Sleep Technology Intervention to Target Cardiometabolic Health (STITCH): a randomized controlled study of a behavioral sleep extension intervention compared to an education control to improve sleep duration, blood pressure, and cardiometabolic health among adults with elevated blood pressure/hypertension

Trials

Study Protocol

Tom Greene¹  Sara Simonsen¹  Chelsea Allen¹  Molly B. Conroy²  Adam Bress³  Jennifer Duffecy⁴  Kelly Glazer Baron⁵  Sofia Vallejo⁵ 

[1] College of Nursing, University of Utah, Salt Lake City, USA;Department of Internal Medicine, University of Utah, Salt Lake City, USA;Department of Population Health Sciences, University of Utah, Salt Lake City, USA;Department of Psychiatry, University of Chicago, 912 S Wood, 60612, Chicago, IL, USA;Division of Public Health, Department of Family and Preventive Medicine, University of Utah, 375 Chipeta Way Suite A, 84013, Salt Lake City, UT, USA;

关键词: Sleep;    Hypertension (HTN);    Systolic blood pressure (SBP);    Diastolic blood pressure (DBP);    Cardiometabolic disease (CMD);    Sleep coaching;   

DOI  :  10.1186/s13063-023-07658-6

 received in 2023-08-31, accepted in 2023-09-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundShort sleep duration, defined as < 7 h sleep on weeknights, affects 40% of the US adult population, contributing to the increased risk for cardiometabolic diseases, decreased safety, and poorer mental health. Despite the prevalence of short sleep duration, few studies have tested interventions to extend sleep duration. The objective of this study is to test the effects of a behavioral sleep extension intervention on sleep duration, blood pressure, and other measures of cardiometabolic health among adults with elevated blood pressure or hypertension.MethodsThis is a single-blind, randomized controlled trial to determine the impact of a behavioral sleep extension intervention on sleep duration and cardiometabolic health among individuals with short sleep duration (< 7 h per night) and elevated blood pressure or hypertension (SBP 120–150 mmHg or DBP 80–90 mmHg). After completing the screening, participants will be randomly assigned to either a sleep coaching (intervention) or health education (control) group. The participants will have weekly contact for either coaching or education for 8 weeks (intervention period) followed by monthly coaching or education for the next 2 months (maintenance period). Participants will complete assessment visits, actigraphy, and 24-h ambulatory blood pressure recording at baseline/screening, 8 weeks, and 6 and 12 months. The primary outcome is sleep duration at 8 weeks, and the secondary outcome is blood pressure at 8 weeks.DiscussionThe results of this study will determine the effects of behavioral sleep extension on sleep and cardiometabolic health among adults with short sleep duration and elevated BP/hypertension. The results will inform the feasibility and efficacy of behavioral sleep extension and provide information needed for future multi-site effectiveness studies.Trial registrationClinicalTrials.gov NCT04766424. Registered on 21 February 2021.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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