Okulary blokujące niebieskie światło w zaburzeniach snu w psychiatrii dziecięcej i młodzieżowej (BATCAT-pilot)
Okulary blokujące światło niebieskie w leczeniu wieczornej aktywacji i zaburzeń snu w psychiatrii dziecięcej i młodzieżowej – pilotażowe transdiagnostyczne randomizowane badanie kontrolowane.
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.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
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.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Tone Elise G Henriksen, MD PhD
- Numer telefonu: 004753473240
- E-mail: tgjo@helse-fonna.no
Kopia zapasowa kontaktu do badania
- Nazwa: Marit Nymoen, PhD
- Numer telefonu: 0052732805
- E-mail: marit.nymoen@helse-fonna.no
Lokalizacje studiów
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Rogaland
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Haugesund, Rogaland, Norwegia, 5520
- Rekrutacyjny
- BUP Haugesund
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Kontakt:
- Sigrund Drivenes, MSc
- Numer telefonu: 004752732805
- E-mail: sigrund.drivenes@helse-fonna.no
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Kontakt:
- Georg W Reinhardt, MD
- Numer telefonu: 004752732805
- E-mail: georg.walter.reinhardt@helse-fonna.no
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Troms
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Tromsø, Troms, Norwegia, 9019
- Jeszcze nie rekrutacja
- BUPA Tromsø, The University Hospital of North Norway
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Kontakt:
- Christian Eckhoff, MD, PhD
- Numer telefonu: +47 +47761700700
- E-mail: christian.eckhoff@uit.no
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Kontakt:
- Judeson Joseph, MD
- Numer telefonu: +47 +4776170700
- E-mail: judeson.joseph@unn.no
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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 studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
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Eksperymentalny: 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
Inne nazwy:
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Aktywny 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
Inne nazwy:
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Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change form baseline in sleep onset latency (SOL) at 1 week
Ramy czasowe: From baseline to after 1 week of intervention. For outpatients, SOL is also measured after 2 weeks of intervention.
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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.
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Change from baseline in overnight melatonin production at 1 week
Ramy czasowe: From baseline after 1 week of intervention. For outpatients 6-sulphatoxymelatonin, is also analyzed after 2 weeks of intervention.
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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.
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Affektive Reactivity Index, relf reported (ARI-S)
Ramy czasowe: From baseline to after 7 days of intervention. For outpatients ARI-S and ARI-P are also assessed after 14 days of intervention.
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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.
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Self-report Generalized Anxiety Disorder -7 (GAD-7)
Ramy czasowe: 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.
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Patient Health Questionnaire (PHQ-9)
Ramy czasowe: From baseline to end of 7 days intervention. For outpatients, PHQ-9 is also assessed after 14 days of intervention.
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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.
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KID-SCREEN-10
Ramy czasowe: From baseline to end of 7 days intervention. For outpatients KIDSCREEN-10 is also assessed after 14 days of intervention.
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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.
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Reduced version Horne-Østberg Morningness Eveningess Questionnaire (r-MEQ)
Ramy czasowe: From baseline to after 7 days of intervention. For outpatients r-MEQ is also assessed after 14 days of intervention.
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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.
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Bergen Insomnia Scale (BIS)
Ramy czasowe: From baseline to after 7 days of intervention. For outpatients, BIS is also assessed after 14 days of intervention.
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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.
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Motor activity
Ramy czasowe: From baseline to after 7 days of intervention. For outpatients, parameters are also assessed after 14 days of intervention.
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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)
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From baseline to after 7 days of intervention. For outpatients, parameters are also assessed after 14 days of intervention.
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BioPoint biosensor
Ramy czasowe: 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.
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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.
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Affektive Reactivity Index, parent-reported (ARI-P)
Ramy czasowe: From baseline to after 7 days of intervention. For outpatients ARI-S and ARI-P are also assessed after 14 days of intervention.
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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.
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Współpracownicy i badacze
Sponsor
Sponsor
Współpracownicy
Współpracownicy
Śledczy
Śledczy
- Główny śledczy: Tone Elise G Henriksen, MD PhD, Helse Fonna
Publikacje i pomocne linki
Publikacje ogólne
- Esaki Y, Kitajima T, Ito Y, Koike S, Nakao Y, Tsuchiya A, Hirose M, Iwata N. Wearing blue light-blocking glasses in the evening advances circadian rhythms in the patients with delayed sleep phase disorder: An open-label trial. Chronobiol Int. 2016;33(8):1037-44. doi: 10.1080/07420528.2016.1194289. Epub 2016 Jun 20.
- Kallestad H, Langsrud K, Simpson MR, Vestergaard CL, Vethe D, Kjorstad K, Faaland P, Lydersen S, Morken G, Ulsaker-Janke I, Saksvik SB, Scott J. Clinical benefits of modifying the evening light environment in an acute psychiatric unit: A single-centre, two-arm, parallel-group, pragmatic effectiveness randomised controlled trial. PLoS Med. 2024 Dec 6;21(12):e1004380. doi: 10.1371/journal.pmed.1004380. eCollection 2024 Dec.
- Henriksen TEG, Gronli J, Assmus J, Fasmer OB, Schoeyen H, Leskauskaite I, Bjorke-Bertheussen J, Ytrehus K, Lund A. Blue-blocking glasses as additive treatment for mania: Effects on actigraphy-derived sleep parameters. J Sleep Res. 2020 Oct;29(5):e12984. doi: 10.1111/jsr.12984. Epub 2020 Jan 21.
- Henriksen TE, Skrede S, Fasmer OB, Schoeyen H, Leskauskaite I, Bjorke-Bertheussen J, Assmus J, Hamre B, Gronli J, Lund A. Blue-blocking glasses as additive treatment for mania: a randomized placebo-controlled trial. Bipolar Disord. 2016 May;18(3):221-32. doi: 10.1111/bdi.12390.
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
- spać
- melatonina
- dzieci
- Zmienność rytmu serca
- bezsenność
- nastolatki
- zaburzenie opóźnionej fazy snu
- aktygrafia
- światło
- pacjenci szpitalni
- ekran
- ambulatoryjne
- nadmierne pobudzenie
- Oddział szpitalny
- aktywacja
- Okulary blokujące niebieskie światło
- telefon komórkowy
- psychiatria dzieci i młodzieży
- wirtualna terapia ciemnością
- interwencja blokująca niebieskie światło
- 6-sulfatoksymelatonina
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- 6130-6130
- F-12812 (Inny numer grantu/finansowania: Helse Vest Research Grant)
- 593439 (Inny identyfikator: Regional Committees for Medical and Health Research Ethics)
- 764677 (Inny identyfikator: SIKT)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Data from GENEActiv, Biopoint and LYS-devices may be shared for IPD meta-analyses.
Kryteria dostępu do udostępniania IPD
IPD will be shared with other researchers upon reasonable request to the principal investigator.
Typ informacji pomocniczych dotyczących udostępniania IPD
- PROTOKÓŁ BADANIA
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
produkt wyprodukowany i wyeksportowany z USA
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