DESCRIPTION (provided by applicant): Chronic insomnia is among the most reported complaints of Veterans and military personnel referred for mental health services. It is highly comorbid with medical and psychiatric disorders, and is associated with significantly increased healthcare utilization and costs. Despite the significant impacts of insomnia, it remains under-treated. When identified, insomnia is most often treated in the primary care setting with pharmacotherapy, rather than evidence-based psychotherapy-Cognitive Behavioral Treatment for Insomnia (CBTI)-which is effective and recommended over prescription sleep medications. However, a number of system-, provider-, and patient-level barriers, as well as treatment-related barriers, contribute to the gap between the high prevalence of insomnia and access to CBTI. To increase the viability of behavioral treatments for insomnia in the VA, it is critical to determine which behavioral treatments are most effective, and which implementation factors (e.g., barriers and facilitators to care) most impact uptake of treatments by patients and providers into routine clinical practice. Compared to CBTI, a treatment that is shorter (≤4 sessions), allows for phone delivered treatment, and can also be delivered by non-doctoral level clinicians (e.g., nurses) may help to overcome barriers that limit access to insomnia care. Brief Behavioral Treatment of Insomnia (BBTI) offers the treatment flexibility that can increase access and is efficacious among Veterans and military personnel. Furthermore, BBTI's aforementioned characteristics make it an ideal intervention for delivery in the context of collaborative, integrated primary care within VA's Primary Care Patient-Aligned Care Teams (PACTs) and Primary Care-Mental Health Integration (PC-MHI) initiatives. Uptake of BBTI into PACTs could effectively and efficiently increase access to insomnia treatment and thus decrease the risks and burdens associated with chronic insomnia. Although efficacious, it is not known if BBTI achieves the same clinical outcomes as CBTI, a VA supported evidence-based psychotherapy. Additionally, the implementation factors associated with the delivery of BBTI in PACTs from the perspective of providers and patients remains unknown. Broad implementation of BBTI in Primary Care PACTs could have a significant impact on Veteran health and healthcare, but it is necessary to determine which treatment-CBTI or BBTI- yields the best outcomes with the least patient, provider, and system barriers. My long-term career goal is to be a VA HSR&D Investigator with a program of research on the dissemination and implementation of behavioral treatments for insomnia, and methods to decrease the impact of insomnia on Veteran health. My proposed CDA will support training in new research methods and analytic strategies, and the conduct of research activities necessary for transition to independence. My proposed Research Aims are: (1) to conduct a p...