NCT06475378

Brief Summary

The purpose of the study is to evaluate the effectiveness of technology-assisted breathing exercises combined with Cognitive Behavioral Therapy for Insomnia (CBT-I) in primary insomnia patients to investigate. For this purpose, we will conduct 1 study. This will be a randomized controlled trial in which 72 patients randomly and stratified by gender will be divided into 3 groups. A first group follows the standard treatment Cognitive Behavioral Therapy for Insomnia (CBT-I), the second group follows the combined treatment Cognitive Behavioral Therapy for Insomnia with a technology supported breathing exercises with a tactile breath pacer device (Moonbird) (CBT-I + Moonbird) and a third group follows the standard treatment Cognitive Behavioral Therapy for Insomnia and receives a non-functional technology supported breathing exercises with a tactile breath pacer device (Moonbird). The therapy, baseline measurements, screening for inclusion and questionnaire administration and ambulatory polysomnography (PSG) will be performed by the sleep psychologists at the UZ Brussel. The polysomnography screening for in- or exclusion (i.e. presence of other untreated sleep disorders) will be performed at the UZ Brussel. Furthermore, two follow-up measurements will be scheduled. The first measurement will take place immediately after the treatment while the second measurement will take place 3 months after the treatment.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
72

participants targeted

Target at P50-P75 for not_applicable

Timeline
4mo left

Started Mar 2025

Status
not yet recruiting

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

Study Progress79%
Mar 2025Sep 2026

First Submitted

Initial submission to the registry

November 15, 2023

Completed
7 months until next milestone

First Posted

Study publicly available on registry

June 26, 2024

Completed
8 months until next milestone

Study Start

First participant enrolled

March 1, 2025

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2026

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2026

Expected
Last Updated

February 18, 2025

Status Verified

June 1, 2024

Enrollment Period

1 year

First QC Date

November 15, 2023

Last Update Submit

February 13, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Sleep onset latency

    Sleep onset latency (SOL) will be calculated with a sleep diary during the intervention or by polysomnography (PSG) during baseline and follow up.

    Baseline (week 0; PSG), through completion of the intervention phase (weeks 1,2,3,4,5,6,7; sleep diary), First follow up (week 8; PSG), second follow up (3 months after the intervention; PSG)

Secondary Outcomes (8)

  • The severity of insomnia

    Baseline, Follow up (week 7 / 3 months after experiment)

  • Level of sleepiness

    Baseline, Follow up (week 7 / 3 months after experiment)

  • Current beliefs around sleep

    Baseline, Follow up (week 7 / 3 months after experiment)

  • Severity of anxiety and depression symptoms

    Baseline, Follow up (week 7 / 3 months after experiment)

  • Level of sleep quality

    Baseline, Follow up (week 7 / 3 months after experiment)

  • +3 more secondary outcomes

Study Arms (3)

CBT-I

ACTIVE COMPARATOR

Cognitive Behavioral Therapy for Insomnia (CBT-I) will be provided and seen as 'no intervention'

Behavioral: Cognitive Behavioral Therapy for Insomnia

CBT-I + Moonbird (MB)

EXPERIMENTAL

Cognitive Behavioral Therapy for Insomnia (CBT-I) will be combined with a technology supported breathing exercises with a tactile breath pacer device (Moonbird)

Device: MoonbirdBehavioral: Cognitive Behavioral Therapy for Insomnia

CBT-I + MBsham

SHAM COMPARATOR

Cognitive Behavioral Therapy for Insomnia (CBT-I) will be combined with a non-functioning technology supported breathing exercises with a tactile breath pacer device (Moonbird)

Behavioral: Cognitive Behavioral Therapy for Insomnia

Interventions

MoonbirdDEVICE

Moondbird is a technology-supported breathing exercise with a tactile breath pacer device

CBT-I + Moonbird (MB)

Cognitive Behavioral Therapy for Insomnia (CBT-I) is the recommended, first-line treatment for chronic insomnia, as it is proven to be highly effective in improving sleep quality. It is a multifaceted approach, which includes time-in-bed restriction (i.e., reducing time spent in bed to enhance sleep consolidation), stimulus control (i.e., restricting behaviours incompatible with sleep in the bedroom), and cognitive restructuring (i.e., addressing and altering maladaptive thoughts and beliefs regarding sleep) to reinstate a regular sleep pattern.

CBT-ICBT-I + MBshamCBT-I + Moonbird (MB)

Eligibility Criteria

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

You may qualify if:

  • Patients must be diagnosed with chronic insomnia.

You may not qualify if:

  • Underaged patients and patients with untreated comorbid (sleep) disorders will be excluded from the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Intervention Hierarchy (Ancestors)

Behavior TherapyPsychotherapyBehavioral Disciplines and Activities

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The researcher performing the statistics and outcome assessors will be blinded to group allocation.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized controlled trial (RCT)
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prof

Study Record Dates

First Submitted

November 15, 2023

First Posted

June 26, 2024

Study Start

March 1, 2025

Primary Completion

March 1, 2026

Study Completion (Estimated)

September 1, 2026

Last Updated

February 18, 2025

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share