia and suggests mood benefits, but no randomized trial has yet proven it prevents perinatal depression.

Where this research is happening

San Francisco, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.