Sleep Quality
Conditions
Keywords
Cognitive Behavioural Therapy for Insomnia, Task-shifting, Sleep hygiene, Stimulus control, Sleep health, Lay-led psychotherapy, lay-led psychotherapy group, Subjective sleep quality, Cognitive restructuring
Brief summary
The goal of this clinical trial is to study whether a Cognitive Behavioural Therapy for Insomnia (CBT-I) group led by laypersons serves as an effective tool for alleviating insomnia in older Chinese adults in Hong Kong. The main questions it aims to answer are: 1) Can the group improve subjective sleep quality? 2) What is the feasibility and acceptability of the group? Researchers will compare the intervention group with a control group. Participants will either join the intervention group or receive a self-help booklet, depending on their assignment. Both groups will complete two questionnaires over a four-week period: Baseline and Week-4 data.
Interventions
BEHAVIORALLay-led CBT-I brief group
Participants will participate in a brief in-person group for CBT-I, consisting of four sessions, with each session lasting approximately 1.5 hours and expected to be completed within a month. The sessions will cover four treatment components: sleep hygiene, stimulus control, cognitive restructuring, and relaxation exercises, all facilitated by trained Emotional Support Assistants.
BEHAVIORALBooklet on sleep health
Eligible control group participants will receive a booklet on sleep hygiene education.
Sponsors
The University of Hong Kong
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 45 or older * Have a PHQ-9 score between 5-9, and item 3 must be scored at 2 or higher * Experiencing existing symptoms of depression and sleep disturbance * Capable of providing informed consent for their participation in the study
Exclusion criteria
* Known history of intellectual disabilities, schizophrenia spectrum disorders, bipolar disorder, Parkinson's disease, or dementia * Assessed to be at active suicidal risk * Significant difficulties in communication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subjective sleep quality | From first session to last session at 4 weeks. | Brief Version of the Pittsburgh Sleep Quality Index (B-PSQI): Likert scale with a global scoring ranging from 0 to 15. A higher score indicates worse sleep quality. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dysfunctional Beliefs and Attitudes about Sleep | From first session to last session at 4 weeks. | A 16-items scale ranging from 0 (Strongly Disagree) to 10 (Strongly Agree). Stronger endorsement of these beliefs indicates greater maladaptation in detecting therapeutic changes and effectiveness. |
| Pre-sleep Arousal Scale | From first session to last session at 4 weeks. | Rated on a 5-point Likert scale, ranging from 1 (Not at all) to 5 (Extremely), with total scores ranging from 8 to 40 for both subscales. Higher scores indicate an increased level of pre-sleep arousal. |
Countries
Hong Kong
Contacts
CONTACTYee Man Branda YU
CONTACTLong Ni WONG
Outcome results
None listed