Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children
Abstract Background Sleep is necessary for healthy development and mental wellbeing. Despite this, many children do not get the recommended duration of sleep each night, and many experience sleep problems. Although treatable, existing interventions for sleep disturbance are time-consuming, burdensom...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-023-05185-x |
| _version_ | 1827709095476461568 |
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| author | M. Subotic-Kerry A. Werner-Seidler B. Corkish P. J. Batterham G. Sicouri J. Hudson H. Christensen B. O’Dea S. H. Li |
| author_facet | M. Subotic-Kerry A. Werner-Seidler B. Corkish P. J. Batterham G. Sicouri J. Hudson H. Christensen B. O’Dea S. H. Li |
| author_sort | M. Subotic-Kerry |
| collection | DOAJ |
| description | Abstract Background Sleep is necessary for healthy development and mental wellbeing. Despite this, many children do not get the recommended duration of sleep each night, and many experience sleep problems. Although treatable, existing interventions for sleep disturbance are time-consuming, burdensome for families, and focus on providing behavioural strategies to parents rather than upskilling children directly. To address this gap, we modified Sleep Ninja®, an evidence-based cognitive behavioural therapy for insomnia (CBT-I) smartphone app for adolescent sleep disturbance, to be appropriate for 10 to 12 year olds. Here, we describe the protocol for a randomised controlled trial to evaluate the effect of Sleep Ninja on insomnia and other outcomes, including depression, anxiety, sleep quality, and daytime sleepiness, and explore effects on the emergence of Major Depressive Disorder (MDD), compared to an active control group. Methods We aim to recruit 214 children aged 10 to 12 years old experiencing disturbed sleep. Participants will be screened for inclusion, complete the baseline assessment, and then be randomly allocated to receive Sleep Ninja, or digital psychoeducation flyers (active control) for 6-weeks. The primary outcome, insomnia symptoms, along with depression, anxiety, sleep quality, and daytime sleepiness will be assessed at 6-weeks (primary endpoint), 3-months, and 9-months post-baseline (secondary and tertiary endpoints, respectively). A mixed model repeated measures analytic approach will be used to conduct intention-to-treat analyses to determine whether reductions in insomnia and secondary outcomes are greater for those receiving Sleep Ninja relative to the control condition at the primary and secondary endpoints. The difference in relative risk for MDD onset will be explored at 9-months and compared between conditions. Discussion This is the first clinical trial examining the effects of a CBT-I smartphone app in children experiencing sleep disturbance. Results will provide empirical evidence about the effects of Sleep Ninja on insomnia and other mental health outcomes. Trial registration Australian New Zealand Clinical Trials Registry (ACTRN12623000587606). Universal Trial Number U1111-1294-4167. |
| first_indexed | 2024-03-10T17:16:11Z |
| format | Article |
| id | doaj.art-593c53e4d6fa4657a88f23c822beca89 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-10T17:16:11Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-593c53e4d6fa4657a88f23c822beca892023-11-20T10:29:48ZengBMCBMC Psychiatry1471-244X2023-09-0123111410.1186/s12888-023-05185-xProtocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in childrenM. Subotic-Kerry0A. Werner-Seidler1B. Corkish2P. J. Batterham3G. Sicouri4J. Hudson5H. Christensen6B. O’Dea7S. H. Li8Black Dog Institute, University of New South WalesBlack Dog Institute and School of Psychology, University of New South WalesBlack Dog Institute, University of New South WalesCentre for Mental Health Research, Australian National UniversityBlack Dog Institute and School of Psychology, University of New South WalesBlack Dog Institute and School of Psychology, University of New South WalesFaculty of Medicine and Health, University of New South WalesBlack Dog Institute, University of New South WalesBlack Dog Institute and School of Psychology, University of New South WalesAbstract Background Sleep is necessary for healthy development and mental wellbeing. Despite this, many children do not get the recommended duration of sleep each night, and many experience sleep problems. Although treatable, existing interventions for sleep disturbance are time-consuming, burdensome for families, and focus on providing behavioural strategies to parents rather than upskilling children directly. To address this gap, we modified Sleep Ninja®, an evidence-based cognitive behavioural therapy for insomnia (CBT-I) smartphone app for adolescent sleep disturbance, to be appropriate for 10 to 12 year olds. Here, we describe the protocol for a randomised controlled trial to evaluate the effect of Sleep Ninja on insomnia and other outcomes, including depression, anxiety, sleep quality, and daytime sleepiness, and explore effects on the emergence of Major Depressive Disorder (MDD), compared to an active control group. Methods We aim to recruit 214 children aged 10 to 12 years old experiencing disturbed sleep. Participants will be screened for inclusion, complete the baseline assessment, and then be randomly allocated to receive Sleep Ninja, or digital psychoeducation flyers (active control) for 6-weeks. The primary outcome, insomnia symptoms, along with depression, anxiety, sleep quality, and daytime sleepiness will be assessed at 6-weeks (primary endpoint), 3-months, and 9-months post-baseline (secondary and tertiary endpoints, respectively). A mixed model repeated measures analytic approach will be used to conduct intention-to-treat analyses to determine whether reductions in insomnia and secondary outcomes are greater for those receiving Sleep Ninja relative to the control condition at the primary and secondary endpoints. The difference in relative risk for MDD onset will be explored at 9-months and compared between conditions. Discussion This is the first clinical trial examining the effects of a CBT-I smartphone app in children experiencing sleep disturbance. Results will provide empirical evidence about the effects of Sleep Ninja on insomnia and other mental health outcomes. Trial registration Australian New Zealand Clinical Trials Registry (ACTRN12623000587606). Universal Trial Number U1111-1294-4167.https://doi.org/10.1186/s12888-023-05185-xInsomniaDepressionAnxietyCognitive behaviour therapyChildrenMobile application |
| spellingShingle | M. Subotic-Kerry A. Werner-Seidler B. Corkish P. J. Batterham G. Sicouri J. Hudson H. Christensen B. O’Dea S. H. Li Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children BMC Psychiatry Insomnia Depression Anxiety Cognitive behaviour therapy Children Mobile application |
| title | Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children |
| title_full | Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children |
| title_fullStr | Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children |
| title_full_unstemmed | Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children |
| title_short | Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children |
| title_sort | protocol for a randomised controlled trial evaluating the effect of a cbt i smartphone application sleep ninja r on insomnia symptoms in children |
| topic | Insomnia Depression Anxiety Cognitive behaviour therapy Children Mobile application |
| url | https://doi.org/10.1186/s12888-023-05185-x |
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