- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04299100
Sleep Health Program for Patients With Chronic Pain
Sleep Health Program for Patients With Chronic Pain: A Pilot Randomized Controlled Trial (S-Health)
Study Overview
Status
Conditions
Detailed Description
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.
Second follow up visit:
At 6 months after the initial visit, all participants will attend their second follow-up visit and complete the sleep, pain and functional questionnaires, 7-day sleep diary recording and report any changes in medications. Control participants will receive information provided by the Self-Management for Sleep Care program. Control participants with suspected undiagnosed moderate/severe sleep apnea will be recommended for referral to a sleep clinic as part of standard of care.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Ontario
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Toronto, Ontario, Canada, M5B 1W8
- St. Michael's Hospital
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Toronto, Ontario, Canada, M5S 1B2
- Women's College Hospital
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Toronto, Ontario, Canada, M5G 2A2
- Toronto Rehab Institute (TRI)
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Toronto, Ontario, Canada, M5T2S8
- Toronto Western Hopsital, Pain Clinic, Dept. of Anesthesia
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Toronto, Ontario, Canada
- Mount Sinai Hospital, Department of Anesthesia
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
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).
Exclusion Criteria:
- 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).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: Control Group
Participants randomized to the Control Group will receive usual care from their pain physician.
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EXPERIMENTAL: Sleep Health Program - Suspected No/mild sleep apnea
Participants randomized to the Sleep Health Program with no/mild sleep apnea.
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Participants randomized to the Sleep Health Program will receive the Self-Management for Sleep Care videos and digital materials.
Other Names:
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EXPERIMENTAL: Sleep Health Program - Suspected Moderate/severe sleep apnea
Participants randomized to the Sleep Health Program with suspected moderate/severe sleep apnea.
|
Participants randomized to the Sleep Health Program with suspected moderate/severe sleep apnea will receive the Self-Management for Sleep Care videos and digital materials, and be recommended for referral to a sleep clinic as part of standard of care.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility of Sleep Health Program
Time Frame: 8 weeks
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Proportion of participants at baseline, and who completed the follow-up visits at 8 weeks.
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8 weeks
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Feasibility of Sleep Health Program
Time Frame: 6 months
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Proportion of participants at baseline, and who completed the follow-up visits at 6 months.
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy of Sleep Health Program on Functional Outcomes of Sleep Questionnaire-10.
Time Frame: 6 months
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Change from baseline in sleep scores on the Functional Outcomes of Sleep-10 questionnaire at 8 weeks and 6 months.
Score range: 0-40, lower score indicates worse functional outcomes.
|
6 months
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Efficacy of Sleep Health Program on Insomnia Severity Index
Time Frame: 6 months
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Change from baseline in Insomnia Severity Index score at 8 weeks and 6 months.
Score range: 0-28, higher score indicates greater insomnia severity.
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6 months
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Collaborators and Investigators
Investigators
- Principal Investigator: Frances Chung, MBBS FRCPC, UHN/ University Health Network
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Version: Sep 15, 2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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