- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03780088
Improving Access to Care: Testing an Integrated Care Mobile Health Intervention
August 13, 2021 updated by: University of California, San Francisco
Improving Access to Care: Testing an Integrated Care Mobile Health Intervention to Improve Sleep and Mental Health in Adolescents
This study aims to evaluate the feasibility, effectiveness, and dissemination potential of an innovative strategy for improving access to effective sleep health care for adolescents.
The study will test an adaptation of the Transdiagnostic Sleep and Circadian Intervention (TranS-C), a brief sleep intervention with demonstrated efficacy for improving sleep and mental health outcomes in youth.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This adaptation is designed to address the following key challenges to accessing care: (1) to overcome the challenge of low availability of qualified providers as a barrier to treatment access, we have adapted TranS-C for online and mobile device delivery (referred to as mTranS-C), thereby leveraging the high rates of mobile phone and internet use in adolescents; (2) to further increase access we will disseminate mTranS-C within primary care services, a proven strategy for improving access to behavioral health care; and (3) we focus on low-income communities, where there is a higher prevalence of sleep problems and low access to services.
Study Type
Interventional
Enrollment (Actual)
52
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
California
-
Atherton, California, United States, 94027
- Gardner Packard Children's Health Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
12 years to 18 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- age 12-18 years
- a sleep health deficit
- youth has access to a mobile phone or internet
- youth is fluent in English.
Exclusion Criteria:
- current use of medications or herbs with known effects on sleep
- current substance use disorder
- current suicidality/thoughts of death
- thought disorder
- unstable major medical conditions
- current psychotherapy for sleep health deficits
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: mTranS-C
Access to a mobile and computer accessible adaptation of Transdiagnostic Sleep and Circadian Intervention
|
mobile health
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pittsburgh Sleep Quality Index (PSQI)
Time Frame: baseline to end of treatment (anticipated average exposure 2 months), and month 5
|
A validated questionnaire; total score range between 0 and 21, with higher numbers representing worse sleep quality.
|
baseline to end of treatment (anticipated average exposure 2 months), and month 5
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Health Questionnaire 9 (PHQ-9)
Time Frame: baseline to end of treatment (anticipated average exposure 2 months), and month 5
|
A validated questionnaire measuring depressive symptom severity.
The total score ranges between 0 and 19.
Scores are rated as minimal (0-4), mild (5-9), moderate (10-14), and severe (15-19).
|
baseline to end of treatment (anticipated average exposure 2 months), and month 5
|
Strengths & Difficulties Questionnaire (SDQ)
Time Frame: baseline and at months 2 and 5
|
The Strengths and Difficulties Questionnaire (SDQ) is a validated 25 item behavioral screening questionnaire.
Individual items are rated 'Somewhat True' (always scored as 1), 'Not True'(score is typically 0 except when reverse scored) and 'Certainly True' (score is typically 2 except when reverse scored).
The SDQ comprise 5 scales (Prosocial, Peer Problems, Hyperactivity, Conduct and Emotional Problems) of 5 items each.
For each of the 5 scales the score can range from 0 to 10 if all items were completed.
These scores can be scaled up pro-rata if at least 3 items were completed, e.g. a score of 4 based on 3 completed items can be scaled up to a score of 7 (6.67 rounded up) for 5 items.
A total difficulties score is generated by summing scores from all the scales except the prosocial scale.
The resultant score ranges from 0 to 40, and is counted as missing of one of the 4 component scores is missing.
|
baseline and at months 2 and 5
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 16, 2019
Primary Completion (Actual)
February 1, 2021
Study Completion (Actual)
April 15, 2021
Study Registration Dates
First Submitted
December 17, 2018
First Submitted That Met QC Criteria
December 17, 2018
First Posted (Actual)
December 19, 2018
Study Record Updates
Last Update Posted (Actual)
August 17, 2021
Last Update Submitted That Met QC Criteria
August 13, 2021
Last Verified
August 1, 2021
More Information
Terms related to this study
Other Study ID Numbers
- 46142
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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