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A Randomized Pilot Cognitive Behavioral Sleep Health Trial for Young Adults with Type 1 Diabetes
Stephanie Griggs1, Quiana Howard1, Bethany L Armentrout1
1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
Behavioral Sleep Medicine
|June 26, 2025
Summary
This study found that a cognitive-behavioral sleep health intervention improved sleep duration and alertness in young adults with type 1 diabetes. These sleep improvements were sustained at three months, offering benefits for managing this complex condition.
Area of Science:
- Sleep science
- Behavioral medicine
- Endocrinology
Background:
- Young adults with type 1 diabetes (T1D) often experience sleep disturbances.
- Poor sleep can negatively impact glycemic control and overall health in individuals with T1D.
Purpose of the Study:
- To evaluate the effectiveness of a cognitive-behavioral sleep health self-management intervention (CB-Sleep Health) compared to an attention control (AC).
- To assess the intervention's impact on multiple dimensions of sleep health in young adults with T1D.
Main Methods:
- A randomized controlled trial involving young adults (18-26 years) with T1D.
- Participants were assigned to either a 12-week CB-Sleep Health intervention or an AC condition.
- Sleep health was assessed using continuous glucose monitoring, actigraphy, and daily sleep surveys at baseline, post-intervention, and 3-month follow-up.
Main Results:
- The CB-Sleep Health intervention significantly improved sleep duration and alertness compared to the AC group.
- Specific improvements included a significant increase in sleep duration (+18 min vs. -25.8 min) and enhanced alertness (-3.21 s vs. +0.71 s).
- These positive effects on sleep health were maintained at the 3-month follow-up.
Conclusions:
- The CB-Sleep Health intervention is effective in improving sleep duration and daytime alertness in young adults with T1D.
- Sustained improvements in sleep efficiency and alertness are achievable with this intervention.
- This self-management approach offers a promising strategy for enhancing sleep health in young adults with T1D.
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