Improving Sleep in a Psychiatric Hospital

The University of Texas System (UT)

Status and phase: Not yet enrolling; Phase 1

Conditions: Sleep Disorder; Mental Health Issue

Treatments: Device: Eye Mask; Drug: Scented Oil; Device: Ear Plugs; Behavioral: Video based safety check; Behavioral: In person safety check

Study type: Interventional

Funder types: Other

Identifiers

NCT07010718

HSC-MS-24-1035

Details and patient eligibility

About

The purpose of this study is to examine effects of sleep promotion versus treatment as usual (TAU) on subjective, self-reported sleep while in inpatient psychiatric treatment, to examine effects of sleep promotion vs. TAU/sleep disruption on self-reported depression, anxiety, suicide risk across inpatient length of stay, readmission at 72 hours, objective sleep and to compare implementation outcomes of acceptability and feasibility of sleep promotion relative to TAU/sleep disruption as reported by patients, clinicians, and clinic leaders using mixed methods.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admitted voluntarily to inpatient psychiatric hospital for suicidal ideation or behavior.
• Continue to express suicide risk on the Suicide Behaviors Questionnaire-Revised (SBQ-R) of ≥8 at admission.
• Cognitive ability as tested by the Montreal Cognitive Assessment (MoCA) of > 23.
• Have sufficient communication and comprehension ability to consent to the study
• English speaking

Exclusion criteria

• Intellectual disability/unable to give informed consent.
• Patients with one-to-one supervision or 15-minute (Q15) safety checks for suicidality or aggression will be unable to enroll in the study until these restrictions are discontinued.
• Patients with roommates that are on one-to-one supervision or Q15 safety checks for suicidality or aggression.
• Patients enrolled in the study with a patient admitted as their roommate who requires one-to-one supervision or Q15 checks-Patient will be unenrolled if a room change is not possible.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Sleep promotion

Experimental group

Description:

Scented Oil Ear Plugs Eye Mask Video based safety checks will be done as long as participant is asleep. In person safety check will be done once participant is awake

Treatment:

Behavioral: In person safety check

Behavioral: Video based safety check

Device: Ear Plugs

Device: Eye Mask

Drug: Scented Oil

Treatment as usual

Active Comparator group

Description:

Only in person safety check will be conducted

Treatment:

Behavioral: In person safety check