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Blokkerende briller mod søvnforstyrrelser i børne- og ungdomspsykiatrien (BATCAT-pilot)

17. september 2026 opdateret af: Helse Fonna

Blokkerende blå briller til behandling af aftenaktivering og søvnforstyrrelser i børne- og ungdomspsykiatrien - et pilot transdiagnostisk randomiseret kontrolleret forsøg.

Sleep problems and regulation difficulties are frequent in the child and adolescent psychiatry population. Insomnia and delayed sleep-wake phase disorders (DSPWD) are highly prevalent, and risk factors for developing more severe illness courses and chronic disorders. Pharmacological treatments of sleep disorders dominate even for the youngest patients but are unsupported by long-term data on outcome and side effects. The majority of non-pharmacological treatment options are composite and resource demanding. The investigators will examine the effects and feasibility of the isolated intervention of evening/night use of blue-blocking glasses/real darkness as adjunctive treatment for insomnia and delayed sleep phase disorder in inpatient and outpatient settings for children and adolecents.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The investigators will conduct a pilot study to examine the effect and feasibility of blue-blocking glasses as adjunctive treatment for insomnia and delayed sleep phase disorder in child and adolescent inpatients and outpatient settings. If the intervention and protocol are feasible and promising with regards to clinical and physiological effects, the study will provide a sound base for planning larger multicenter RCT's. Blue-blocking glasses are a minimal risk, low-cost intervention, and have potential to improve illness-course through improved sleep and healthier circadian function. The intervention may reduce the need for pharmacological treatment for sleep and circadian disorders and enhance coping strategies for the adolescents and their caregivers. Lastly, the pilot study will yield much needed data on light conditions (daylight and nightlight) in hospital environments for children and adolescents and may contribute to improved sleep conditions in hospital wards.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

40

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

12 år til 18 år (Barn, Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Age 12-18 years, receiving health-care from child and adolescent mental health services at UPA University Hospital of North Norway, Tromsø or BUP Haugesund Hospital, Haugesund
  • Current Insomnia or DSPD comorbid to one or several pychiatric symptom presentations or diagnoses
  • Able and willing to provide written informed consent
  • Participants aged 12-15,9 years also need consent from both parents/carers
  • Able to comply with protocol
  • Able to discontinue melatonin or BB-glasses if currently used, with at least 3 days washout period

Exclusion Criteria:

  • Not able to comply with protocol for a required minimum of one night
  • Blindness or severely reduced translucency of both eyes
  • Known malformation or damage of optical tract blindness
  • Use of melatonin all formulas that cannot be paused
  • High risk for suicide or self-harm
  • Consent from both partents/carers unlikely (participants age 12-15,9 years)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Blue-blocking glasses

Blue-blocking glasses (BB-glasses) or real darkness from 9 p.m. to desired wake-up time + application of dark mode setting on the participant's mobile phone (if not already in use) + registration of brightness on participant's mobile phone screen (%) + treatment as usual

Blue-blocking glasses and night mode on mobile phoneBlue-blocking glasses (BB-glasses) or real darkness from 9 p.m. to desired wake-up time + application of dark mode setting on the participant's mobile phone (if not already in use) + registration of brightness on participant's mobile phone screen (%) + treatment as usual

Andre navne:
  • Virtuel mørke
  • Orange briller
  • Amber linser
  • Blokkerende blå lysfiltre
Aktiv komparator: Dark mode (mobile phone)

Application of dark mode setting on the participant's mobile phone (if not already in use) + registration of brightness on participants' mobile phone screen (%) + treatment as usual

Application of dark mode setting on the participant's mobile phone (if not already in use) + registration of brightness on particpants's mobile phone screen (%) + Treatment as usual

Andre navne:
  • Mørk tilstand
  • Nat tilstand

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change form baseline in sleep onset latency (SOL) at 1 week
Tidsramme: From baseline to after 1 week of intervention. For outpatients, SOL is also measured after 2 weeks of intervention.

Sleep onset latency (minutes) subjectively assessed in sleep diary and objectively assessed from actigraphy derived sleep parameters. Sleep onset latency describes how long it takes to fall asleep from the moment the person tries to fall asleep to sleep starts.

From baseline to after 1 week of intervention. For outpatients, SOL is also measured after 2 weeks of intervention.
Change from baseline in overnight melatonin production at 1 week
Tidsramme: From baseline after 1 week of intervention. For outpatients 6-sulphatoxymelatonin, is also analyzed after 2 weeks of intervention.

Quantity of melatonin metabolite 6-sulphatoxymelatonin (aMT6s) in the total overnight urine volume (µg).

From baseline after 1 week of intervention. For outpatients 6-sulphatoxymelatonin, is also analyzed after 2 weeks of intervention.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Affektive Reactivity Index, relf reported (ARI-S)
Tidsramme: From baseline to after 7 days of intervention. For outpatients ARI-S and ARI-P are also assessed after 14 days of intervention.

Self-report form for rating irritability, minimum value 7, maximum value 21, high score indicates worse outcome.

From baseline to after 7 days of intervention. For outpatients ARI-S and ARI-P are also assessed after 14 days of intervention.
Self-report Generalized Anxiety Disorder -7 (GAD-7)
Tidsramme: From baseline to after 7 days of intervention. For outpatients, ARI-S and ARI-P are also assessed after 14 days of intervention.

GAD-7 is 7- item self-report questionnaire used for rating general symptoms of anxiety, minimum value 7, maximum value 28, high score indicates worse outcome.

From baseline to after 7 days of intervention. For outpatients, ARI-S and ARI-P are also assessed after 14 days of intervention.
Patient Health Questionnaire (PHQ-9)
Tidsramme: From baseline to end of 7 days intervention. For outpatients, PHQ-9 is also assessed after 14 days of intervention.

PHQ-9 is a nine-item self-report questionnaire rating depressive symptoms, minimum value 9, maximum value 36, high score indicate worse outcome.

From baseline to end of 7 days intervention. For outpatients, PHQ-9 is also assessed after 14 days of intervention.
KID-SCREEN-10
Tidsramme: From baseline to end of 7 days intervention. For outpatients KIDSCREEN-10 is also assessed after 14 days of intervention.

The KID-SCREEN 10 is self report instrument for assessing quality of life for children and adolescents, minimum value 10, maxium value 50, high score indicates better outcome.

From baseline to end of 7 days intervention. For outpatients KIDSCREEN-10 is also assessed after 14 days of intervention.
Reduced version Horne-Østberg Morningness Eveningess Questionnaire (r-MEQ)
Tidsramme: From baseline to after 7 days of intervention. For outpatients r-MEQ is also assessed after 14 days of intervention.

The r-MEQ is a self report questionnaire for assessing morning or evening preference of the sleep/wake cycle, minimum value 4, maximum value 25, high score indicates morning type ("lark"), low score indicates evening type ("owl").

From baseline to after 7 days of intervention. For outpatients r-MEQ is also assessed after 14 days of intervention.
Bergen Insomnia Scale (BIS)
Tidsramme: From baseline to after 7 days of intervention. For outpatients, BIS is also assessed after 14 days of intervention.

BIS is a self report questionnaire for diagnostic support (insomnia) and as a contiunous outcome variable. We will use BIS in the inclusion procedure but also repeat it as a subjective outcome measure of sleep problems and daytime function. Minimum value 0, maksimum value 42, high score indicate worse outcome.

From baseline to after 7 days of intervention. For outpatients, BIS is also assessed after 14 days of intervention.
Motor activity
Tidsramme: From baseline to after 7 days of intervention. For outpatients, parameters are also assessed after 14 days of intervention.

GENEActive wristworn actigraph with RGB light sensor, (Active Insights, Manchester, UK). Motor activity/motor activity derived sleep outcomes (other than primary outcome) include: Total sleep time (sleep diary, actigraphy)

  • Wake after sleep onset
  • Motor activity in sleep interval
  • Sleep efficency
  • Sleep onset
  • Sleep offset
  • Mid-sleep time
  • Motor activity patterns (circadian, motor variabilty, complexity)
From baseline to after 7 days of intervention. For outpatients, parameters are also assessed after 14 days of intervention.
BioPoint biosensor
Tidsramme: During first and 7th day of intervention (inpatients), during 7th and 14 days of intervention (outpatients) For all patients the outcomes will be compared to baseline assessments.

The BioPoint sensor is a physiological multisensor worn as a watch measuring heart rate, heart rate variability, peripheral skin impedance, peripheral temperature

During first and 7th day of intervention (inpatients), during 7th and 14 days of intervention (outpatients) For all patients the outcomes will be compared to baseline assessments.
Affektive Reactivity Index, parent-reported (ARI-P)
Tidsramme: From baseline to after 7 days of intervention. For outpatients ARI-S and ARI-P are also assessed after 14 days of intervention.

Proxy (care-giver) report form for rating irritability, minimum value 7, maximum value 21, high score indicates worse outcome.

From baseline to after 7 days of intervention. For outpatients ARI-S and ARI-P are also assessed after 14 days of intervention.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Tone Elise G Henriksen, MD PhD, Helse Fonna

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. marts 2026

Primær færdiggørelse (Anslået)

1. juni 2027

Studieafslutning (Anslået)

1. juni 2027

Datoer for studieregistrering

Først indsendt

7. januar 2026

Først indsendt, der opfyldte QC-kriterier

24. februar 2026

Først opslået (Faktiske)

25. februar 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

18. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. september 2026

Sidst verificeret

1. marts 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 6130-6130
  • F-12812 (Andet bevillings-/finansieringsnummer: Helse Vest Research Grant)
  • 593439 (Anden identifikator: Regional Committees for Medical and Health Research Ethics)
  • 764677 (Anden identifikator: SIKT)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Data from GENEActiv, Biopoint and LYS-devices may be shared for IPD meta-analyses.

IPD-delingsadgangskriterier

IPD will be shared with other researchers upon reasonable request to the principal investigator.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL

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