Improving Sleep in the Neurology In-Patient Population

Not Applicable

Active, not recruiting

• Conditions: Sleep
• Interventions: Other: Sleep friendly order set; Other: Patient sleep menu

• Registration Number: NCT06094699
• Lead Sponsor: University of Pennsylvania

Brief Summary

We aim to test multiple interventions to improve sleep for Neurology inpatients, including 1) a sleep-friendly order set, and 2) a sleep menu. We will collect patient sleep data, including duration and quality, via actigraphy devices (FitBits). We will also conduct qualitative patient surveys to understand the impact of these interventions.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-04-30
• Study First Submitted: 2023-10-16
• Study First Submitted QC: 2023-10-16
• Study First Posted: 2023-10-23
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-13
• Last Update Posted: 2025-01-16
• Primary Completion: 2025-07-01
• Study Completion: 2025-07-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 145

Inclusion Criteria

• Age ≥ 18
• 24 hours after admission to the general neurology (ward) service at the Hospital of the University of Pennsylvania
• Patients who are determined by the primary team to be clinically stable enough to forego serial overnight vital signs monitoring and neuro checks.
• Clinical stability criteria:
• Symptomatic stability >24h after admission (no new or progressive neurologic symptoms for >24 hours)
• Vital signs stability on admission for > 24h while admitted
• Ability to verbally consent to study participation

Exclusion Criteria

• Any medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study.
• Any additional clinical factors felt by the team to be incompatible with specific orders including requiring serial vital signs monitoring and neuro checks overnight

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Sleep intervention	Sleep friendly order set	-
Sleep intervention	Patient sleep menu	-

Primary Outcome Measures

Name	Time	Method
Fitbit Sleep Duration	Duration of hospitalization from consent to discharge or day 10, whichever comes first	Total hours of sleep

Secondary Outcome Measures

Name	Time	Method
FitBit sleep score	Duration of hospitalization from consent to discharge or day 10, whichever comes first	The sleep score integrates subject sleep deprivation, sleep depth, and sleep restoration
Patient reported Sleep Duration and Quality	Duration of hospitalization from consent to discharge or day 10, whichever comes first	A brief survey collecting patient perceived duration and quality of sleep
Richard Campbell Sleep Questionnaire (RCSQ)	Duration of hospitalization from consent to discharge or day 10, whichever comes first	The Richards-Campbell Sleep Questionnaire (RCSQ) is a simple, validated survey instrument for measuring sleep quality in intensive care patients

Trial Locations

Locations (1)

Hospital of the University of Pennsylvania; 🇺🇸 Philadelphia, Pennsylvania, United States