Cognitive Behavioral Sleep Intervention for Prevention of Type 2 Diabetes

The University of Hong Kong36 enrolled

Overview

The proposed study aims to evaluate if improving sleep could enhance the intensive lifestyle intervention for improving weight loss and glycemic control in prediabetic individuals who have insomnia with short sleep duration. A cognitive behavioral intervention for insomnia with adjustments aimed at increasing sleep duration (CBT-Sleep) will be used for this study.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

PreDiabetes Insomnia Sleep Deprivation

Interventions

Intensive Lifestyle InterventionBEHAVIORAL

This intervention is an abbreviated version of the Diabetes Prevention Program, which has been shown to be effective in reducing the risk of developing type 2 diabetes.

Intensive Lifestyle Intervention enhanced with Cognitive Behavioral Sleep InterventionBEHAVIORAL

This intervention will consist of the same 8 sessions of ILI with additions of sleep components in each session. The additional sleep components will include (a) psychoeducation about the importance of sleep in weight control and glycemic control, (b) sleep hygiene, (c) stimulus control, (d) modifying maladaptive beliefs about sleep, (e) and, setting individualized sleep schedule and reviewing sleep schedule.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * (a) Hong Kong residents, * (b) BMI \> 23kg/m2, * (c) aged 18 to 65 year-old, * (d) have prediabetes, defined by a plasma fasting glucose concentration of 5.6 to 6.9 mmol/L, impaired glucose tolerance (2hglucose 7.8-11.0 on OGTT), or HbA1c 5.7-6.4%, * (e) have average habitual sleep duration \< 6.5 hours, confirmed by actigraphy measure of sleep for 2 weeks or have insomnia, confirmed in a clinical sleep interview and actigraph-measure of greater than 30 minutes of sleep onset latency or nighttime awakening for 3 nights or more per week Exclusion Criteria: * (a) have unmanaged sleep apnea or other sleep disorders, * (b) have any current severe mental illnesses, * (c) have any medical conditions or medication use that could undermine the efficacy of the sleep intervention, * (d) have shift work schedules, * (e) have any environmental constraints on the feasibility of implementing a sleep schedule of at least 7.5 hours

Locations (2)

Queen Mary Hpspital

Hong Kong, Hong Kong

The University of Hong Kong

Hong Kong, Hong Kong