Sleep Health Program for Patients With Chronic Pain

NCT ID: NCT04299100

Last Updated: 2021-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-09

Study Completion Date

2021-09-28

Brief Summary

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This is a pilot, prospective, randomized controlled trial of a novel sleep health program versus no sleep intervention in chronic pain patients. The Sleep Health program will consist of weekly home-based videos and digital materials termed "Self-Management for Sleep Care", which will provide participants with information on how to improve their sleep through education on sleep hygiene, relaxation training, and cognitive behavioural components. Patients will be also be screened through undiagnosed sleep apnea. For those determined to have suspected undiagnosed moderate or severe sleep apnea, they will be receive a recommendation for referral to a sleep clinic as part of standard of care. The study aims to evaluate the feasibility and effectiveness of the Sleep Health Program which includes the videos and digital materials and screening for sleep apnea in patients with chronic pain.

Detailed Description

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All participants will complete sleep, pain, and functional questionnaires. Additionally, all participants will undergo one overnight oximetry reading using the wristwatch pulse oximetry. Following these baseline assessments and questionnaires, participants will be randomized to either the control group or the Sleep Health Program.

A)Sleep Health Program Group Participants in this group will receive usual care from their pain physician. Participants will also receive the Self-Management for Sleep Care videos and digital materials. Participants with suspected moderate/severe sleep apnea as determined by oximetry, but who have not been diagnosed with sleep apnea prior to the study, will be recommended for referral to a sleep clinic as part of standard of care.

B)Control Group Participants in this group will receive usual care from their pain physician.

First follow up visit:

At 8 weeks after the initial visit, all participants will attend their first follow-up visit and complete the sleep, pain and functional questionnaires and 7-day sleep diary recording, and report any changes in medications.

Second follow up visit:

At 6 months after the initial visit, all participants will attend their second follow-up visit and complete the sleep, pain and functional questionnaires, 7-day sleep diary recording and report any changes in medications. Control participants will receive information provided by the Self-Management for Sleep Care program. Control participants with suspected undiagnosed moderate/severe sleep apnea will be recommended for referral to a sleep clinic as part of standard of care.

Conditions

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Sleep Disordered Breathing Chronic Pain Sleep

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control Group

Participants randomized to the Control Group will receive usual care from their pain physician.

Group Type NO_INTERVENTION

No interventions assigned to this group

Sleep Health Program - Suspected No/mild sleep apnea

Participants randomized to the Sleep Health Program with no/mild sleep apnea.

Group Type EXPERIMENTAL

Sleep Health Program for Participants with No/Mild Sleep Apnea

Intervention Type BEHAVIORAL

Participants randomized to the Sleep Health Program will receive the Self-Management for Sleep Care videos and digital materials.

Sleep Health Program - Suspected Moderate/severe sleep apnea

Participants randomized to the Sleep Health Program with suspected moderate/severe sleep apnea.

Group Type EXPERIMENTAL

Sleep Health Program for Participants with Moderate/Severe Sleep Apnea

Intervention Type BEHAVIORAL

Participants randomized to the Sleep Health Program with suspected moderate/severe sleep apnea will receive the Self-Management for Sleep Care videos and digital materials, and be recommended for referral to a sleep clinic as part of standard of care.

Interventions

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Sleep Health Program for Participants with No/Mild Sleep Apnea

Participants randomized to the Sleep Health Program will receive the Self-Management for Sleep Care videos and digital materials.

Intervention Type BEHAVIORAL

Sleep Health Program for Participants with Moderate/Severe Sleep Apnea

Participants randomized to the Sleep Health Program with suspected moderate/severe sleep apnea will receive the Self-Management for Sleep Care videos and digital materials, and be recommended for referral to a sleep clinic as part of standard of care.

Intervention Type BEHAVIORAL

Other Intervention Names

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Sleep Health group Sleep Health group

Eligibility Criteria

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Inclusion Criteria

* Adult patients (≥18 years old) with cognitive capability
* Diagnosed with chronic non-cancer pain for \> 3 months
* Reports sleep disturbances such as difficulty falling asleep, staying asleep, or problems waking up too early (responds "Mild", "Moderate", "Severe", or "Very Severe" to items 1, 2, or 3 on the Insomnia Severity Index).

Exclusion Criteria

* Patients with chronic pain secondary to a neoplasm or metastasis
* Conditions potentially interfering with comprehension and delivery of informed consent, such as certain neurological or psychiatric disorders
* Patients with severe insomnia (Insomnia Severity Index ≥ 22)
* Restless legs syndrome
* Periodic limb movement disorder
* Sleep apnea
* Narcolepsy
* Seizure disorder
* Patients who are pregnant
* Currently undergoing a psychological treatment for insomnia
* Participants who require an urgent sleep physician referral (within four weeks) due to serious medical conditions or safety critical-occupations according to the 2011 Canadian Thoracic Society (CTS) guidelines (e.g. unstable ischemic heart disease, recent cerebrovascular disease, congestive heart failure, refractory systemic hypertension, pulmonary hypertension, hypercapnia respiratory failure).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MOUNT SINAI HOSPITAL

OTHER

Sponsor Role collaborator

Unity Health Toronto

OTHER

Sponsor Role collaborator

Women's College Hospital

OTHER

Sponsor Role collaborator

University Health Network, Toronto

OTHER

Sponsor Role lead

Responsible Party

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Dr. Frances Chung

Professor, University of Toronto

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Frances Chung, MBBS FRCPC

Role: PRINCIPAL_INVESTIGATOR

UHN/ University Health Network

Locations

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St. Michael's Hospital

Toronto, Ontario, Canada

Site Status

Toronto Rehab Institute (TRI)

Toronto, Ontario, Canada

Site Status

Women's College hospital

Toronto, Ontario, Canada

Site Status

Toronto Western Hopsital, Pain Clinic, Dept. of Anesthesia

Toronto, Ontario, Canada

Site Status

Mount Sinai Hospital, Department of Anesthesia

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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Version: Sep 15, 2020

Identifier Type: -

Identifier Source: org_study_id