Effects of Cognitive-behavioral Therapy for Insomnia in Nurses With Post Covid-19 Condition
- Conditions
- Cognitive Behavioral Therapy
- Interventions
- Behavioral: cognitive behavioral therapy
- Registration Number
- NCT06013085
- Lead Sponsor
- Tri-Service General Hospital
- Brief Summary
Background: Neuropsychiatric conditions, such as insomnia, anxiety, depression, and pain are the most common symptoms experienced by nurses after acute infection of COVID-19. Although medication can assist nurses to improve these symptoms simultaneously in a short period of time, they are at risk of overuse of benzodiazepine hypnotics. Previous research supports the usefulness of cognitive behavioral therapy for insomnia (CBT-I) as self-management strategies in adults with insomnia, anxiety, depression, and pain. However, their effects on post COVID-19 condition have not been researched, and no previous head-to-head study compared the effects on these two approaches on insomnia and neuropsychiatric symptoms.
Aim: To investigate the effects of CBT-I on insomnia, anxiety, depression, and pain in nurses with post COVID-19 condition.
Methods: In this two-arm, parallel randomized controlled trial, 100 participants will be 1:1 randomly assigned to one of two groups (CBT-I and control). The intervention phase will last 6 weeks, followed by a three-month follow-up. Primary outcomes are insomnia severity and sleep quality, whereas anxiety, depression, pain, and health-related quality of life are secondary outcomes. These variables will be assessed before and after the intervention, and at 1, 2, and 3 months after the end of the intervention. Additionally, discontinuing benzodiazepine hypnotics will be measured at 3 months after the end of the intervention.
Discussion: This study will provide evidence of the effects of CBT-I on improving insomnia, anxiety, depression, and pain among nurses with post COVID-19 condition. Results could also enhance means by which to discontinue benzodiazepine hypnotics.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 100
- nurses with post COVID-19 condition
- history of sleep apnea, narcolepsy, pregnant, seizure, with pacemaker
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description cognitive behavioral therapy cognitive behavioral therapy 6 weeks cognitive-behavioral therapy for insomnia
- Primary Outcome Measures
Name Time Method sleep efficiency 20 weeks measured by Fitbit Charge 5
sleep quality 20 weeks measured by Pittsburgh Sleep Quality Index
insomnia severity 20 weeks measured by Insomnia Severity Index before and after the intervention, and at 1, 2, and 3 months after the end of the intervention
- Secondary Outcome Measures
Name Time Method depression 20weeks measured by Patient Health Questionnaire 9 item
anxiety 20weeks measured by Generalized Anxiety Disorder 7-Item
health-related quality of life 20weeks measured by 36-Item Short Form Health Survey