Indonesian-Language Application-Based Guided Imagery Therapy for Insomnia and Glycemic Control in Diabetic Patients

Dr Cipto Mangunkusumo General Hospital

Status: Completed

Conditions: Diabetes (Insulin-requiring, Type 1 or Type 2); Fasting Plasma Glucose; Insomnia Type; Sleep Disorder

Treatments: Other: Psychoeducation; Other: Indonesian-language application-based auditory guided imagery therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07141940

RSCM_IPD_PPM_2025.01

Details and patient eligibility

About

The goal of this clinical trial is to learn if guided imagery therapy using mobile application in Indonesian language can improve sleep quality and lower fasting blood glucose levels in diabetics patients who have problems with their sleep.

The main questions it aims to answer are:

• Can the app-based guided imagery therapy help improve sleep quality in diabetic patients who have trouble sleeping?
• Can the app-based guided imagery therapy help lowering fasting blood glucose in diabetic patients who have trouble sleeping? Researchers will compare app-based guided imagery therapy to education about how to sleep well, to see if the app works to improve sleep quality and lower blood glucose.

Participants will:

• Receive education about how to sleep well
• Use the app 3 times a week for 4 weeks (only for group who receive the app)
• Visit the clinic after 4 weeks for tests

Enrollment: 66 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients at Endocrinology or Psychosomatic Clinic, Cipto Mangunkusumo Hospital
• Already diagnosed with Diabetes Mellitus
• HbA1c less than 12%
• Insomnia Severity Index more than 8
• Lives in Jakarta, Bogor, Depok, Tangerang, or Bekasi
• Able to understand the Indonesian language well

Exclusion criteria

• History of amputation or routine hemodialysis
• No device available to connect with the application
• Inability to independently access or use the application
• Inability to perform self-monitoring of blood glucose at home
• Hearing impairment
• Cognitive impairment or intellectual limitations

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

66 participants in 2 patient groups

Intervention Group

Experimental group

Description:

The participants receive psychoeducation at the enrollment. Then, they were asked to use the Indonesian-language application-based auditory guided imagery therapy 3 times a week for 4 weeks.

Treatment:

Other: Indonesian-language application-based auditory guided imagery therapy

Control Group

Active Comparator group

Description:

The participants receive only psychoeducation at the enrollment.

Treatment:

Other: Psychoeducation