A Study Looking to Improve Sleep and Reduce Sedentary Behaviour in Those Living With Type 2 Diabetes Mellitus

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorUniversity of Leicester

About this trial

The goal of this clinical feasibility trial is to learn whether the investigators can improve sleep and reduce sedentary behaviour in people living with Type 2 diabetes mellitus with sleep problems. The main questions it aims to answer are: • question 1, can objectively measured sleep and sedentary behaviour be improved in the participants and • question 2, what effect will this have on a number of physical and physiological markers. Participants in the intervention group will be asked to keep sleep diaries and attend regular meetings with a qualified coach who will use a specific talking therapy to try to improve sleep and with use behaviour change techniques to help them be less sedentary. Researchers will compare the control group to the intervention group to see if effects differ between groups.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed with Diabetes Mellitus type 2 for longer than 3 months

Participant is willing and able to give informed consent to take part in the study.

Sleep disorder symptom checklist 25 (SDS-CL-25) of ≥5 on insomnia criteria.

Not at high risk of undiagnosed Obstructive Sleep Apnoea (OSA), scoring ≥5 on STOP BANG scale (snoring, tired, observed, pressure, body mass index, age, neck size, gender) diagnosed treated OSA is acceptable.

Disqualifiers

Individuals living with narcolepsy or diagnosed parasomnia

Individuals with type 1 diabetes or gestational diabetes

Recent cardiovascular event (within the last 6 months).

Currently on opioids

Trial design

Design model

Parallel

Treatments tested in this trial

  • CBTi

    Behavioral

    A 12 week intervention using CBTi to improve sleep measured using objective and subjective measures. Participants will complete a number of questionnaires and tests at baseline and at completion to allow comparisons to be made.

  • Control - usual care

    Other intervention

    Participants will be given a leaflet summarising good sleep practice and the advantages of reducing sedentary behaviour. Participants will complete a number of questionnaires and tests at baseline and at completion to allow comparisons to be made.

  • Sedentary behaviour reduction

    Behavioral

    Participants will be encouraged to increase activity and thus reduce sedentary time. Investigators will use behaviour change techniques to aid in this goal. Participants will complete a number of questionnaires and tests at baseline and at completion to allow comparisons to be made.

Treatment groups

44 Participants
are divided into 2 treatment groups
Group A: CBTi and Sedentary Behaviour supportExperimental treatment 2 interventions
Group B: Control - usual careActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Sleep Efficiency (SE) measured using accelerometer data.

The primary outcome measure is change in objectively measured SE in the intervention arm compared to the control group.

Time frame
Before and after the 12 week intervention/intervention period

Secondary outcomes

1

Objectively measured sleep - sleep onset latency

Accelerometer data will be used to measure sleep onset latency in minutes.

Time frame
Before and after the 12 week intervention/intervention period
2

Objectively measured sleep - wake after sleep onset

Accelerometer data will be used to measure wake after sleep onset in minutes.

Time frame
Before and after the 12 week intervention/intervention period
3

Objectively measured sleep - total sleep time

Accelerometer data will be used to measure total sleep time in minutes.

Time frame
Before and after the 12 week intervention/intervention period
4

Objectively measured sleep - sleep duration variability

Accelerometer data will be used to measure sleep duration variability in minutes.

Time frame
Before and after the 12 week intervention/intervention period

Other outcomes

Sponsors and contacts

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University of Leicester

Lead sponsor

University Hospitals, Leicester

Collaborator