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Lay-led Brief Cognitive Behavioural Therapy for Insomnia (CBT-I) Group for Older Adults in Hong Kong: A Pilot Study

NCT07486973 — Not applicable, Not yet recruiting, 50 participants, The University of Hong Kong

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RegistryNCT07486973, acronym LayLedCBTIG
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; non randomized, parallel, masking: none, treatment
Enrollment50 (Estimated)
SponsorThe University of Hong Kong (Other)
ConditionsSleep Quality
InterventionsLay-led CBT-I brief group, Booklet on sleep health (Behavioral)
Datesstart 2026-03-01 (estimated), primary completion 2027-06-01 (estimated), completion 2027-12-01 (estimated), first posted 2026-03-23, last updated 2026-03-23
Locations1 site in Hong Kong

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-Summary

The goal of this clinical trial is to study whether a Cognitive Behavioural Therapy for Insomnia (CBT-I) group led by laypersons serves as an effective tool for alleviating insomnia in older Chinese adults in Hong Kong. The main questions it aims to answer are: 1) Can the group improve subjective sleep quality? 2) What is the feasibility and acceptability of the group? Researchers will compare the intervention group with a control group. Participants will either join the intervention group or receive a self-help booklet, depending on their assignment. Both groups will complete two questionnaires over a four-week period: Baseline and Week-4 data.

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+Arms and interventions

ArmTypeInterventionsDescription
The control group (CG)Active comparatorBehavioral: Booklet on sleep healthParticipants will receive a booklet on sleep hygiene education and will be asked to follow the instruction for 4 weeks for the same duration as the intervention group.
The emotional support assistant group (ESAG)ExperimentalBehavioral: Lay-led CBT-I brief groupA brief in-person group for CBT-I, consisting of four sessions, with each session lasting approximately 1.5 hours and expected to be completed within a month. The sessions will cover four treatment components: sleep hygiene, stimulus control, cognitive restructuring, and relaxation exercises, all facilitated by trained Emotional Support Assistants.
  • Lay-led CBT-I brief group (Behavioral): Participants will participate in a brief in-person group for CBT-I, consisting of four sessions, with each session lasting approximately 1.5 hours and expected to be completed within a month. The sessions will cover four treatment components: sleep hygiene, stimulus control, cognitive restructuring, and relaxation exercises, all facilitated by trained Emotional Support Assistants.
  • Booklet on sleep health (Behavioral): Eligible control group participants will receive a booklet on sleep hygiene education.

+Outcome measures

Primary outcomes

  • Subjective sleep quality [From first session to last session at 4 weeks.]: Brief Version of the Pittsburgh Sleep Quality Index (B-PSQI): Likert scale with a global scoring ranging from 0 to 15. A higher score indicates worse sleep quality.

Secondary outcomes

  • Dysfunctional Beliefs and Attitudes about Sleep [From first session to last session at 4 weeks.]: A 16-items scale ranging from 0 (Strongly Disagree) to 10 (Strongly Agree). Stronger endorsement of these beliefs indicates greater maladaptation in detecting therapeutic changes and effectiveness.
  • Pre-sleep Arousal Scale [From first session to last session at 4 weeks.]: Rated on a 5-point Likert scale, ranging from 1 (Not at all) to 5 (Extremely), with total scores ranging from 8 to 40 for both subscales. Higher scores indicate an increased level of pre-sleep arousal.

+Eligibility

Sex: All, ages: 45 Years to any

Inclusion Criteria:

* Aged 45 or older
* Have a PHQ-9 score between 5-9, and item 3 must be scored at 2 or higher
* Experiencing existing symptoms of depression and sleep disturbance
* Capable of providing informed consent for their participation in the study

Exclusion Criteria:

* Known history of intellectual disabilities, schizophrenia spectrum disorders, bipolar disorder, Parkinson's disease, or dementia
* Assessed to be at active suicidal risk
* Significant difficulties in communication

+Locations (1)

FacilityCityCountryStatus
Department of Social Work and Social Administration, The University of Hong KongHong KongHong Kong

+Publications

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+Study documents

My Notes