Insomnia disorder in elderly patients Sleep Sleep Quality Aged Behavior Therapy Primary Health Care Randomized Controlled Trial
Conditions
Interventions
Participants in this group will receive a brief behavioral intervention delivered by a trained multidisciplinary team consisting of one clinical psychologist and two registered nurses. The program str
s sleep diary, evaluate adherence, address individual barriers, and offer problem-solving support. In week 2, a mindfulness and breathing exercise is additionally introduced to promote relaxation.
- W
Experimental Behavioral,No Intervention Other
Brief Behavioral Treatment for Insomnia (BBT-i) Group,Usual Care Group (Control)
Sponsors
Jiratchaya Rakpong
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Elderly individuals aged sixty years or older. 2. Having sleep problems as assessed by a Pittsburgh Sleep Quality Index (PSQI) score of five or higher, or diagnosed with insomnia according to DSM-5 criteria. 3. Not using sleep medication or sedative-hypnotics within the past four weeks, or having a stable dosage of sleep medication for at least four weeks.
Exclusion criteria
Exclusion criteria: 1. Patients with unstable psychiatric comorbidities, including unstable schizophrenia or severe depressive symptoms with a Geriatric Depression Scale (GDS) score greater than twelve. 2. Having problem alcohol use screened by AUDIT-C (score of four or higher for men, or three or higher for women) or active substance abuse screened by the ASSIST tool. 3. Body Mass Index (BMI) of thirty kg/m2 or higher and having a high risk of obstructive sleep apnea assessed by a STOP-bang questionnaire score of three or higher. 4. Cognitive or communication problems, including a diagnosis of dementia or a past Thai Mini-Mental State Examination (TMSE) or Mini-Mental State Examination (MMSE) score less than twenty-three. 5. End-stage disease or palliative care patients with a Palliative Performance Scale (PPS) score of thirty or less.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep quality Baseline and week 8 Pittsburgh Sleep Quality Index Thai version total score | — |
Secondary
| Measure | Time frame |
|---|---|
| Depression Baseline and week 8 Nine-Questions Depression-Rating Scale (9Q),Quality of life Baseline and week 8 EQ-5D-5L thai version | — |
Countries
Thailand
Contacts
Public ContactJiratchaya Rakpong
Department of Family medicine, Faculty of medicine, Chiang Mai university
Outcome results
None listed