Sleep Health Program for Patients With Chronic Pain: A Pilot Randomized Controlled Trial (S-Health)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 5
- 主要终点
- Feasibility of Sleep Health Program
研究概览
简要总结
This is a pilot, prospective, randomized controlled trial of a novel sleep health program versus no sleep intervention in chronic pain patients. The Sleep Health program will consist of weekly home-based videos and digital materials termed "Self-Management for Sleep Care", which will provide participants with information on how to improve their sleep through education on sleep hygiene, relaxation training, and cognitive behavioural components. Patients will be also be screened through undiagnosed sleep apnea. For those determined to have suspected undiagnosed moderate or severe sleep apnea, they will be receive a recommendation for referral to a sleep clinic as part of standard of care. The study aims to evaluate the feasibility and effectiveness of the Sleep Health Program which includes the videos and digital materials and screening for sleep apnea in patients with chronic pain.
详细描述
All participants will complete sleep, pain, and functional questionnaires. Additionally, all participants will undergo one overnight oximetry reading using the wristwatch pulse oximetry. Following these baseline assessments and questionnaires, participants will be randomized to either the control group or the Sleep Health Program.
A)Sleep Health Program Group Participants in this group will receive usual care from their pain physician. Participants will also receive the Self-Management for Sleep Care videos and digital materials. Participants with suspected moderate/severe sleep apnea as determined by oximetry, but who have not been diagnosed with sleep apnea prior to the study, will be recommended for referral to a sleep clinic as part of standard of care.
B)Control Group Participants in this group will receive usual care from their pain physician.
First follow up visit:
At 8 weeks after the initial visit, all participants will attend their first follow-up visit and complete the sleep, pain and functional questionnaires and 7-day sleep diary recording, and report any changes in medications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The inclusion criteria are:
- •Adult patients (≥18 years old) with cognitive capability
- •Diagnosed with chronic non-cancer pain for > 3 months
- •Reports sleep disturbances such as difficulty falling asleep, staying asleep, or problems waking up too early (responds "Mild", "Moderate", "Severe", or "Very Severe" to items 1, 2, or 3 on the Insomnia Severity Index).
排除标准
- •Patients with chronic pain secondary to a neoplasm or metastasis
- •Conditions potentially interfering with comprehension and delivery of informed consent, such as certain neurological or psychiatric disorders
- •Patients with severe insomnia (Insomnia Severity Index ≥ 22)
- •Restless legs syndrome
- •Periodic limb movement disorder
- •Sleep apnea
- •Narcolepsy
- •Seizure disorder
- •Patients who are pregnant
- •Currently undergoing a psychological treatment for insomnia
- •Participants who require an urgent sleep physician referral (within four weeks) due to serious medical conditions or safety critical-occupations according to the 2011 Canadian Thoracic Society (CTS) guidelines (e.g. unstable ischemic heart disease, recent cerebrovascular disease, congestive heart failure, refractory systemic hypertension, pulmonary hypertension, hypercapnia respiratory failure).
研究组 & 干预措施
Control Group
Participants randomized to the Control Group will receive usual care from their pain physician.
Sleep Health Program - Suspected No/mild sleep apnea
Participants randomized to the Sleep Health Program with no/mild sleep apnea.
干预措施: Sleep Health Program for Participants with No/Mild Sleep Apnea (Behavioral)
Sleep Health Program - Suspected Moderate/severe sleep apnea
Participants randomized to the Sleep Health Program with suspected moderate/severe sleep apnea.
干预措施: Sleep Health Program for Participants with Moderate/Severe Sleep Apnea (Behavioral)
结局指标
主要结局
Feasibility of Sleep Health Program
时间窗: 6 months
Proportion of participants at baseline, and who completed the follow-up visits at 6 months.
Feasibility of Sleep Health Program
时间窗: 8 weeks
Proportion of participants at baseline, and who completed the follow-up visits at 8 weeks.
次要结局
- Efficacy of Sleep Health Program on Insomnia Severity Index(6 months)
- Efficacy of Sleep Health Program on Functional Outcomes of Sleep Questionnaire-10.(6 months)
研究者
Dr. Frances Chung
Professor, University of Toronto
University Health Network, Toronto