Trial Outcomes & Findings for Multimodal Sleep Intervention Using Wearable Technology (NCT NCT03658954)

NCT ID: NCT03658954

Last Updated: 2025-05-07

Results Overview

This will be recorded using the Timeline Follow-back Interview, based on the U.S. Standard Drink Conversion Chart. Upon results entry, the outcome was updated to include the following: data are log-transformed total alcohol drinks consumed over time from Week 4 to Week 12 follow-up, controlling for baseline.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

120 participants

Primary outcome timeframe

weeks 4 through 12

Results posted on

2025-05-07

Participant Flow

Participant milestones

Participant milestones
Measure
Advice
Participants receive only web-based sleep hygiene advice Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice.
Advice + Self-monitoring
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol smartphone diaries for two weeks.
Advice + Self-monitoring + Feedback
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol smartphone diaries for two weeks. Feedback: Participants will receive feedback once per week for two weeks on their sleep and alcohol consumption, using all possible data derived from Philips actigraphs and SCRAM blood-alcohol trackers and smartphone diary data.
Overall Study
STARTED
30
30
60
Overall Study
Completed 2 Week Treatment
28
30
60
Overall Study
Completed 12 Week Follow-up
27
29
59
Overall Study
COMPLETED
28
30
60
Overall Study
NOT COMPLETED
2
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Multimodal Sleep Intervention Using Wearable Technology

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Advice
n=30 Participants
Participants receive only web-based sleep hygiene advice Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice.
Advice + Self-monitoring
n=30 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks.
Advice + Self-monitoring + Feedback
n=60 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks. Feedback: Participants will receive feedback once per week for two weeks on their sleep and alcohol consumption, using all possible data derived from Fitbit actigraphs and Milo Sensor blood-alcohol trackers.
Total
n=120 Participants
Total of all reporting groups
Age, Continuous
20.9 years
STANDARD_DEVIATION 1.7 • n=93 Participants
21.3 years
STANDARD_DEVIATION 1.8 • n=4 Participants
21.2 years
STANDARD_DEVIATION 1.7 • n=27 Participants
21.2 years
STANDARD_DEVIATION 1.8 • n=483 Participants
Sex: Female, Male
Female
15 Participants
n=93 Participants
16 Participants
n=4 Participants
30 Participants
n=27 Participants
61 Participants
n=483 Participants
Sex: Female, Male
Male
15 Participants
n=93 Participants
14 Participants
n=4 Participants
30 Participants
n=27 Participants
59 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=93 Participants
5 Participants
n=4 Participants
9 Participants
n=27 Participants
19 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants
n=93 Participants
25 Participants
n=4 Participants
51 Participants
n=27 Participants
101 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
3 Participants
n=93 Participants
2 Participants
n=4 Participants
5 Participants
n=27 Participants
10 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
1 Participants
n=4 Participants
7 Participants
n=27 Participants
9 Participants
n=483 Participants
Race (NIH/OMB)
White
26 Participants
n=93 Participants
25 Participants
n=4 Participants
45 Participants
n=27 Participants
96 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
2 Participants
n=4 Participants
2 Participants
n=27 Participants
4 Participants
n=483 Participants
Region of Enrollment
United States
30 participants
n=93 Participants
30 participants
n=4 Participants
60 participants
n=27 Participants
120 participants
n=483 Participants

PRIMARY outcome

Timeframe: weeks 4 through 12

Population: Intention to treat analysis

This will be recorded using the Timeline Follow-back Interview, based on the U.S. Standard Drink Conversion Chart. Upon results entry, the outcome was updated to include the following: data are log-transformed total alcohol drinks consumed over time from Week 4 to Week 12 follow-up, controlling for baseline.

Outcome measures

Outcome measures
Measure
Advice
n=30 Participants
Participants receive only web-based sleep hygiene advice Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice.
Advice + Self-monitoring
n=30 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks.
Advice + Self-monitoring + Feedback
n=60 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks. Feedback: Participants will receive feedback once per week for two weeks on their sleep and alcohol consumption, using all possible data derived from Fitbit actigraphs and Milo Sensor blood-alcohol trackers.
Total Alcohol Drinks Consumed Over the 12wk Followup
3.07 log-transformed total alcohol drinks
Standard Error 0.13
2.95 log-transformed total alcohol drinks
Standard Error 0.12
2.96 log-transformed total alcohol drinks
Standard Error 0.09

SECONDARY outcome

Timeframe: Baseline, week 4, week 8 and week 12

Population: Intention to treat analysis

This is a validated, reliable measure of perceived sleep quality/satisfaction and difficulty initiating/maintaining sleep. Upon results entry, the outcome was updated to reflect the following: Sleep Disturbance Score assessed at Week 4, 8 and 12, controlling for baseline. Scores represent standardized T scores with mean of 50 and a standard deviation of 10. Higher scores, 50 and above, equal greater sleep disturbance. Scores 60 and above are clinically significant. Presented is the least squares mean across assessments.

Outcome measures

Outcome measures
Measure
Advice
n=30 Participants
Participants receive only web-based sleep hygiene advice Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice.
Advice + Self-monitoring
n=30 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks.
Advice + Self-monitoring + Feedback
n=60 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks. Feedback: Participants will receive feedback once per week for two weeks on their sleep and alcohol consumption, using all possible data derived from Fitbit actigraphs and Milo Sensor blood-alcohol trackers.
National Institutes of Health Patient-Reported Outcomes Measurement Information System™ (NIH PROMIS™) Sleep Disturbance Score- Least Squares Mean Across Assessments
51.39 T-score
Standard Error 0.67
49.75 T-score
Standard Error 0.65
49.46 T-score
Standard Error 0.45

SECONDARY outcome

Timeframe: Baseline, week 4, week 8 and week 12

Population: Intention to treat analysis

National Institutes of Health Patient-Reported Outcomes Measurement Information System™ (NIH PROMIS™) Sleep-Related Impairment Score assessed at Week 4, 8, and 12, controlling for baseline. Scores represent standardized T scores with mean of 50 and a standard deviation of 10. Higher scores, 50 and above, equal greater sleep-related impairment. Scores 60 and above are clinically significant. Presented is the least squares mean across assessments.

Outcome measures

Outcome measures
Measure
Advice
n=30 Participants
Participants receive only web-based sleep hygiene advice Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice.
Advice + Self-monitoring
n=30 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks.
Advice + Self-monitoring + Feedback
n=60 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks. Feedback: Participants will receive feedback once per week for two weeks on their sleep and alcohol consumption, using all possible data derived from Fitbit actigraphs and Milo Sensor blood-alcohol trackers.
National Institutes of Health Patient-Reported Outcomes Measurement Information System™ (NIH PROMIS™) Sleep-Related Impairment Score - Least Squares Mean Across Assessments
57.80 T-score
Standard Error 0.90
57.05 T-score
Standard Error 0.88
54.89 T-score
Standard Error 0.62

SECONDARY outcome

Timeframe: 2 weeks

In this survey, participants will rate their satisfaction associated with each intervention component using a 5-point Likert-type scale. Upon results entry, the outcome was corrected to reflect the following: the overall treatment satisfaction uses the mean of questions on a 5-point Likert-type scale from 0 to 4, with higher scores indicating greater satisfaction.

Outcome measures

Outcome measures
Measure
Advice
n=29 Participants
Participants receive only web-based sleep hygiene advice Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice.
Advice + Self-monitoring
n=29 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks.
Advice + Self-monitoring + Feedback
n=60 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks. Feedback: Participants will receive feedback once per week for two weeks on their sleep and alcohol consumption, using all possible data derived from Fitbit actigraphs and Milo Sensor blood-alcohol trackers.
End of Treatment Satisfaction Survey Score
3.45 score on a scale
Standard Error 0.74
3.48 score on a scale
Standard Error 0.57
3.60 score on a scale
Standard Error 0.56

OTHER_PRE_SPECIFIED outcome

Timeframe: 4 weeks

The difference between the mean reaction time and the stop-signal delay on the stop-signal test. Upon results entry, the following was added: This outcome will be explored as a potential mechanism of sleep intervention condition effects on the primary outcome of total drinks consumed. If there is a significant effect of condition on total drinks, the analysis of stop signal reaction time will be conducted. Due to COVID-19, this assessment was stopped since it could not be administered virtually. Since there was no effect of condition on total drinks consumed, an analysis of this outcome as a potential mechanism was not undertaken. The following represents the number of participants in each condition had this assessment conducted prior to COVID.

Outcome measures

Outcome measures
Measure
Advice
n=30 Participants
Participants receive only web-based sleep hygiene advice Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice.
Advice + Self-monitoring
n=30 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks.
Advice + Self-monitoring + Feedback
n=60 Participants
Participants receive web-based sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback Advice: Once per week for two weeks, participants will come to in-person visits to receive brief web-based sleep hygiene advice. Self-monitoring: Participants will complete daily web-based sleep and alcohol diaries for two weeks. Feedback: Participants will receive feedback once per week for two weeks on their sleep and alcohol consumption, using all possible data derived from Fitbit actigraphs and Milo Sensor blood-alcohol trackers.
Stop-signal Reaction Time
22 Participants
19 Participants
43 Participants

Adverse Events

Advice

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Advice + Self-monitoring

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Advice + Self-monitoring + Feedback

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lisa Fucito, PhD

Yale University School of Medicine

Phone: (203) 200-1470

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place