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Trial registered on ANZCTR
Registration number
ACTRN12617000141347
Ethics application status
Approved
Date submitted
23/01/2017
Date registered
25/01/2017
Date last updated
5/06/2019
Date data sharing statement initially provided
5/06/2019
Date results provided
5/06/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Project Z: A pilot trial of a mobile-phone application to improve sleep in adolescents
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Scientific title
Project Z: A pilot trial of the Sleep Ninja - a mobile-phone application to improve sleep in adolescents
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Secondary ID [1]
290973
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Insomnia
301722
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Sleep disturbance
301723
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Depression
301724
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Anxiety
301725
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Condition category
Condition code
Mental Health
301419
301419
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0
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Depression
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Mental Health
301420
301420
0
0
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Anxiety
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Mental Health
301421
301421
0
0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is a mobile-phone application called "Sleep Ninja" which is based on Cognitive Behavioural Therapy (CBT) for Insomnia, and has been designed to help young people with sleep disturbances. The intervention has been gamified such that user completes six training sessions, which teach them strategies to assist with healthy sleep patterns. The material that is covered includes: psychoeducation, stimulus control, emphasis on regularity in sleep-wake cycles, sleep hygiene, behavioural activation to encourage night-time sleepiness and sleep-focused cognitive therapy. Each training session goes for 5-10 minutes and needs to be completed once in every 3-7 days in order for the user to progress to more challenging levels. This core learning component is supplemented by homework exercise that involve tracking sleep via use of an electronic sleep diary. The app also sends reminders to the user about when they should commence their wind-down routine before bed, provides a weekly update on their progress, includes a wide range of helpful sleep tips as well as a bedtime meditation recording. Sleep Ninja is fully-automated and is used independently by young people for 3-6 weeks.
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Intervention code [1]
296925
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Prevention
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Intervention code [2]
296962
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Treatment: Devices
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Comparator / control treatment
There is no control group (this is an uncontrolled pilot trial).
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Insomnia, measured by mean score on the Insomnia Severity Index
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Assessment method [1]
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Timepoint [1]
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Change in score between baseline and following the 6-week intervention
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Primary outcome [2]
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Sleep Quality, measured by mean score on the Pittsburgh Sleep Quality Index
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Assessment method [2]
300811
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Timepoint [2]
300811
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Change in score between baseline and following the 6-week intervention
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Secondary outcome [1]
330937
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Depression, as measured by the Patient Health Questionnaire-8 (Adolescent Version)
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Assessment method [1]
330937
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Timepoint [1]
330937
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Change in score between baseline and following the 6-week intervention
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Secondary outcome [2]
330938
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Anxiety, as measured on Generalised Anxiety Disorder Scale-7
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Assessment method [2]
330938
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Timepoint [2]
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Change in score between baseline and following the 6-week intervention
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Secondary outcome [3]
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Total sleep time in minutes, as measured on a self-report sleep diary
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Assessment method [3]
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Timepoint [3]
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Change in total sleep time in minutes between baseline and following the 6-week intervention
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Secondary outcome [4]
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Sleep onset latency in minutes, as measured on a self-report sleep diary
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Assessment method [4]
331043
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Timepoint [4]
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Change in sleep onset latency in minutes between baseline and following the 6-week intervention
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Secondary outcome [5]
331046
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Sleep efficiency, reported as a percentage based on total sleep time divided by total time in bed, as measured by a self-report sleep diary
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Assessment method [5]
331046
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Timepoint [5]
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Change in sleep efficency percentange between baseline and following the 6-week intervention
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Secondary outcome [6]
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Wake after sleep onset, in minutes, as measured on a self-report sleep diary
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Assessment method [6]
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Timepoint [6]
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Change in wake after sleep onset in minutes between baseline and following the 6-week intervention
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Eligibility
Key inclusion criteria
Young people who have mild-moderate sleep difficulties and own a smartphone. Consent must be provided by both young people and a parent or guardian.
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Minimum age
12
Years
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Maximum age
16
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Do not own a smartphone
Do not have access to the internet and a valid email address
Do not live in Australia
Have no difficulty with their sleep
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2017
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Actual
13/04/2017
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Date of last participant enrolment
Anticipated
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Actual
7/07/2017
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Date of last data collection
Anticipated
30/10/2017
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Actual
30/10/2017
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
295387
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Charities/Societies/Foundations
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Name [1]
295387
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Corella Fund
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Address [1]
295387
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Level 9
31 Market Street
Sydney, NSW, 2000
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Country [1]
295387
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Australia
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Primary sponsor type
Individual
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Name
Professor Helen Christensen
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Address
Black Dog Institute
University of New South Wales
Hospital Road
Randwick, NSW, 2031
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Country
Australia
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Secondary sponsor category [1]
294209
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None
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Name [1]
294209
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Address [1]
294209
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Country [1]
294209
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296722
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University of New South Wales Human Research Ethics Committee
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Ethics committee address [1]
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University of New South Wales, Sydney, NSW, 2052
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Ethics committee country [1]
296722
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Australia
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Date submitted for ethics approval [1]
296722
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30/08/2016
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Approval date [1]
296722
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27/09/2016
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Ethics approval number [1]
296722
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HC16702
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Summary
Brief summary
The aim of this project is to evaluate a recently developed mobile phone application (app) designed to reduce adolescent sleep problems, which are a common precursor to the onset of mental health problems. This project will investigate whether the sleep app is a feasible and acceptable tool to improve adolescent sleep, and whether there are any secondary effects on depression and anxiety. The app was developed by the research team, in collaboration with young people, who were consulted in a series of focus groups. We have used the information provided by adolescents to inform the concept and features of the app, which delivers evidence-based psychological strategies to address sleep problems, based on Cognitive Behavioural Therapy for Insomnia. The purpose of this project is to evaluate whether the app, Sleep Ninja, effectively reduces sleep problems experienced by young people with possible capacity to prevent common mental health problems such as depression and anxiety.
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Trial website
https://blackdoginstitute.org.au/research/digital-dog/programs/project-z
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Aliza Werner-Seidler
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Address
71886
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Black Dog Institute
University of New South Wales
Hospital Road, Randwick, NSW, 2031
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Country
71886
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Australia
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Phone
71886
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+61293823769
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Fax
71886
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Email
71886
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[email protected]
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Contact person for public queries
Name
71887
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Lara Johnston
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Address
71887
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Black Dog Institute
University of New South Wales
Hospital Road, Randwick, NSW, 2031
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Country
71887
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Australia
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Phone
71887
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+61293823718
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Fax
71887
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Email
71887
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[email protected]
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Contact person for scientific queries
Name
71888
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Aliza Werner-Seidler
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Address
71888
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Black Dog Institute
University of New South Wales
Hospital Road, Randwick, NSW, 2031
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Country
71888
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Australia
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Phone
71888
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+61293823769
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Fax
71888
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Email
71888
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
All data is presented in aggregate format, no individual level data is available.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Study results article
Yes
http://bmjopen.bmj.com/cgi/content/full/bmjopen-20...
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372207-(Uploaded-31-05-2019-13-15-21)-Journal results publication.pdf
Plain language summary
No
Results from this study indicated that the Sleep N...
[
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Documents added automatically
No additional documents have been identified.
Download to PDF