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CompletedNCT01809821SLEPTUpdated Sep 3, 2014

Sleep to Lower Elevated Blood Pressure

An interventional study of Online Sleep Education in Hypertension, Sleep Disorders and Insomnia, sponsored by University College Hospital Galway. Completed at 1 site in Ireland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-09-03.

Sponsored by University College Hospital Galway · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Sleep is an essential component of good physical and mental health. Previous studies have reported that poor quality sleep is associated with an increased risk of hypertension, stroke and cardiovascular disease (CVD). Hypertension is the most common and important risk factor for CVD, and even modest reductions in blood pressure result in significant reductions in stroke and myocardial infarction. In this randomised trial, the investigators aim to evaluate whether a simple, multi-component, online sleep intervention reduces blood pressure in patients with essential hypertension.

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Conditions studied

  • Hypertension
  • Sleep Disorders
  • Insomnia
  • Cardiovascular Diseases

Keywords

  • Hypertension
  • Sleep Disorders
  • Insomnia
  • Cardiovascular Diseases
  • Internet treatment
03

In context

Sleep Wake Disorders

788 studies on the registry are indexed under Sleep Wake Disorders; 186 are open to participants now.

This study's enrollment of 134 is above the median of 62 across 548 interventional studies indexed under Sleep Wake Disorders.

Browse Sleep Wake Disorders studies →

Lead sponsor

University College Hospital Galway is the lead sponsor of 22 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Signed written informed consent
  • ≥18 years on entry to study
  • Average automated Systolic Blood Pressure (SBP) monitor readings between 130 - 160 mmHg with average automated Diastolic Blood Pressure(DBP) monitor readings \<110 mmHg on three occasions, measured in a valid standardized manner while seated, or average Ambulatory Blood Pressure Monitor (ABPM) SBP reading between 130-160 mmHg with average DBP reading \<110 mmHg.
  • Self-reported difficulty getting to sleep (defined as usually taking more than 30 mins to get to sleep), and/or staying asleep (usually waking up more than once per night) for at least 3 months duration
  • Internet access and self-reported competency in using the internet

Exclusion criteria

Exclusion Criteria:

  • Receiving > 2 antihypertensive medications, or recent change in antihypertensive medications (within previous 2 months) or planned change in antihypertensive medication in next 8 weeks
  • Previous history of myocardial infarction, ischaemic stroke or transient ischaemic attack
  • Previous history of congestive heart failure
  • History of dialysis for chronic renal impairment or evidence of chronic kidney disease (eGFR \<60 or albuminuria).
  • Known history of diabetes mellitus
  • Current ongoing sleep hygiene education or sleep related cognitive behavioural therapy
  • Ongoing involvement in night shift work
  • History of obstructive sleep apnoea (OSA) and previously received or currently receiving treatment for OSA (patients with a history of untreated OSA are eligible for inclusion).
  • Known history of sleep disorders (i.e. narcolepsy; hypersomnias; parasomnias such as sleep walking, night terrors, recurring nightmares; periodic limb movements/restless leg syndrome; circadian rhythm sleep disorder)
  • Unable to follow educational advice in the opinion of the clinician
  • Baby or young children at home that wake during the night
  • History of bipolar affective disorder
  • History of psychosis
  • History of major depression (defined as depression requiring hospitalization in the past or visit to psychiatry outpatient clinic in the past 3 months)
  • Unstable depression (unstable will be defined as changes in antidepressant medications within the last 3 months - i.e. start, stop or change in dose.)
  • Unstable anxiety disorders/panic attacks (unstable will be defined as changes in medications within the last 3 months - i.e. start, stop or change in dose.)
  • Ongoing substance or alcohol abuse
  • Planned surgery or hospitalization over the next 8 weeks (i.e. during the trial)
  • Incapacitating pain or illness or other medical condition in which, in the opinion of the clinician, the sleep intervention is unlikely to be effective.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
134 participants (actual)

Study arms

  • Experimental
    Online Sleep Education

    The sleep intervention is a multi-component online intervention consisting of sleep information and sleep hygiene education, along with behavioural and cognitive components.

    Behavioral: Online Sleep Education

  • No intervention
    Usual CV care

    Specialist nurses will administer the CV risk factor education intervention to participants in small groups over one hour.

Interventions

  • BehavioralOnline Sleep Education
06

What researchers measure

Primary outcomes

  1. Systolic Blood Pressure

    To determine if the addition of a multi-component, online, sleep intervention to usual care (standard CV risk factor education), results in a greater reduction in mean 24-hr systolic blood pressure in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8-week period.

    Time frame: 8 weeks

Secondary outcomes

  1. Diastolic Outcome Measure

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with a greater reduction in mean 24-hr diastolic blood pressure in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8-week period?

    Time frame: 8 weeks

  2. Sleep efficiency

    Change in proportion of participants with sleep efficacy ≥ 85% at 8 weeks

    Time frame: 8 weeks

  3. Sleep onset latency

    Change in proportion of participants with sleep onset latency ≤ 30 minutes at 8 weeks

    Time frame: 8 weeks

  4. PSQI

    Change in proportion of participants with Pittsburgh Sleep Quality Index (PSQI) score \<5 over 8 weeks

    Time frame: 8 weeks

  5. SCI

    Change in proportion of participants with sleep condition indicator (SCI) score ≤5.9 at 8 weeks

    Time frame: 8 weeks

  6. ISI

    Change in proportion of participants with Insomnia Severity index (ISI) score ≥15 at 8 weeks

    Time frame: 8 weeks

Other outcomes

  1. Body Mass Index

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in body mass index in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  2. Plasma lipoproteins

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in plasma lipids in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  3. Plasma HbA1c

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in plasma HbA1c in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  4. eGFR

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in eGFR in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  5. Insomnia Severity Index

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in Insomnia Severity Index Score in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  6. Sleep Condition Indicator Score

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in Sleep Condition Indicator Score in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  7. Pittsburgh Sleep Quality Index

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in Pittsburgh Sleep Quality Index in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  8. Mean number of cigarettes smoked

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in mean number of cigarettes smoked in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  9. Sleep onset latency

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in sleep onset latency in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  10. Wake time to sleep onset

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in wake time to sleep onset in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  11. Sleep efficiency

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in sleep efficiency in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  12. Beck Depression Inventory score

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in Beck Depression Inventory score in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  13. Beck Anxiety Inventory score

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with greater improvements in Beck Anxiety Inventory score in patients with hypertension and poor sleep quality, compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  14. Smoking status

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with a change in smoking status compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  15. Diastolic blood pressure

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with a change in daytime (peak and mean) diastolic blood pressure , compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  16. Systolic blood pressure

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with a change in daytime (peak and mean) systolic blood pressure , compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  17. Total Sleep Time

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with a change in Total Sleep Time , compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  18. Diastolic blood pressure

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with a change in nighttime (peak and mean) diastolic blood pressure , compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  19. Systolic blood pressure

    Is the addition of a multi-component online sleep intervention to usual care (standard CV risk factor education), associated with a change in nighttime (peak and mean) systolic blood pressure , compared to usual care alone, over an 8 week period?

    Time frame: 8 weeks

  20. Systolic blood pressure

    Is the level of adherence to a multi-component online sleep intervention associated with a change in mean 24-hour SBP over 8 weeks

    Time frame: 8 weeks

  21. Systolic blood pressure

    To determine if concomitant use of antihypertensive medication influences the change in mean 24-hour SBP over 8 weeks .

    Time frame: 8 weeks

07

Study locations

1 site
  • HRB Clinical Research Facility Galway
    Galway, Ireland
08

References and documents

Publications

  • McGrath ER, Espie CA, Murphy AW, Newell J, Power A, Madden S, Byrne M, O'Donnell MJ. Sleep to lower elevated blood pressure: study protocol for a randomized controlled trial. Trials. 2014 Oct 9;15:393. doi: 10.1186/1745-6215-15-393. PubMed 25300874 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01809821
Lead sponsor
University College Hospital Galway
Collaborators
Health Research Board, Ireland
Responsible party
Dr. Emer McGrath (Dr.Emer McGrath, University College Hospital Galway) — Principal investigator
First posted
Mar 13, 2013
Start date
May 2013
Primary completion
Jun 2014
Completion
Jun 2014
Last update
Sep 3, 2014

Study contacts

Martin J O'Donnell, MB PhD
principal investigator · National University of Ireland, Galway

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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