ClinicalTrials.gg
CompletedNCT03392194CALYPSOUpdated Sep 11, 2019Results posted

Adapting Sleep and Yoga Interventions for Maximal Effectiveness in Low Income Populations

An interventional study of Sleep hygiene intervention and Yoga intervention in Sleep, sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-09-11.

Sponsored by Brigham and Women's Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 41 studies in Sleep Hygiene with a site in United States — 9 open to participants now, 11 under way, none of them phase 3. Sleep Hygiene · United States.

Enrollment
30th of 39
33 · median 64
Started
2018
with 3 others
No phase
36 of 41
9 open now
Registered
7th of 41
by date

Among the 41 studies in Sleep Hygiene with a site in United States, this one is the 30th largest by enrollment of the 39 interventional ones that give a count, is one of 4 that started in 2018, is one of 36 with no phase, and was the 7th registered.

Sleep Hygiene

126 studies on the registry are indexed under Sleep Hygiene; 32 are open to participants now.

Browse Sleep Hygiene studies →

Open to participants now

9 of the 41 studies in Sleep Hygiene with a site in United States are open now. Recruiting first, the newest first:

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All 9 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 16 Sleep Hygiene studies recruiting now, 4 (25%) set no upper age limit and 11 (69%) stop at 75 or younger; 1 take children under 18; 6 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to evaluate the feasibility of conducting a future randomized control trial that will compare the efficacy of sleep behavioral interventions in a high-risk community including adapted sleep hygiene and yoga. The investigators will conduct a 40 person 12-week randomized control trial (RCT) in low-income housing population where half the participants will receive a community adapted sleep hygiene intervention (SH) and half will receive a community adapted sleep hygiene intervention and a yoga intervention. The investigators will evaluate the feasibility of recruiting from our target community, randomizing individuals to interventions delivered in community rooms with home-based practices, and delivering the targeted interventions with high adherence and fidelity.

Read the detailed description

Inadequate sleep is highly prevalent in low-socioeconomic status (SES) and minority groups and associated with multiple health problems. The root causes of inadequate sleep are often related to behavioral practices and stress, both of which may be favorably impacted using socio-contextually appropriate sleep hygiene recommendations and mind-body practices such as yoga. A preliminary RCT that will address the role of sleep behavioral interventions in a high-risk community will be conducted. This evidence is needed to guide mind-body therapies in low-SES communities in which such strategies are under-utilized to improve health.

The investigators have assembled a multidisciplinary team of experts in sleep medicine, complementary and integrative health, behavioral medicine, community engagement, social epidemiology, and clinical trials to conduct a planning study to adapt behavioral sleep interventions for residents in urban low-income housing and to evaluate their uptake and fidelity. The investigators have conducted qualitative formative evaluation work and conducted modified SH and Yoga pilot studies. In this phase, the investigators will deliver a 12-week trial testing the feasibility of (1) an adapted sleep hygiene intervention (SH) and (2) yoga + adapted sleep hygiene intervention SH+Y):

A. A Sleep Hygiene (SH) Intervention, addressing: beliefs and attitudes towards sleep; challenges for adhering to sleep hygiene recommendations given chaotic family routines, work schedules and bedroom conditions; strategies for overcoming barriers, and prioritization of recommendations most likely to be efficacious.

B. A Yoga (Y) Intervention: intervention intensity/duration and class format; tailored home-based recommendations for bedtime practice combining meditation, breathing and postures; tools to assess and enhance adherence; race/ethnicity concordance of the instructor and student; and use of peer yoga assistants.

The investigators aim to conduct a 40 person 12-week RCT of SH vs SH+Y to inform the design of a future large-scale RCT. The investigators will evaluate the feasibility of recruiting from our target community, randomizing individuals to interventions delivered in community rooms with home-based practices, and delivering the targeted interventions with high adherence and fidelity. The following will be evaluated:

  • Reach of the target population: The number of potentially eligible individuals approached to participate will be tracked as well as the characteristics of individuals who do and do not choose to participate, and differences will be assessed. Reasons for choosing not to participate will be assessed using open ended questions (e.g., burden, perception of yoga, needs, etc.).
  • Adoption and adherence: the proportion of individuals that sustain participation throughout the intervention will be assessed, and quantify attendance at classes and home-practices through logs and interim phone interviews. The investigators will describe patterns of dropout rates and adherence to the interventions by key demographic factors and by moderating and mediating factors.
  • Implementation-consistency of delivery of the intervention: a checklist of core intervention elements will be used to document the degree to which core elements of the intervention was delivered as specified in the protocol.

The investigators will also assess the feasibility of collecting a range of baseline, outcome, process and mediator data and to generate data to support use of specific measures in a later trial, including patterns of missingness of data, distributions of data, correlations between outcomes, baseline factors and mediators, and evaluation of "dose-response" associations between time in intervention and sleep duration and efficiency.

Power analysis (sample size, evaluable subjects, etc.): The study is designed for feasibility and not powered to test the intervention effect. The SH+Y intervention will be considered as potentially efficacious if the estimates for the change scores (post-pre within and between group changes and their 95% confidence intervals) are consistent with clinically significant improvements in sleep duration (actigraphy sleep increases by > 30 minutes), sleep quality improves by > 0.3 standard deviations), or sleep hygiene (reduction in deviation in wake time relative to recommended wake time > 25%). The investigators will consider inclusion of specific measurements (mediators) in a future RCT based on: \<10% missingness; correlation of change score or baseline score with outcomes of >.20; absence of redundancy with a simpler metric (r\<.80).

03

Conditions studied

  • Sleep

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Keywords

  • Behavioral interventions
  • Sleep hygiene
  • Yoga
  • Community research
  • Short sleep duration
  • Low-income population
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Verbally proficient in English
  • Self-reported average (over the prior month) weekday sleep duration of \< 6 hours
  • Reside in a public housing

Exclusion criteria

Exclusion Criteria:

  • Severe physical conditions preventing participation in yoga, including major surgery or head injury in the prior 3 months, or unstable vertebral injury with inability to sit or lie down for 5 or more minutes; or glaucoma
  • Major psychiatric disease (e.g. schizophrenia, depression, PTSD) resulting in hospitalization in the last year; or disease severity that, in the opinion of the investigator, would make it difficult for the participant to partake in the study activities.
  • Severe sleep disorders: self-report of physician diagnosed insomnia requiring hypnotics more than 3 times/ week or an untreated known sleep disorder (sleep apnea, RLS), that in the opinion of the investigator, would make it difficult for the participant to achieve sleep hygiene goals.
  • Needing an assistive device such as a walker or cane, frequent falls, history of stroke resulting in weakness or numbness interfering with moving easily, or other problems causing ongoing balance issues and difficulty walking
  • Yoga class participation in last 6 weeks
  • Known pregnancy.
  • Participation in prior sleep and yoga study pilots
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Sleep hygiene & Yoga (SH+Y)

    Participants will receive the sleep hygiene intervention, which includes 2 sleep hygiene sessions and 10 weeks of maintenance assessment. After completing the SH sessions, they will receive 10 weeks of the yoga intervention (8 in-person yoga sessions and 2 weeks of yoga home practice maintenance assessment).

    Behavioral: Sleep hygiene intervention · Behavioral: Yoga intervention

  • Active comparator
    Sleep hygiene (SH)

    Participants will receive the sleep hygiene intervention, which includes 2 sleep hygiene sessions and 10 weeks of maintenance assessment.

    Behavioral: Sleep hygiene intervention

Interventions

  • BehavioralSleep hygiene intervention

    The community-adapted SH intervention includes 2 group sessions. (1) teach the importance of sleep and the core components of SH; distribute and explain the daily sleep log (2) facilitate an open discussion where participants share challenges and experiences implementing a SH goal.

  • BehavioralYoga intervention

    Following the SH intervention, participants randomized to the SH+Y arm will participate in 8 weekly beginner level yoga classes. Classes will increase participants' skill and comfort with yoga postures and relaxing breathing exercises so that participants can adopt an evening yoga practice (10 weeks).

06

What researchers measure

Primary outcomes

  1. Sleep Duration

    Change in sleep duration from baseline to follow-up measure by actigraphs. We will conduct a repeated measures ANCOVA, modeling time, intervention group and a time\*intervention interaction. We will explore change in stress, anxiety, depressive symptoms, mindfulness, and sleep hygiene score as potential explanatory variables.

    Time frame: 12 weeks

07

Results

Posted Aug 21, 2019
Limitations and caveats
This study was a developmental pilot to test novel interventions in the community. At this stage, sample sizes were not developed to achieve power and statistically reliable results.

Participant flow

From January-March 2018, participants were recruited from two affordable housing communities. Convenience and snowball sampling methods were employed. Study staff and community partners provided information to interested participants at community events and distributed flyers and postcards throughout the communities.

Participant flow — Overall Study
MilestoneSleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)
Started1617
Completed1415
Not completed22
Withdrew: Withdrawal by subject12
Withdrew: Conflicts with personal schedule10

Outcome measures

PrimarySleep Duration

Change in sleep duration from baseline to follow-up measure by actigraphs. We will conduct a repeated measures ANCOVA, modeling time, intervention group and a time\*intervention interaction. We will explore change in stress, anxiety, depressive symptoms, mindfulness, and sleep hygiene score as potential explanatory variables.

Time frame:
12 weeks
Reported as:
Mean · minutes/night
Sleep Duration
minutes/nightSleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)
Sleep Duration-0.91 ± 43.87-2.93 ± 66.92
Statistical analysis
  • Sleep Hygiene & Yoga (SH+Y) vs Sleep Hygiene (SH) · t-test, 2 sided · p = 0.932 · Mean difference (net): -2.02 · 95% CI -46.35 to 50.39Due to main findings, analysis to explore potential mediators of effect were not pursued, despite original plan to explore explanatory variables.

Adverse events

Collected over Five months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sleep Hygiene & Yoga (SH+Y)0/16 (0%)0/16 (0%)8/16 (50%)
Sleep Hygiene (SH)0/17 (0%)0/17 (0%)6/17 (35.3%)
Most frequent other events
Most frequent other events
EventSleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)
Back pain/spasmMusculoskeletal and connective tissue disorders3/162/17
Leg painMusculoskeletal and connective tissue disorders2/161/17
Arm and chest painCardiac disorders2/160/17
Mild rash (actigraph)Skin and subcutaneous tissue disorders0/162/17
Root canal infectionInfections and infestations1/160/17
Cellulitis (foot)Infections and infestations0/161/17
Ear infectionEar and labyrinth disorders0/161/17
Scratched corneaEye disorders0/161/17
InfectionInfections and infestations0/161/17

Baseline characteristics

The baseline population includes those who consented to participate in the study and were randomized to the SH arm or SH+Y arm.

Age, Categorical
Age, Categorical(Participants)Sleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)Total
<=18 years000
Between 18 and 65 years141529
>=65 years224
Age, Continuous
Age, Continuous(years)Sleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)Total
Mean44.44 ± 14.7447.29 ± 10.8345.91 ± 13.09
Sex: Female, Male
Sex: Female, Male(Participants)Sleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)Total
Female151530
Male123
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Sleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)Total
Hispanic or Latino6713
Not Hispanic or Latino10919
Unknown or Not Reported011
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Sleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)Total
American Indian or Alaska Native011
Asian213
Native Hawaiian or Other Pacific Islander000
Black or African American6814
White325
More than one race235
Unknown or Not Reported325
Sleep Duration
Sleep Duration(minutes/night)Sleep Hygiene & Yoga (SH+Y)Sleep Hygiene (SH)Total
Mean400.69 ± 75.45418.06 ± 66.07409.37 ± 70.24
08

Study locations

1 site
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
09

References and documents

Publications

  • Spadola CE, Rottapel R, Khandpur N, Kontos E, Bertisch SM, Johnson DA, Quante M, Khalsa SBS, Saper RB, Redline S. Enhancing yoga participation: A qualitative investigation of barriers and facilitators to yoga among predominantly racial/ethnic minority, low-income adults. Complement Ther Clin Pract. 2017 Nov;29:97-104. doi: 10.1016/j.ctcp.2017.09.001. Epub 2017 Sep 4. PubMed 29122272 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Jun 2018, 5 months.

Results were first posted in Aug 2019, 1 year 1 month after primary completion.

Of 75 non-industry interventional studies with no phase under Sleep Hygiene, half reached primary completion within 8 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 18. This study's 5 months is below that.

Counting every sponsor, half of 79 studies reached it within 8 months; a quarter within 4 and three quarters within 18.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 2, 2018
First posted
Jan 5, 2018
StartActual
Jan 10, 2018
Primary completionActual
Jun 29, 2018
CompletionActual
Jul 12, 2018
Results first posted
Aug 21, 2019
Last update
Sep 11, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 11, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03392194
Responsible party
Susan Redline (Professor, Brigham and Women's Hospital) — Principal investigator
First posted
Jan 5, 2018
Start date
Jan 10, 2018
Primary completion
Jun 29, 2018
Completion
Jul 12, 2018
Results posted
Aug 21, 2019
Last update
Sep 11, 2019

Study contacts

Susan Redline, MD, MPH
principal investigator · Brigham and Women's Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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