Status:

RECRUITING

The Impact of Cognitive Behavioral Therapy for Insomnia (CBT-I) on Glycemic Control in Older Type 2 Diabetes (T2D) Comorbid With Insomnia

Lead Sponsor:

Chinese University of Hong Kong

Conditions:

Diabetes Mellitus, Type 2

Insomnia

Eligibility:

All Genders

60+ years

Phase:

NA

Brief Summary

This study is a RCT aiming to use CBT-I as intervention, compared to usual care as control, to elucidate the effect of CBT-I on glycemic control, sleep quality, psychological outcomes, and cognitive f...

Detailed Description

Insomnia is the most common sleep disorders affecting 10% to 30% of the population, imposing a huge burden on healthcare systems. While the amount of deep sleep (slow wave and rapid eye movement) decl...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Aged ≥60 years;
  • T2D with suboptimal glycemic control defined as HbA1c 7.1-10%;
  • Chinese ethnicity;
  • Comorbid with insomnia having ISI score \>10;
  • Able and willing to give informed written consent
  • Exclusion criteria:
  • Cognitive impairment (HK-MoCA score of ≤22);
  • Depression (GDS-15 score \>8) and other psychiatric disorders e.g. generalized anxiety disorder, restless leg syndrome, schizophrenia to be elucidated by history from research nurse and questionnaires;
  • Benign prostatic hypertrophy by history and/or elevated PSA and any other chronic medical condition that is likely to affect sleep e.g. chronic pain;
  • Concurrent use of hypnotic drugs, psychotic medications and any drugs that are known to affect sleep;
  • Cerebrovascular accidents, vascular dementia, or any condition that are known to affect cognitive function;
  • Shift workers;
  • Haemoglobinopathies, renal failure, need of regular blood transfusion or any other conditions which will affect the validity of HbA1c in measurement of glycemia;
  • Any condition, as judged by the investigators, as ineligible to participate in this study.

Exclusion

    Key Trial Info

    Start Date :

    May 1 2022

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 31 2026

    Estimated Enrollment :

    214 Patients enrolled

    Trial Details

    Trial ID

    NCT04831385

    Start Date

    May 1 2022

    End Date

    August 31 2026

    Last Update

    July 11 2025

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Department of Medicine and Therapeutics, The Chinese University of Hong Kong (CUHK), Ward 3M, Diabetes and Endocrine Research Centre, 3/F Day Treatment Block and Children Wards (Old Block), Prince of Wales Hospital

    Hong Kong, Hong Kong