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Not yet recruitingNCT07440498Updated Jun 8, 2026

Study of Bedroom Environment Sleep Intervention at Home for Older Adults Living Alone With Memory Concerns

An interventional study of Bedroom Environment Tailoring and Sleep Health Education in Subjective Cognitive Decline (SCD), Mild Cognitive Impairment (MCI) and Insomnia, sponsored by Johns Hopkins University. Not yet recruiting. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by Johns Hopkins University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
65 Years and older
Sex
All
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Study summary

This is an eight-week pilot research study designed to test whether simple changes to the bedroom environment along with brief sleep hygiene strategies, can improve sleep in older adults who live alone, have memory concerns, and experience insomnia symptoms. Older adults may be eligible to participate. The intervention will take 8 weeks, which includes 1-2 in-person visits from the research team at the participant's residence (evaluate the bedroom environment, install participant-agreed bedroom changes, deliver target sleep hygiene strategy) and 2 virtual or telephone calls (support environmental and sleep hygiene strategies) over 8 weeks. Sleep and environment data will be collected at screening/baseline, mid-intervention (4-week) and post-intervention (8-week)

02

Conditions studied

  • Subjective Cognitive Decline (SCD)
  • Mild Cognitive Impairment (MCI)
  • Insomnia

Keywords

  • insomnia
  • home-based intervention
  • randomized controlled trial
  • environmental sensors
  • community-dwelling older adults
  • sleep
03

In context

Cognitive Dysfunction

3,843 studies on the registry are indexed under Cognitive Dysfunction; 1,100 are open to participants now.

This study's planned enrollment of 40 is below the median of 65 across 2,808 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

Johns Hopkins University is the lead sponsor of 1,783 studies on the registry; 313 are open to participants now.

Of its 203 completed or terminated interventional studies of FDA-regulated products, 140 (69%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Age 65 years and older
  • Living alone in a private residence or independent living setting ≥5 days/week
  • Subjective cognitive decline (Subjective Cognitive Decline Questionnaire MyCog > 7] OR objective mild cognitive impairment (Montreal Cognitive Assessment [MoCA] scores between 18-25).
  • Preserved Function (Functional Activity Questionnaire \< 6)
  • Community-dwelling
  • Self-reported insomnia symptoms
  • Residence in the current home for ≥3 months
  • Expectation to sleep in the designated bedroom on ≥80% of nights during the 8 week protocol

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of dementia
  • Presence of acute illness or exacerbation of chronic conditions within the past month.
  • Current enrollment in another intervention study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Bedroom Environment Tailoring

    Behavioral: Bedroom Environment Tailoring

  • Active comparator
    Sleep Health Education

    The control group receives a single in-person or virtual session that provides participants with printed and online sleep health education materials. This introductory session aims to equip participants with foundational knowledge about sleep hygiene. Following this initial session, participants will engage in eight weeks of self-directed practice, allowing the participants to apply the information learned at the participant's own pace.

    Behavioral: Sleep Health Education

Interventions

  • BehavioralBedroom Environment Tailoring

    Within two weeks of completing the parent study and consent, participants begin the personalized bedroom sleep environment program. During in one or two in-home visits, a research team member will review baseline sensor and actigraphy data and install low-cost environmental modifications (e.g., blackout shades, white-noise device, air purifier, thermostat adjustments). Participants collaborate with the coach to set stimulus-control goals and receive individualized sleep-hygiene guidance. A 30-45-minute virtual follow-up in Weeks 2-3 reviews progress and addresses barriers, with a brief Week 6 check-in to reinforce goals. Ongoing support includes daily self-practice, optional between-visit contact, automated reminders, and passive sensor monitoring to promote adherence and confidence in managing sleep.

  • BehavioralSleep Health Education

    The control group receives a single in-person or virtual session that provides participants with printed and online sleep health education materials. This introductory session aims to equip participants with foundational knowledge about sleep hygiene. Following this initial session, participants will engage in eight weeks of self-directed practice, allowing the participant to apply the information learned at the participant's own pace.

06

What researchers measure

Primary outcomes

  1. Feasibility of study and intervention

    Feasibility will be assessed by recruitment, retention, fidelity, and safety over the study period, with progression thresholds: ≥70% eligible enrollee ≥85% retained to Week 8, treatment fidelity (coaching delivered ≥80%), and no serious intervention-related adverse events.

    Time frame: Duration of study, approximately 2 years

  2. Subjective sleep quality as assessed by the Pittsburgh Sleep Quality Index (PSQI)

    Pittsburgh Sleep Quality Index (PSQI) is a 19-item self-report measure of overall sleep quality and disturbances over the past 30 days. It includes seven component scores-subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction-each scored 0-3 (0 = no difficulty; 3 = severe difficulty). Component scores are summed to a global score (0-21), with higher scores indicating worse sleep quality; the global score will be used in the analysis

    Time frame: Baseline, 4-weeks, 8-weeks

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Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, 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
NCT07440498
Lead sponsor
Johns Hopkins University
Collaborators
National Institute on Aging (NIA)
Responsible party
Sponsor
First posted
Feb 27, 2026
Start date
Oct 2026 (estimated)
Primary completion
Jun 2028 (estimated)
Completion
Jun 2028 (estimated)
Last update
Jun 8, 2026

Study contacts

JUNXIN LI
Contact
jli248@jhu.edu
4105022608
Youngmin Cho
Contact
ycho68@jh.edu
Junxin Li, PhD, RN
principal investigator · Johns Hopkins University School of Nursing

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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