The DREAM Study: A Multidimensional Sleep Health Intervention for Improving Cardiometabolic Health

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30+
SponsorColumbia University

About this trial

The purpose of this randomized clinical trial is to evaluate the impact of a multidimensional sleep health promotion intervention on blood pressure, glycemic control indicators, anthropometric markers of adiposity, and lifestyle factors in adults. Participants will be randomized into an intervention or a control group. The control arm will receive standard Life's Essential 8 cardiovascular health educational materials. The intervention arm will additionally receive a multi-component intervention aimed at improving sleep health based on evidence-based sleep hygiene education and established behavior change techniques that include personalized sleep health feedback, goal setting and establishing a sleep health plan, coaching, self-monitoring, and addressing light and noise in the sleep environment. Mixed methods will be used to understand implementation determinants, processes, and outcomes, ensuring the successful completion and future expansion of this intervention.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Adults aged 30+ years

English or Spanish speaking

Systolic blood pressure greater than or equal to 120 mmHg

Sub-optimal sleep health

Disqualifiers

Optimal sleep health

History of cardiovascular disease or cancer

Non-English or non-Spanish speaking

Not cognitively able to complete study requirements

Trial design

Design model

Parallel

Treatments tested in this trial

  • Multidimensional Sleep Health Promotion Intervention

    Behavioral

    Multi-component multidimensional sleep health promotion intervention that includes goal setting, action planning, sleep health coaching and sleep hygiene education, a fixed sleep schedule, self-monitoring, personalized feedback and supportive accountability, and addressing light and noise in the sleep environment.

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: Multidimensional Sleep Health Promotion InterventionExperimental treatment 1 intervention
Group B: Standard of careNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Change in office systolic blood pressure

The change office systolic blood pressure (mmHg) from baseline to follow-up at 8 weeks will be calculated and compared across randomization arms.

Time frame
Baseline, 8 weeks

Secondary outcomes

1

Change in office systolic blood pressure (sustained effect at 24 weeks)

The change office systolic blood pressure (mmHg) from baseline to follow-up at 24 weeks will be calculated and compared across randomization arms.

Time frame
Baseline, 24 weeks
2

Change in office diastolic blood pressure

The change office diastolic blood pressure (mmHg) from baseline to follow-up at 8 weeks and 24 weeks will be calculated and compared across randomization arms.

Time frame
Baseline, 8 weeks, and 24 weeks
3

Change in daytime blood pressure (during wake)

Mean daytime blood pressure (mean of blood pressure readings during the wake period) will be computed using valid readings from 24-h ambulatory blood pressure monitoring. Changes in out-of-office daytime blood pressure metrics from baseline to follow-up at 8 weeks and 24 weeks will be calculated and compared across randomization arms.

Time frame
Baseline, 8 weeks, and 24 weeks
4

Change in nighttime blood pressure (during sleep)

Mean nighttime blood pressure (mean of blood pressure readings during the sleep period) will be computed using valid readings from 24-h ambulatory blood pressure monitoring. Changes in out-of-office nighttime blood pressure metrics from baseline to follow-up at 8 weeks and 24 weeks will be calculated and compared across randomization arms.

Time frame
Baseline, 8 weeks, 24 weeks

Other outcomes

Sponsors and contacts

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Columbia University

Lead sponsor

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator