Investigating a Sleep Intervention for Adolescents Attending Mental Health Services

Last updated: February 19, 2024
Sponsor: Stephanie McCrory
Overall Status: Active - Recruiting

Phase

N/A

Condition

Insomnia

Treatment

Strathclyde intervention to encourage good sleep health for teenagers (SIESTA)

Strathclyde Sleep Intervention

Clinical Study ID

NCT05870228
UEC2331
  • Ages 12-15
  • All Genders

Study Summary

The overall objectives of the study are to:

  1. To assess the feasibility of delivering the Strathclyde Sleep Intervention to adolescents with co-morbid insomnia and mental health attending a mental health services The following feasibility benchmarks will be assessed: recruitment and retention, participant attendance, staff training, intervention fidelity and participant adherence.

  2. To examine participant acceptability. The researchers will conduct qualitative interviews with the participants and delivery staff to examine the acceptability of the programme.

  3. To investigate the preliminary effectiveness by assessing the following: sleep parameters, insomnia symptoms, Circadian phase preference (baseline only) and mental health symptoms. Data will be collected at baseline, post-intervention and 3 month follow-up.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Adolescents (12-15 years)
  2. Meeting thresholds for insomnia disorder (determined by cut-off scores on the 2 itemSleep Condition Indicator (score <2 indicates probable insomnia)
  3. Attending CAMHS for mental health intervention/support
  4. Able to engage with intervention protocol

Exclusion

Exclusion Criteria:

  1. Active suicide ideation and/or recent suicidal attempts
  2. Contraindicators for components of CBT-I (sleep restriction therapy) including seizuredisorders/conditions including epilepsy, bipolar disorder, symptoms of psychosis,obstructive sleep apnea and parasomnias.
  3. Diagnosis of Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder,Foetal Alcohol Spectrum Disorder (Neurodiversity)
  4. Those who are currently completing, or have recently completed (in the past 6 months),CBT-I for insomnia elsewhere (or components of CBT-I including e.g. sleep restrictiontherapy, stimulus control, cognitive techniques). This will only include in-person,one-to-one methods of delivery

Study Design

Total Participants: 46
Treatment Group(s): 2
Primary Treatment: Strathclyde intervention to encourage good sleep health for teenagers (SIESTA)
Phase:
Study Start date:
October 13, 2023
Estimated Completion Date:
December 31, 2024

Study Description

Sleep problems have a significant detrimental impact on physical health, development, and functioning and are commonly experienced co-morbidly with other mental health problems. Therefore, many adolescents who are attending mental health services, also experience significant sleep disturbances. However, sleep problems are rarely addressed within mental health services due to lack of awareness of the importance of sleep and/or training in effective treatments. Cognitive behavioural therapy for insomnia (CBT-I) is the recommended approach for treating insomnia in both adult and adolescent populations. Despite this, there has been limited research investigating the delivery of CBT-I interventions to adolescents with co-morbid mental health problems, and to our knowledge, no such studies exist within the Scottish context. The Strathclyde Sleep Intervention incorporates CBT-I components to improve adolescent sleep. This study aims to evaluate the feasibility, acceptability, and preliminary effectiveness of the intervention for adolescents attending mental health services. Staff within the service will receive training to deliver the Strathclyde Sleep Intervention to adolescents with co-morbid mental health and sleep problems. The following feasibility benchmarks will be assessed: recruitment and retention, participant attendance, facilitator training, intervention fidelity and participant adherence. Acceptability will be measured via qualitative interviews with participants and staff. Baseline, post-intervention, and follow-up assessments will be conducted to assess preliminary effectiveness of the intervention for improving sleep and mental health. This research is necessary to inform future trials of the Strathclyde Sleep Intervention and to support its wider implementation within services.

Connect with a study center

  • East Renfrewshire Healthier Minds Team

    Glasgow, Lanarkshire g781sy
    United Kingdom

    Active - Recruiting

  • Ayrshire and Arran Child and Adolescent Mental Health Services

    Irvine,
    United Kingdom

    Site Not Available

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