AzTrials
AzTrials

Sleep Disorder; Insomnia TypeSIPNCT04463498

Sleep in Psychiatric Care (SIP): A Transdiagnostic Group-based Sleep-school as Treatment for Comorbid Insomnia

A study testing Group-based cognitive behavioral therapy for insomnia, Group-based cognitive behavioral therapy for insomnia and additive bb-glasses and 8-week wait list for sleep-school in people with Sleep Disorder; Insomnia Type and Psychiatric Disorders, run by Haukeland University Hospital at 1 site in Norway.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Sleep disorders commonly co-occur with psychiatric disorders. Sleep disorders are often treated with medication or not at all in psychiatric care, although there exist a plethora of documentation of the effectiveness of sleep interventions. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Group-based cognitive behavioral therapy for insomnia, Group-based cognitive behavioral therapy for insomnia and additive bb-glasses and 8-week wait list for sleep-school
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteNorway
Study dates
17 Dec 2021to 31 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients referred to the sleep-school at Bjørgvin DPS psychiatric hospital
  • Patients fulfilling the Diagnostic Manual for Mental Disorders (DSM-V) criteria for insomnia comorbid to moderate to severe psychiatric illness (confirmed F-diagnosis based on the International Statistical Classification of Diseases and Related Health Problems (ICD-11) diagnostic system that are used in Norway in addition to insomnia and/or scores of ≥19 on BDI and/or scores of ≥16 on BAI at the time of referral to the sleep school)

Who cannot join

  • Nightwork
  • Patients that do not fulfil the DSM-V criteria for insomnia comorbid to moderate to severe psychiatric illness (confirmed F-diagnosis based on the ICD-10 diagnostic system that are used in Norway in addition to insomnia and/or scores of ≥19 on BDI and/or scores of ≥16 on BAI at the time of referral to the sleep school)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ane Wilhelmsen-Langeland, PhD contact

+47 55957000

ane.wilhelmsen-langeland@helse-bergen.no

Berge Osnes, PhD contact

+47 55957000

berge.osnes@uib.no

Norway1 site, 1 recruiting
  • Haukeland University Hospital

    Bergen, 5113

    Ane Wilhelmsen-Langeland, PhD, +47 92843253, ane.wilhelmsen-langeland@helse-bergen.no

    Berge Osnes, PhD, +47 92445081, berge.osnes@uib.no

    Recruiting

Other trials in Norway

About this study

Official title: Sleep in Psychiatric Care: A Transdiagnostic Group-based Sleep-school as Treatment for Comorbid Insomnia

Sleep disorders commonly co-occur with psychiatric disorders. Sleep disorders are often treated with medication or not at all in psychiatric care, although there exist a plethora of documentation of the effectiveness of sleep interventions. There is also an increase in studies showing effectiveness of sleep-interventions when the sleep disorder co-occurs with psychiatric illness. The most common and best documented treatment for insomnia is cognitive behavioral therapy for insomnia (CBTi). There is a great gap in the knowledge on how sleep disorders can be treated effectively in psychiatric care. In this project the investigators therefore seek to investigate the effect of non-pharmacological, group-based treatment in a randomized controlled trial (RCT) where sleep and psychiatric symptoms are the primary outcome measures. CBTi comprise of sleep education, sleep restriction, stimulus control and cognitive restructuring of dysfunctional thoughts about sleep.

Read the detailed description

The recommended treatment for insomnia is CBTi. Recent research has proven that dark therapy, or blocking light in wavelengths <530 nm by the use of for example orange blue-blocking glasses (bb-glasses), has shown the ability to maintain melatonin production comparable to darkness and to have an additive effect in the treatment of insomnia. The investigators therefore also want to test bb-glasses as an additive treatment to CBTi for insomnia.

The sleep-school at Bjørgvin District Psychiatric Hospital (DPS) is an already established treatment since 2017. The insomnia-group gets together every other Monday from noon until 2 pm. The group is open, which means that participants start at different dates and meet people in the group that might be at the end of their CBTi treatment. Participants are patients at the general psychiatric outpatient clinic at Bjørgvin DPS. Participant have been referred to the sleep-team by their psychologist or doctor. In this RCT the investigators will carry on the same structure for the group for participants that are recruited to the RCT.

All participants have an individual consultation before joining the group where the focus is on eligibility to participate in the group-based treatment, diagnostic evaluation, receive a standardized education on sleep-regulation and sleep hygiene advice and receive a date to start the group-based CBTi treatment. In a randomized manner, they will be allocated to the sleep-school group and start the treatment on the next possible date or to a 8 week wait-list and receive a date the treatment starts. All eligible participants will be informed that there may be a waitlist and receive a start-date without being informed that thay are in a waitlist group or not a waitlist group. All participants will be treated as usual (TAU) for their psychiatric problems parallel to either sleep-school or waitlist. Participants that start sleep-school as soon as possible, are also allocated to a) ordinary group-based CBTi 8 weeks or b) group-based CBTi 8 weeks and bb-glasses. All participant will be followed up after 12 months.

Being tested
Group-based cognitive behavioral therapy for insomnia, Group-based cognitive behavioral therapy for insomnia and additive bb-glasses, 8-week wait list for sleep-school
Keywords
sleep disorders, insomnia, psychiatric disorders, bb-glasses, group-based cognitive behavioural therapy for insomnia
Medical subject headings
Sleep Wake Disorders, Mental Disorders, Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Group-based cognitive behavioral therapy for insomniaBehavioural

    Also called Group - CBTi

    Sleep education, sleep restriction, stimulus control, cognitive restructuring, relaxation techniques

  • Group-based cognitive behavioral therapy for insomnia and additive bb-glassesBehavioural

    Also called Group - CBTi & bb-glasses

    Sleep education, sleep restriction, stimulus control, cognitive restructuring, relaxation techniques, bb-glasses worn from 3 hrs before bedtime.

  • 8-week wait list for sleep-schoolOther

    Also called Treatment as usual

    Treatment as usual in a psychiatric outpatient clinic

Study groups in NCT04463498
Study groupRoleWhat they receive
n=15, Sleep-school 8 weeksExperimentalPatients receive treatment as usual in the psychiatric clinic combined with participation in the sleep school. They have already been given education on sleep regulation and sleep hygiene advice in the first meeting with the sleep-school facilitator.
Receives: Behavioral: Group-based cognitive behavioral therapy for insomnia
n=15, Sleep-school 8 weeks and additive bb-glassesExperimentalPatients receive treatment as usual in the psychiatric clinic combined with participation in the sleep school and additive treatment with bb-glasses. They have already been given education on sleep regulation and sleep hygiene advice in the first meeting with the sleep-school facilitator.
Receives: Behavioral: Group-based cognitive behavioral therapy for insomnia; Behavioral: Group-based cognitive behavioral therapy for insomnia and additive bb-glasses
n=30 8-week wait list for sleep-schoolActive comparatorPatients receive treatment as usual in the psychiatric clinic while they wait for participation in the sleep school. They have already been given education on sleep regulation and sleep hygiene advice in the first meeting with the sleep-school facilitator.
Receives: Other: 8-week wait list for sleep-school

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Insomnia symptoms

    Measured by the questionnaires Insomnia severity Index (ISI) and Bergen Insomnia Scale (BIS). From sleep diaries; sleep onset latency (SOL), wake after sleep onset (WASO) and sleep efficiency (SE).

    Measured: baseline, bi-weekly and post intervention after 8 weeks, follow-up after 12 months

Secondary outcomes (19)
  1. Changes in insomnia diagnosis

    Measured by the Bergen Bergen Insomnia Scale (BIS). The BIS measure subjective symptoms of insomnia during the previous week and give a total score (minimum 0, maximum 42; the higher the score, the worse severity of insomnia) and a clinical incidence of insomnia diagnosis-score (yes/no)

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  2. Changes in insomnia severity

    Measured by the Insomnia Severity Index (ISI). The ISI is a 7-item scale assessing the perceived severity of insomnia symptoms (initial, middle, terminal), the degree of satisfaction with sleep, interference with daytime functioning, noticeability of impairment, and concern caused by the sleep problems. The scale is Likert-type with 5 anchor points ranging from 0 to 4. The scale ranges from 0 to 28 and the higher the score, the more severe insomnia. The usual time frame for responding is the last 2 weeks.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  3. Changes in Time in bed (TIB)

    Measured by sleep diary; time from bed-time to rise time

    Measured: baseline, bi-weekly assesment and post intervention after 8 weeks, follow-up after 12 months

  4. Changes in objective early morning awakening (EMA)

    Measured by Actiwatch (AW) Spectrum PLUSS. The activity recorder is worn on the wrist for 7 consecutive days. The data is downloaded to a computer program that gives the data; a number of average minutes early morning awakening.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  5. Changes in objective wake after sleep onset (WASO)

    Measured by Actiwatch (AW) Spectrum PLUSS. The activity recorder is worn on the wrist for 7 consecutive days. The data is downloaded to a computer program that gives the data; a number of average minutes awake after sleep onset.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  6. Changes in Early morning awakening (EMA)

    Measured by sleep diary; minutes awake before rise time

    Measured: baseline, bi-weekly assesment and post intervention after 8 weeks, follow-up after 12 months

  7. Changes in objective time in bed (TIB)

    Measured by Actiwatch (AW) Spectrum PLUSS. The activity recorder is worn on the wrist for 7 consecutive days. The data is downloaded to a computer program that gives the data; a number in minutes of average time in bed.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  8. Changes in objective sleep efficiency (SE)

    Measured by Actiwatch (AW) Spectrum PLUSS. The activity recorder is worn on the wrist for 7 consecutive days. The data is downloaded to a computer program that gives the data; a number from 0-100% that gives average sleep efficiency.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  9. Changes in objective total sleep length/time asleep (TST),

    Measured by Actiwatch (AW) Spectrum PLUSS. The activity recorder is worn on the wrist for 7 consecutive days. The data is downloaded to a computer program that gives the data; a number in minutes of average total sleep time.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  10. Changes in Total sleep length/time asleep (TST)

    Measured by sleep diary: Time in bed minus time awake

    Measured: baseline, bi-weekly assesment and post intervention after 8 weeks, follow-up after 12 months

  11. Changes in Sleep quality (SQ)

    Measured by sleep diary; subjective assesment of sleep quality on a scale from 1=very light to 5=very deep

    Measured: baseline, bi-weekly assesment and post intervention after 8 weeks, follow-up after 12 months

  12. Changes in Daytime function (DF)

    Measured by sleep diary; subjective assesment of daytime function on a scale from 1=very good to 5=very poor

    Measured: baseline, bi-weekly assesment and post intervention after 8 weeks, follow-up after 12 months

  13. Changes in objective sleep onset latency (SOL)

    Measured by Actiwatch (AW) Spectrum PLUSS. The activity recorder is worn on the wrist for 7 consecutive days. The data is downloaded to a computer program that gives the data; a number of minutes of average sleep onset latency.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  14. Changes in beliefs and attitudes about sleep

    Measured by Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16). The DBAS-16 measures the degree of dysfunctional beliefs about sleep with 16 items. It has 4 subscales (1) sleep-related worry and helplessness; 2) beliefs about sleep medications; 3) expectations about sleep need; and 4) beliefs about the consequences/effects of insomnia and 1 total scale score. The higher the score, the more dysfunctional beliefs about sleep.

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  15. Changes in depression

    Measured by Becks Depression Inventory -II (BDI-II). The higher the score, the more symptoms of depression

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  16. Changes in anxiety

    Measured by Becks Anxiety Inventory (BAI). The higher the score, the more symptoms of anxiety

    Measured: baseline and post intervention after 8 weeks, follow-up after 12 months

  17. Changes in fatigue

    Measured by Chalder fatigue Scale (CFQ). The higher the score, the more fatigued

    Measured: baseline and post intervention after 8 weeks, and at follow-up after 12 months

  18. Work status

    Status of employment/unemployment, percentage disability benefits received. Measured by Work and social adjustment scale (WSAS) and self-report.

    Measured: baseline and post intervention after 8 weeks, and at follow-up after 12 months

  19. Well-being

    Measured by World Health Organization well-being scale (WHO-5). The higher the score, the higher well-being.

    Measured: baseline and post intervention after 8 weeks, and at follow-up after 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jul 2020
  2. Study start17 Dec 2021
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized controlled trial
Masking
Single blind
Who is masked
Participant
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04463498
Sponsor's protocol ID
66304
Acronym
SIP
Status last verified
Jun 2024
First submitted
6 Apr 2020
Last updated
18 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The investigators plan to share the following individual participant data (IPD); Study protocol and Informed Consent Form (ICF) IPD Sharing Time Frame Definition: A description of when the IPD and any additional supporting information will become available and for how long, including the start and end dates or period of availability. This may be provided as an absolute date (for example, starting in January 2025) or as a date relative to the time when summary data are published or otherwise made available (for example, starting 6 months after publication). Limit: 1000 characters. IPD Sharing Access Criteria Definition: Describe by what access criteria IPD and any additional supporting information will be shared, including with whom, for what types of analyses, and by what mechanism. Information about who will review requests and criteria for reviewing requests may also be provided.

Publications

  • Wilhelmsen-Langeland A, Saxvig IW, Gradisar M, Vagenes VA, Pallesen S, Sorensen L, Fasmer OB, Koenig J, Bjorvatn B, Osnes B. Group cognitive behavioural therapy for insomnia compared with treatment as usual for sleep problems in psychiatric care (the SIP trials): a protocol for a pragmatic, randomised controlled trial. BMJ Open. 2025 Apr 17;15(4):e090997. doi: 10.1136/bmjopen-2024-090997.

    PubMed 40250874

Questions about this trial

What is this clinical trial studying?

A study testing Group-based cognitive behavioral therapy for insomnia, Group-based cognitive behavioral therapy for insomnia and additive bb-glasses and 8-week wait list for sleep-school in people with Sleep Disorder; Insomnia Type and Psychiatric Disorders, run by Haukeland University Hospital at 1 site in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 18 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ane Wilhelmsen-Langeland, PhD (+47 55957000, ane.wilhelmsen-langeland@helse-bergen.no), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Insomnia symptoms (time frame: baseline, bi-weekly and post intervention after 8 weeks, follow-up after 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04463498, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jun 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in