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Randomized Controlled Trial
. 2025 Sep-Oct;23(5):685-697.
doi: 10.1080/15402002.2025.2522680. Epub 2025 Jun 26.

A Randomized Pilot Cognitive Behavioral Sleep Health Trial for Young Adults with Type 1 Diabetes

Stephanie Griggs  1 , Quiana Howard  1 , Bethany L Armentrout  1 , Grant A Pignatiello  1 , Kingman P Strohl  2 , Sybil L Crawford  3 , Chiang-Shan R Li  4 , Mary Leuchtag  1 , Ronald L Hickman  1
Affiliations
Randomized Controlled Trial

A Randomized Pilot Cognitive Behavioral Sleep Health Trial for Young Adults with Type 1 Diabetes

Stephanie Griggs et al. Behav Sleep Med. 2025 Sep-Oct.

Abstract

Objectives: The purpose of this randomized controlled trial was to determine whether a cognitive-behavioral sleep health self-management intervention (CB-Sleep Health) would be more effective than a time-balanced attention control (AC) condition in improving multiple dimensions of sleep health (self-reported and objectively derived).

Methods: Young adults with T1D (ages 18-26 years) were randomly assigned to a 12-week CB-Sleep Health (n = 21) or AC condition (n = 18). They wore concurrent continuous glucose monitors and actigraphy devices and completed daily sleep surveys for 14 days at baseline, post-intervention, and 3-month follow-up.

Results: Of the randomized participants, 31 (79.5%) completed the post-intervention, while 33 (84.6%) completed the 3-month follow-up. The CB-Sleep Health intervention had a significant effect on alertness and duration compared to the control group. The changes from baseline were -3.21 s vs. +0.71, p = .005 and +18 min vs. -25.8 min, p = .01, respectively. These effects were sustained at the 3-month follow-up.

Conclusions: Longer sleep duration, higher daytime alertness, and sustained sleep efficiency are possible with this CB-Sleep Health intervention in young adults managing a complex condition.

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Conflict of interest statement

Declaration of Interest

The authors have no conflicts of interest to disclose.

References

    1. Amaral FG, Turati AO, Barone M, Scialfa JH, do Carmo Buonfiglio D, Peres R, Peliciari-Garcia RA, Afeche SC, Lima L, Scavone C, Bordin S, Reiter RJ, Menna-Barreto L, & Cipolla-Neto J (2014). Melatonin synthesis impairment as a new deleterious outcome of diabetes-derived hyperglycemia. Journal of Pineal Research, 57(1), 67–79. 10.1111/jpi.12144 - DOI - PubMed
    1. Battelino T, Danne T, Bergenstal RM, Amiel SA, Beck R, Biester T, Bosi E, Buckingham BA, Cefalu WT, Close KL, Cobelli C, Dassau E, Hans DeVries J, Donaghue KC, Dovc K, Doyle FJ, Garg S, Grunberger G, Heller S, … Phillip M (2019). Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range. Diabetes Care, 42(8), 1593–1603. 10.2337/DCI19-0028 - DOI - PMC - PubMed
    1. Borel A-L, Pépin J-L, Nasse L, Baguet J-P, Netter S, & Benhamou P-Y (2013). Short Sleep Duration Measured by Wrist Actimetry Is Associated With Deteriorated Glycemic Control in Type 1 Diabetes. Diabetes Care, 36(10), 2902–2908. 10.2337/dc12-2038 - DOI - PMC - PubMed
    1. Cavalcanti-Ferreira P, Berk L, Daher N, Campus T, Araujo J, Petrofsky J, & Lohman E (2018). A nonparametric methodological analysis of rest-activity rhythm in type 2 diabetes. Sleep Science, 11(4), 281. 10.5935/1984-0063.20180044 - DOI - PMC - PubMed
    1. Chuang-Stein C, & Tong DM (1997). The impact and implication of regression to the mean on the design and analysis of medical investigations. Statistical Methods in Medical Research, 6(2), 115–128. 10.1177/096228029700600203 - DOI - PubMed

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