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Improving Sleep Health in Adults With Overweight or Obesity

Not Applicable
Completed
Conditions
Sleep Wake Disorders
Sleep Disturbance
Sleep Disorder
Interventions
Behavioral: TranS-C
Registration Number
NCT04990206
Lead Sponsor
University of Pittsburgh
Brief Summary

This study will examine the feasibility and acceptability of the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) in adults with poor sleep and excess weight. Additionally, the study will explore if TranS-C improves sleep health and cardiovascular outcomes.

Detailed Description

Aim 1 (Primary): Examine the feasibility and acceptability of TranS-C among adults with poor sleep health and excess weight.

Aim 2 (Exploratory): Explore the effect of TranS-C on the sleep health of adults with poor sleep and excess weight.

Aim 3 (Exploratory): Explore the effect of TranS-C on the cardiometabolic health of adults with poor sleep and excess weight.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
19
Inclusion Criteria
  • Currently own and regularly use a smart phone
  • Body mass index >27 and ≤ 43
  • Poor sleep health on one or more of the sleep health dimensions
Exclusion Criteria
  • Presence of an unstable condition requiring physician-supervised diet and exercise
  • Physical limitations precluding ability to engage in moderate-intensity physical activity
  • Pregnant or intention to become pregnant during study
  • Current treatment for a serious mental illness
  • Being a current shift worker
  • Reported alcohol intake > 4 drinks/day for males and > 3 drinks/day for females
  • Current participation in a formal weight loss program, loss of ≥ 5% weight in past 6 months, or current use of weight loss medication
  • History of bariatric surgery
  • Planned extended vacations, absences, or relocation during study
  • Another member of household is a participant in the study
  • Score > 32 on the Eating Habits Checklist, an eating disorder scale

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
InterventionTranS-CTranS-C
Primary Outcome Measures
NameTimeMethod
Completeness of questionnaire responses6-months

Percentage of completed responses

Recruitment rate6-months

Percentage of potential participants screened in order to enroll 10 participants

Attrition rate6-months

Percentage of enrolled participants completing the 8-week intervention

Secondary Outcome Measures
NameTimeMethod
Change in body mass index8-weeks (baseline to post-intervention)

Calculated by dividing weight in pounds by height in inches squared and multiplying by a conversion factor of 703. Weight will be measured a with Tanita Scale and Body Fat Analyzer. Height will be measured in with a stadiometer.

Change in sleep timing8-weeks (baseline to post-intervention)

Change in mean actigraphic sleep midpoint.

Change in sleep efficiency8-weeks (baseline to post-intervention)

Change in mean actigraphic sleep efficiency.

Change in sleep duration8-weeks (baseline to post-intervention)

Change in mean actigraphic sleep duration.

Change in composite sleep health score8-weeks (baseline to post-intervention)

Change in composite measure of sleep health which is the sum of scores on 6 sleep dimensions. Each dimension will be dichotomized as either 'good (1)' or 'poor (0)' based on clinically and scientifically relevant rationales and added together. Score will range from 0-6 with higher scores representing better sleep health.

Change in sleep regularity8-weeks (baseline to post-intervention)

Change in standard deviation of actigraphic wake time.

Change in sleep satisfaction8-weeks (baseline to post-intervention)

Change in Pittsburgh Sleep Quality Index (PSQI) sleep quality item. Item score ranges from 'very good (0)' to 'very bad (3)'.

Change in alertness8-weeks (baseline to post-intervention)

Change in Epworth Sleepiness Scale (ESS). Total score ranges from 0-24. Scores equal to or greater than 10 represent excessive daytime sleepiness.

Change in systolic and diastolic blood pressure (BP)8-weeks (baseline to post-intervention)

Average of two blood pressure readings at least two minutes apart.

Change in waist circumference8-weeks (baseline to post-intervention)

Measured with a Gulick II measuring tape above the right iliac crest. Will include two measurements to the nearest 0.1 cm. If the two values are within 2 cm of each other, a mean with be calculated; if not, the measurements will be repeated until they are within 2 cm of each other.

Trial Locations

Locations (1)

University of Pittsburgh School of Nursing

🇺🇸

Pittsburgh, Pennsylvania, United States

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