NCT04566822

Brief Summary

The Centers for Disease Control and Prevention has identified insufficient sleep as a public health epidemic, with more than 70 million US adults experiencing insomnia each year. However, access to current evidence-based interventions for sleep disturbance (e.g., Cognitive Behavior Therapy for Insomnia \[CBT-I\]) is limited due to the need for specialized providers as well as monetary and logistical barriers that prevent many individuals from attending in-person treatment sessions (e.g., scheduling, transportation, childcare). Novel modes of delivery are needed to extend the benefits of these treatments to a wider range of individuals in need. The purpose of this study is to evaluate Calm Sleep Coaching in adults with sleep disturbance (score of greater than or equal to 8 on the Insomnia Severity Index) by 1) determining the feasibility (i.e., acceptability, demand) of Calm Sleep Coaching and 2) determining the preliminary effects of Calm Sleep Coaching on primary (sleep quality) and secondary outcomes (i.e., symptoms of insomnia, mental health, well-being, resilience, and productivity). Investigators also aim to explore coaches' experiences with implementation of Calm Sleep Coaching using an investigator developed survey and assess the participants stage of change (transtheoretical model) throughout the program. Investigators hypothesize that 1) Calm Sleep Coaching will be feasible among individuals with sleep disturbance and 2) participating in the Calm Sleep Coaching program is associated with improvements in primary and secondary outcomes compared to the control group (with greater improvements observed among those participating in higher touch coaching interventions). Investigators aim to recruit N=200 participants. Participants will be randomized into one of four groups: 1) High-touch intervention (N=50; real-time video and chat messaging, coach response via live videos), 2) medium-touch intervention (N=50; real-time video and pre-recorded video and chat messaging with response from coach), 3) low-touch intervention (N=50; chat messaging with response from coach), or 4) Sleep education control (N=50; no coaching).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
388

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 17, 2020

Completed
4 days until next milestone

Study Start

First participant enrolled

September 21, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 28, 2020

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 22, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 22, 2020

Completed
Last Updated

December 24, 2020

Status Verified

December 1, 2020

Enrollment Period

3 months

First QC Date

September 17, 2020

Last Update Submit

December 22, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Sleep Disturbance

    Sleep Disturbance will be measured with the Insomnia Severity Index. Scores range from 0-28 with higher score indicates more severe insomnia.

    Change from baseline to post-intervention (week 6)

Secondary Outcomes (7)

  • Sleep Quality: Pittsburgh Sleep Diaries

    Change from baseline to post-intervention (week 6)

  • Stress

    Change from baseline to post-intervention (week 6)

  • Depression

    Change from baseline to post-intervention (week 6)

  • Anxiety

    Change from baseline to post-intervention (week 6)

  • Well-being

    Change from baseline to post-intervention (week 6)

  • +2 more secondary outcomes

Study Arms (4)

High-touch intervention

EXPERIMENTAL

* 6 live video coaching sessions * Coaching/feedback is tailored to the individual and adaptive to their progress * Member can send the Coach messages between sessions, but the Coach will not respond until the live session

Behavioral: High Touch intervention

medium-touch intervention

EXPERIMENTAL

* 3 live video coaching sessions * 2 live videos are optional (recommended for end of Weeks 3 and 5, but member can take advantage of them anytime) * 2-4 pre-recorded video sessions at end of the week. Pre-recorded videos provided in the absence of live sessions * Chat messaging between sessions with 24-48 hour response time

Behavioral: Medium Touch intervention

low-touch intervention

EXPERIMENTAL

* 1 Live video coaching session (week 1) * Chat messaging with 24-48 hour response time

Behavioral: Low Touch intervention

Sleep education control

SHAM COMPARATOR

* Weekly sleep education for six weeks * No interaction with coach

Behavioral: Sleep Education Control

Interventions

The Calm app is downloadable by participants onto their smartphone to access the Calm app and Calm Sleep Coaching. The Calm app is used to deliver the intervention to experimental group participants.

High-touch intervention

The Calm app is downloadable by participants onto their smartphone to access the Calm app and Calm Sleep Coaching. The Calm app is used to deliver the intervention to experimental group participants.

medium-touch intervention

The Calm app is downloadable by participants onto their smartphone to access the Calm app and Calm Sleep Coaching. The Calm app is used to deliver the intervention to experimental group participants.

low-touch intervention

Participants in the sleep education control will not have access to a coach. Weekly sleep education will be accessible to the participant on a weekly basis. The sleep education content will be the same that is provided to the intervention participants.

Sleep education control

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • At least 18 years of age
  • Own a smartphone
  • Reside in the US or a US territory
  • Only English speakers
  • Score of greater than or equal to 8 on the Insomnia Severity Index
  • Willing to download the Calm app to their smartphone
  • Willing to be randomized

You may not qualify if:

  • Greater than or equal to 60 minutes/month of meditation for the past six months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Arizona State University

Phoenix, Arizona, 85004, United States

Location

MeSH Terms

Conditions

Parasomnias

Condition Hierarchy (Ancestors)

Sleep Wake DisordersNervous System DiseasesMental Disorders

Study Officials

  • Jennifer Huberty, PhD

    Arizona State University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: The participants will be blinded as to which group is receiving the intervention being assessed
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 17, 2020

First Posted

September 28, 2020

Study Start

September 21, 2020

Primary Completion

December 22, 2020

Study Completion

December 22, 2020

Last Updated

December 24, 2020

Record last verified: 2020-12

Data Sharing

IPD Sharing
Will not share

Locations