Oregon and Idaho primary care providers can partner with the COZI* study to refer their patients with chronic insomnia.

Cognitive Behavioral Therapy (CBT-I) and medication are two recommended and common treatments for insomnia, but no “real-world” clinical effectiveness trials have been conducted to determine which works best for whom. COZI is enrolling now!

*CBT-I or Zolpidem/Trazodone for Insomnia (COZI) is a PCORI-funded study contract CER-2018C2-13262

 

The science behind COZI
COZI is a 3-arm randomized comparative effectiveness trial of Internet CBT-I, medication (zolpidem or trazodone) and their combination for treating chronic insomnia in rural communities.
Learn more about behavioral therapy for insomnia and medication therapies for insomnia.

 

The national COZI network
COZI connects primary care providers who see patients living in rural areas with a COZI team at an academic medical center in their region.

What’s in it for primary care providers?
Offer another treatment option for your patients with insomnia

  • All COZI participants receive the recommended first-line therapy for insomnia (CBT-i), free-of-charge. Some get it as part of the study, others get access when the study ends.

  • Learn information that will help you treat all your patients with insomnia. 

  • Get updates on your patients’ insomnia treatment progress as requested.

  • Contribute to improved insomnia care for those living in rural areas.

What is the role of COZI primary care providers?
COZI is designed to be a low-burden for busy primary care providers to be part of research and improving care.

  1. PROMOTE: Let patients + colleagues know that COZI exists
    COZI provides you with a kit of posters, flyers, and more.

  2. IDENTIFY: Find + flag patients that might be eligible.
    COZI provides strategies and materials to find eligible patients.

  3. DISCUSS: Review treatment options + introduce COZI
    COZI provides a pocket study overview to help introduce the study.

  4. REFER: Refer your patient + note your medication preference
    COZI provides hard copy referral cards, or refer via EHR.

  5. PROVIDE USUAL CARE: Continue to manage patients’ care as you normally would. If they are randomized to a medication arm prescribe as usual, and change or discontinue if you need to.
    COZI simply documents changes from the assigned treatment (changes won’t disqualify your patient from participating).

Your regional team can work with you to make COZI work for your clinic.

What is involved with getting started?
COZI has worked to make getting started as easy as possible.

  1. Complete this form to let the OHSU team know you are interested.

  2. Have an introductory meeting with Dr. Asha Singh, the OHSU COZI Principal Investigator, or complete an online training (whichever fits your schedule better).

  3. Receive your COZI welcome kit.

  4. Start referring patients!

The results of COZI may help doctors and patients when considering ways to treat insomnia.
With minimal effort, you can help improve the future of insomnia care.