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Lunettes bloquant la lumière bleue pour les troubles du sommeil en psychiatrie de l'enfant et de l'adolescent (BATCAT-pilot)

17 septembre 2026 mis à jour par: Helse Fonna

Lunettes anti-lumière bleue pour le traitement de l'activation vespérale et des troubles du sommeil en psychiatrie de l'enfant et de l'adolescent - un essai contrôlé randomisé trans-diagnostique pilote.

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.

Aperçu de l'étude

Statut

Recrutement

Les conditions

Intervention / Traitement

Description détaillée

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.

Type d'étude

Interventionnel

Inscription (Estimé)

40

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

  • Nom: Tone Elise G Henriksen, MD PhD
  • Numéro de téléphone: 004753473240
  • E-mail: tgjo@helse-fonna.no

Sauvegarde des contacts de l'étude

Lieux d'étude

  • Norvège
    • Rogaland
    • Troms
      • Tromsø, Troms, Norvège, 9019
        • Pas encore de recrutement
        • BUPA Tromsø, The University Hospital of North Norway
        • Contact:
        • Contact:

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

12 ans à 18 ans (Enfant, Adulte)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

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)

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: 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
Dispositif: Blue-blocking glasses (BB-glasses) or real darkness from 9 p.m. to desired wake-up time + night mode setting on mobile phone

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

Autres noms:
  • Obscurité virtuelle
  • Lunettes orange
  • Verres ambrés
  • Filtres de lumière bloquant le bleu
Comparateur actif: 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
Autre: Control

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

Autres noms:
  • Mode sombre
  • Mode nuit

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change form baseline in sleep onset latency (SOL) at 1 week
Délai: 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
Délai: 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.

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Affektive Reactivity Index, relf reported (ARI-S)
Délai: 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)
Délai: 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)
Délai: 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
Délai: 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)
Délai: 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)
Délai: 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
Délai: 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
Délai: 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)
Délai: 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.

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Helse Fonna

Collaborateurs

University of Oslo
University Hospital of North Norway
University of Bergen
Helse Vest

Les enquêteurs

  • Chercheur principal: Tone Elise G Henriksen, MD PhD, Helse Fonna

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

1 mars 2026

Achèvement primaire (Estimé)

1 juin 2027

Achèvement de l'étude (Estimé)

1 juin 2027

Dates d'inscription aux études

Première soumission

7 janvier 2026

Première soumission répondant aux critères de contrôle qualité

24 février 2026

Première publication (Réel)

25 février 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

18 septembre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

17 septembre 2026

Dernière vérification

1 mars 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 6130-6130
  • F-12812 (Autre subvention/numéro de financement: Helse Vest Research Grant)
  • 593439 (Autre identifiant: Regional Committees for Medical and Health Research Ethics)
  • 764677 (Autre identifiant: SIKT)

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

OUI

Description du régime IPD

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

Critères d'accès au partage IPD

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

Type d'informations de prise en charge du partage d'IPD

  • PROTOCOLE D'ÉTUDE

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

produit fabriqué et exporté des États-Unis.

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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