Diabetes
Conditions
Keywords
Diabetes, Sleep problems, School, Neurobehavioral
Brief summary
Sleep intervention for youth with diabetes
Detailed description
It is known that sleep disturbances in healthy youth have negative effects on neurobehavioral functioning. Further, data support that individuals with diabetes have more sleep disturbances and compromised neurobehavioral functioning than individuals without diabetes. However, the joint impact of sleep and glucose on neurobehavioral functioning in youth with type 1 diabetes (T1DM) is not yet known. Therefore, our primary study aims are to: (1) determine the relative contributions of various sleep disturbances on glucose control in youth with T1DM; (2) examine the joint impact of glucose control and sleep disturbances on neurobehavioral outcomes in youth with T1DM; and (3) determine if increasing sleep duration relative to youth's typical schedules contributes to changes in glycemic control and neurobehavioral performance. These aims will be achieved by following 120 youth with T1DM ages 10 through 16 for six days of naturalistic sleep using polysomnography, actigraphy, and questionnaires to assess sleep; continuous glucose monitors and hemoglobin A1C values to assess glucose control; and standardized cognitive tasks and behavior rating scales to assess neurobehavioral functioning. Further, the proposed study is innovative in that it will extend existing research by moving from correlational findings to an experimental paradigm by randomizing youth with T1DM to either a Sleep Extension or Fixed Sleep Duration condition for an additional six days. Once our aims are achieved and a causal link is established, the proposed Sleep Extension intervention will advance knowledge about the role of sleep in diabetes management and provide a beneficial intervention to help youth with T1DM.
Interventions
BEHAVIORALSleep extension
There will be a consultation with families to help youth to be successful in extending their sleep.
BEHAVIORALFixed Sleep Duration
There will be a consultation with families to instruct youth to maintain the same average nightly sleep duration during the modification week. The purpose is to control for time and attention.
Sponsors
University of Arizona
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* diagnosis of type 1 diabetes * enrolled in school
Exclusion criteria
* not hospitalized within past month * neurological, developmental, or psychiatric condition that in the opinion of the PI would significantly interfere with sleep or participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Academic Rating Scale | 2 weeks | A teacher behavioral rating of classroom behaviors and performance |
| Glucose control | 2 weeks | Continuous glucose monitor |
| Neurocognitive performance | 2 weeks | Cogstate learning and memory tasks |
| Academic performance | 2 weeks | Woodcock Johnson Tests of Achievement-3rd Edition NU and Curriculum-Based Measurements |
Countries
United States
Outcome results
None listed