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Trial registered on ANZCTR
Registration number
ACTRN12622000070730
Ethics application status
Approved
Date submitted
27/11/2021
Date registered
20/01/2022
Date last updated
11/01/2023
Date data sharing statement initially provided
20/01/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of Cognitive Behaviour Therapy for Insomnia via Videoconferencing on University Students with Poor Sleep: Pilot Study
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Scientific title
A pilot study examining whether Cognitive Behaviour Therapy for Insomnia delivered in small groups via video conferencing is effective at improving sleep quality in university students with poor sleep.
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Secondary ID [1]
305862
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Insomnia
324411
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Condition category
Condition code
Mental Health
321888
321888
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention in this study will be Cognitive Behavioural Therapy for Insomnia (CBT-I) delivered in four weekly, one hour sessions run live in small groups (with a maximum of ten students) via videoconferencing. This mode of delivery was chosen as a result of user consultation focus groups run earlier this year with young adult university students. CBT-I has been shown to be efficacious with older adults, but there are few studies with young adult university students.
The four weekly small group sessions, conducted through video conferencing via Zoom, will be psychoeducational and interactive in nature, participants will share their experiences and be able to practice skills they learn. The facilitator, a registered psychologist, will be able to give individualised guidance to the participants on how to apply the content of the sessions to their daily lives. Participants will be asked to complete daily tasks, such as recording their sleep, adjusting their sleep times, and writing about their thoughts and emotions related to sleep. These tasks will take approximately 15 minutes per day, on average. Adherence will be monitored with session attendance recorded in each session.
Session 1 : Sleep patterns, rhythms and sleep hygiene
Sleep needs for young adults, the benefits of good sleep for physical and mental health. Participants will learn the importance of sleep routines and habits.
Session 2: Sleep scheduling
Learning sleep scheduling skills to limit time in bed to improve sleep in the long run.
Session 3: Beliefs about sleep
Exploring how thoughts and beliefs about sleep can contribute to sleep difficulties and discuss unhelpful beliefs as well as alternative ways to think about sleep.
Session 4: Preparing the mind for sleep - Managing emotions and worries before bed and preparing for sleep by developing a wind down routine. The program contents will also be summarised. Exploring areas of difficulty in applying sleep hygiene, sleep restriction, worry time, managing emotions and challenging unhelpful thoughts about sleep.
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Intervention code [1]
322258
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Changes in self reported sleep quality, as measured by the Pittsburgh Sleep Quality Index and Insomnia Severity Index and online sleep diaries.
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Assessment method [1]
329644
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Timepoint [1]
329644
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Baseline, post treatment (week 5). Primary time point is post treatment
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Secondary outcome [1]
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Mental Wellbeing as measured by the Warwick–Edinburgh Mental Wellbeing Scale
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Assessment method [1]
403271
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Timepoint [1]
403271
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Baseline, post treatment (week 5).
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Secondary outcome [2]
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Suicidal Ideation as measured by The Suicidal Ideation Attributes Scale
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Assessment method [2]
403272
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Timepoint [2]
403272
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Baseline, post treatment (week 5).
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Secondary outcome [3]
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Depression, measured by the Patient Health Questionnaire - 9 item scale
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Assessment method [3]
403273
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Timepoint [3]
403273
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Baseline, post treatment (week 5).
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Secondary outcome [4]
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Anxiety measured by the Generalised Anxiety Disorder Scale 7 item scale
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Assessment method [4]
403274
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Timepoint [4]
403274
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Baseline, post treatment (week 5).
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Secondary outcome [5]
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Alcohol Use, measured by the Alcohol Use Disorders Identification Test.
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Assessment method [5]
403275
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Timepoint [5]
403275
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Baseline, post treatment (week 5).
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Secondary outcome [6]
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Social Media Use measured by the Social Media Use Integration Scale.
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Assessment method [6]
403276
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Timepoint [6]
403276
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Baseline, post treatment (week 5).
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Secondary outcome [7]
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Smart Phone use measured by the Smart Phone Addiction Scale
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Assessment method [7]
403277
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Timepoint [7]
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Baseline, post treatment (week 5).
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Secondary outcome [8]
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Treatment satisfaction survey
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Assessment method [8]
403386
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Timepoint [8]
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Post treatment week 5
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Eligibility
Key inclusion criteria
1. Aged from 17 to 25 years
2. Enrolled in a university degree at any Australian university
3. Living in Australia and able to attend sessions in the Australian Eastern Standard Time (AEST) zone or Australian Eastern Daylight Time (AEDT) zone.
4. Experiencing sleep difficulties (scores of 10 or greater on the Insomnia Severity Index)
5. Proficient in English language
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Minimum age
17
Years
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Maximum age
25
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. People under 17 or over 25 years of age (this study is focused on emerging adults aged from 18 to 25 years)
2. People with a neurological disorder, schizophrenia or with a history of manic episodes.
3. Current acute suicide risk (scoring more than 21 on the Suicidal Ideation Attributes Scale)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
The sample size for the pilot trial will be 25, A paired samples t tests will be used to compare the pre to post changes on the outcome measures.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2022
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Actual
19/06/2022
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Date of last participant enrolment
Anticipated
28/02/2022
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Actual
8/09/2022
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Date of last data collection
Anticipated
31/03/2022
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Actual
10/10/2022
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Sample size
Target
25
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Accrual to date
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Final
44
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC Centre for Research Excellence in Suicide Prevention
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
310214
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Australia
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Funding source category [2]
310231
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Government body
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Name [2]
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The Prevention Hub, The Australian Government Department of Health
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Address [2]
310231
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Australian Government Department of Health
PO Box 9848
Canberra ACT 2601
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Country [2]
310231
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Australia
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Funding source category [3]
310232
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Charities/Societies/Foundations
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Name [3]
310232
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Perpetual Impact
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Address [3]
310232
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GPO Box 4171
Sydney NSW 2001
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Country [3]
310232
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Black Dog Institute
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Address
Hospital Road,
Prince of Wales Hospital,
Randwick NSW Australia 2031
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Country
Australia
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Secondary sponsor category [1]
311308
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University
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Name [1]
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University of New South Wales
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Address [1]
311308
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Mathews building
UNSW Sydney
Kensington Campus
NSW, Australia, 2052
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Country [1]
311308
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
309895
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The University of New South Wales Human Research Ethics Committee A
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Ethics committee address [1]
309895
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The Human Research Ethics Committee A UNSW Sydney NSW 2052 Australia
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Ethics committee country [1]
309895
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Australia
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Date submitted for ethics approval [1]
309895
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22/11/2021
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Approval date [1]
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31/01/2022
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Ethics approval number [1]
309895
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HC210959
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Summary
Brief summary
This pilot trial seeks to evaluate the outcomes of CBT-I delivered via videoconferencing with young adult university students. Self reported sleep quality is the primary outcome in this study. Outcomes will be compared pre to post treatment. This pilot will identify any aspects of the program that need to be adjusted before a larger scale RCT is conducted.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Jill Newby
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Address
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Black Dog Institute
Hospital Road
Prince of Wales Hospital
Randwick NSW 2031
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Country
115758
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Australia
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Phone
115758
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+61 02 9382 4372
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Fax
115758
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Email
115758
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[email protected]
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Contact person for public queries
Name
115759
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Michelle Tadros
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Address
115759
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Black Dog Institute
Hospital Road
Prince of Wales Hospital
Randwick NSW 2031
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Country
115759
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Australia
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Phone
115759
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+61 02 93824630
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Fax
115759
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Email
115759
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[email protected]
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Contact person for scientific queries
Name
115760
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Jill Newby
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Address
115760
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Black Dog Institute
Hospital Road
Prince of Wales Hospital
Randwick NSW 2031
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Country
115760
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Australia
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Phone
115760
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+61 02 93824630
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Fax
115760
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Email
115760
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Privacy concerns
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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