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A trial comparing the effectiveness of an online sleep behavioural intervention versus standard care in children with rolandic epilepsy

Randomised controlled trial comparing online behavioural sleep intervention with standard care in children with rolandic epilepsy

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN13202325
Enrollment
110
Registered
2021-09-09
Start date
2022-08-30
Completion date
Unknown
Last updated
2026-06-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sleep quality in children with rolandic epilepsy Nervous System Diseases Epilepsy

Interventions

CASTLE Sleep-E is a randomised controlled trial comparing an online sleep behaviour intervention against standard care in children with epilepsy. There is a target recruitment of 110 participants in

Sponsors

King's College London
Lead Sponsor

Eligibility

Sex/Gender
All
Age
4 Years to 13 Years

Inclusion criteria

Inclusion criteria: Current inclusion criteria as of 31/01/2023: Main CASTLE Sleep-E study: 1. Children with clinician-confirmed diagnosis of epilepsy 2. Aged >=4 years and =7 years of age Previous inclusion criteria: Main CASTLE Sleep-E study: 1. Children diagnosed with RE/CECTS (see International League Against Epilepsy Diagnostic Manual at https://www.epilepsydiagnosis.org/syndrome/ects-overview.html) 2. EEG showing focal sharp waves with normal background (see International League Against Epilepsy Diagnostic Manual at https://www.epilepsydiagnosis.org/syndrome/ects-eeg.html) 3. Aged >=5 years and =7 years of age

Exclusion criteria

Exclusion criteria: Children with moderate/severe learning disabilities

Design outcomes

Primary

MeasureTime frame
1. Total child sleep problem score as measured by the Child Sleep Habit Questionnaire at baseline and 3 months. 2. Cost utility of COSI reported as incremental cost per QALY gained will be measured using the EQ-5D-Y, CHUD-9D, Resource Use Questionnaire, study visits CRFs, concomitant medications, serious adverse events and utility questionnaires at baseline, 3, and 6 months. PLICS and HES data will be used at the end of trial.

Secondary

MeasureTime frame
1. Total child sleep problem score as measured by the Child Sleep Habit Questionnaire at baseline and 6 months. 2. Time to first seizure measured using study CRF data at 3 and 6 months. 3. Time to 6-month seizure remission measured using study CRF data at 3 and 6 months. 4. Parental sleep-related knowledge is measured by the score of the Knowledge about Sleep in Childhood (KASC) scale at baseline and 3 months. 5. Parental Anxiety is measured by the score of the Hospital Anxiety and Depression Scale (HADS) at baseline, 3 and 6 months. 6. Parental sleep problems are recorded by the Insomnia Severity Scale (ISI) at baseline, 3 and 6 months. 7. Children’s sleep-related reaction time and executive function is measured by the score of the SleepSuite assessment (iPad game) at baseline and 3 months. 8. Health-related quality of life is measured by the CHEQOL score change in Children / WHO-5 score change in primary carers at baseline and 6 months. 9. Children’s behaviour is measured by the total score of the Strength and Difficulties Questionnaires at baseline, 3 and 6 months. 10. Parenting self-efficacy is measured using score changes in the Parenting Self Agency Measure (PSAM) at baseline, 3 and 6 months. 11. Changing sleep parameters measured by the collection of actigraphy data for 2 weeks at baseline and 3 months. 12. Sickness-related school absences are recorded using study CRFs at randomisation, 3 and 6 months. 13. Child health utilities and QALYs are measured using the score changes/differences in CHU-9D and EQ-5D-Y utilities/QALYs at baseline, 3 and 6 months. 14. Parent health utilities and QALYs are measured using the score changes in EQ-5D-5L and differences in EQ-5D-DL/ISI QALYs. 15. NHS/Personal Social Service costs measured using the Resource Use Questionnaire, CRF data and PLICS/HES data at baseline, 3 and 6 months. 16. Indirect and direct non-medical costs measured by CRF data and Resource Use Questionnaire data at baseline, 3 and 6 months. 17. The cos

Countries

England, Northern Ireland, Scotland, United Kingdom, Wales

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jun 11, 2026