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The Impact of Cognitive Behavioral Therapy for Insomnia (CBT-I) on Glycemic Control in Older Type 2 Diabetes (T2D) Comorbid With Insomnia

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ClinicalTrials.gov Identifier: NCT04831385
Recruitment Status : Not yet recruiting
First Posted : April 5, 2021
Last Update Posted : April 5, 2021
Sponsor:
Information provided by (Responsible Party):
Alice Pik Shan KONG, Chinese University of Hong Kong

Brief Summary:
This study is a RCT aiming to use CBT-I as intervention, compared to usual care as control, to elucidate the effect of CBT-I on glycemic control, sleep quality, psychological outcomes, and cognitive function in Hong Kong Chinese older T2D comorbid with insomnia.

Condition or disease Intervention/treatment Phase
Diabetes Mellitus, Type 2 Behavioral: Cognitive Behavioural Therapy Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 214 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: The Impact of Cognitive Behavioral Therapy for Insomnia (CBT-I) on Glycemic Control in Older Type 2 Diabetes (T2D) Comorbid With Insomnia
Estimated Study Start Date : September 1, 2021
Estimated Primary Completion Date : August 31, 2024
Estimated Study Completion Date : August 31, 2025

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: CBT-i Behavioral: Cognitive Behavioural Therapy
CBT is a first line therapy for insomnia

No Intervention: Control (Usual Care)
Control



Primary Outcome Measures :
  1. The primary outcome measure will be changes in glycemic control, as measured by HbA1c, from baseline. [ Time Frame: 12 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Aged ≥65 years;
  2. T2D with suboptimal glycemic control defined as HbA1c 7.5-10%;
  3. Chinese ethnicity;
  4. Comorbid with insomnia having ISI score >14;
  5. Able and willing to give informed written consen

Exclusion criteria:

  1. Cognitive impairment (HK-MoCA score of ≤22);
  2. Depression (GDS-15 score >8) and other psychiatric disorders e.g. generalized anxiety disorder, restless leg syndrome, schizophrenia to be elucidated by history from research nurse and questionnaires;
  3. OSA as defined as apnoea-hypopnoea index (AHI) ≥15 events per night;
  4. Benign prostatic hypertrophy by history and/or elevated PSA and any other chronic medical condition that is likely to affect sleep e.g. chronic pain;
  5. Concurrent use of hypnotic drugs, psychotic medications and any drugs that are known to affect sleep;
  6. Cerebrovascular accidents, vascular dementia, or any condition that are known to affect cognitive function;
  7. Shift workers;
  8. Haemoglobinopathies, renal failure, need of regular blood transfusion or any other conditions which will affect the validity of HbA1c in measurement of glycemia;
  9. Any condition, as judged by the investigators, as ineligible to participate in this study.
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Responsible Party: Alice Pik Shan KONG, Professor, Chinese University of Hong Kong
ClinicalTrials.gov Identifier: NCT04831385    
Other Study ID Numbers: Version Date 15 April 2021
First Posted: April 5, 2021    Key Record Dates
Last Update Posted: April 5, 2021
Last Verified: April 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Sleep Initiation and Maintenance Disorders
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Sleep Disorders, Intrinsic
Dyssomnias
Sleep Wake Disorders
Nervous System Diseases
Mental Disorders