Sleep Restriction Treatment for Insomnia

NCT ID: NCT05548907

Last Updated: 2023-12-22

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

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-20

Study Completion Date

2023-11-11

Brief Summary

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With a prevalence of about 10% chronic insomnia is a common problem. The standard treatment for insomnia is cognitive behavioral therapy. According to many, the core element within this treatment is sleep restriction. This element has been examined separately in a couple of studies and also appears to be effective in isolation. In the current study the aim is to get more information about the effectiveness of this core element of the treatment. For this reason, a randomized study is conducted to compare sleep restriction with a diary control condition.

The second aim in this study is to determine mechanisms behind treatments. Network intervention analysis will be used to determine which specific symptoms are associated with therapy success. This is the reason that throughout the study weekly and daily measures will be conducted.

The expectations are that:

* Participants in the sleep restriction condition will improve more on insomnia complaints than the sleep diary control condition (primary outcome)
* Participants in the sleep restriction condition will improve more on sleep diary outcomes and other secondary outcomes compared to the sleep diary control condition (secondary outcome)

Detailed Description

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Conditions

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Insomnia

Keywords

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insomnia behavioral treatment randomized controlled trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized controlled trial where participants are allocated to either a sleep restriction treatment condition or a sleep monitoring control condition. All participants keep a daily sleep diary and fill out weekly questionnaires
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sleep restriction treatment

In this condition participants receive a behavioral sleep restriction intervention for six weeks

Group Type EXPERIMENTAL

sleep restriction treatment

Intervention Type BEHAVIORAL

Treatment consists of sleep restriction treatment for insomnia. In this treatment, participants limit their bedtimes to the time they actually sleep. If they sleep most of the time in bed again then bedtimes are slowly built up again. This treatment technique has already been studied in several trials and found to be effective.

Mode of delivery is an online booklet, online exercises and weekly telephone support

Sleep monitoring

In this control condition people fill out a sleep diary for six weeks

Group Type PLACEBO_COMPARATOR

sleep diary monitoring

Intervention Type BEHAVIORAL

As an active control condition people monitor their sleep with a sleep diary (also included in the sleep restriction intervention)

Interventions

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sleep restriction treatment

Treatment consists of sleep restriction treatment for insomnia. In this treatment, participants limit their bedtimes to the time they actually sleep. If they sleep most of the time in bed again then bedtimes are slowly built up again. This treatment technique has already been studied in several trials and found to be effective.

Mode of delivery is an online booklet, online exercises and weekly telephone support

Intervention Type BEHAVIORAL

sleep diary monitoring

As an active control condition people monitor their sleep with a sleep diary (also included in the sleep restriction intervention)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Insomnia Severity Index Score ≥ 10
* 18 years or older
* Self reported insomnia complaints: being awake ≥30 minutes per night, ≥3 nights per week, ≥ 3 months
* Daytime problems related to sleep complaints
* Sleep efficiency \< 85%
* Dutch speaking

Exclusion Criteria

* (1) No acces to internet
* (2) Pregnant or breastfeeding
* (3) working in night shifts
* (4) currently in psychological treatment (started \< 6 months) or on wait-list for treatment
* (5) cognitive behavioral treatment for insomnia in last 12 months
* (6) concrete suicidal ideation
* (7) schizophrenic or psychotic disorder
* (8) high level of depressive complaints (BDI-II \> 28)
* (9) Instable medication use (medication should not be tampered in last 6 weeks) incidental sleep-medication use is allowed
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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VU University of Amsterdam

OTHER

Sponsor Role lead

Responsible Party

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Jaap Lancee

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jaap Lancee, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Amsterdam

Locations

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University of Amsterdam

Amsterdam, North Holland, Netherlands

Site Status

Countries

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Netherlands

References

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Looman MI, Blanken TF, Schoenmakers TM, Reesen JE, Effting M, Linnebank FE, van Straten A, Kamphuis JH, Lancee J. Telephone-Guided Sleep Restriction for Insomnia: A Randomized Sleep Diary-Controlled Trial. Psychother Psychosom. 2025;94(3):147-161. doi: 10.1159/000545138. Epub 2025 Mar 21.

Reference Type DERIVED
PMID: 40122034 (View on PubMed)

Other Identifiers

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2022-CP-15342

Identifier Type: -

Identifier Source: org_study_id