Personalized Sleep Prehabilitation (PSP)Standard of Care Prehabilitation
Personalized Sleep Prehabilitation (PSP): Sleep prehabilitation will consist of usual care prehabilitation (exercise, nutritional support, psychosocial support, education, smoking cessation support, and/or medical care) with the addition of sleep support. This support will consist of:
* Brief behavioural treatment for insomnia
* Sleep hygiene
* Behaviour change support (e.g., goal-setting, use of a wearable tracker to modify behaviour)
Standard of Care Prehabilitation: Exercise, nutritional support, psychosocial support, education, smoking cessation support, and/or medical care delivered by regulated health professionals included Kinesiologists, Dietitians, Clinical Psychologists, etc.
Study summary
The goal of this clinical trial is to learn if changing sleep behaviour can improve sleep health in patients undergoing prehabilitation before elective surgery. Prehabilitation is the use of exercise, nutrition, and psychological support before surgery to improve recovery from surgery.
The main questions it aims to answer are:
Does changing sleep behaviour improve sleep before surgery? Does changing sleep behaviour improve recovery after surgery?
Researchers will compare participants who receive sleep support with participants who do not receive sleep support to see if it improves sleep health and recovery from surgery.
Participants will be asked to attend 4 meetings with the research team to learn how they can improve their sleep. They will use questionnaires, a diary, and a wearable tracker to record their sleep.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* surgery date (or expected date) is ≥ 4 weeks and ≤ 12 weeks year from the time of consent
* currently sleep \< 7 hours of sleep on most nights in the past month
* consistently have a sleep latency \> 30 minutes
* consistently wake up throughout the night
* consistently wake up earlier than intended
* experience daytime sleepiness
Exclusion Criteria:
* have an existing diagnosed sleep disorder that is poorly managed or requires referral to a sleep clinician
* are currently a shift worker (work schedule outside of 7am-6pm).
* have plans to travel 3 or more hours outside of their usual time zone
* do not have English proficiency
* have a cognitive disability that significantly limits ability to respond to screening questions as this will impact ability to answer questionnaires and adhere to the intervention (if applicable)
Primary outcome measure(s)
The Pittsburgh Sleep Quality Index (PSQI) — Administered baseline, one week before surgery, and 45 days after surgery The PSQI is a self-report measure of sleep quality among seven subscales including subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, sleep medication, and daytime dysfunction. The scale's validity and reliability has been determined among clinical and older adult populations.
For reporting, seven component scores are derived, each scored 0 (no difficulty) to 3 (severe difficulty). The component scores are summed to produce a global score (min: 0 and max: 21). Higher scores indicate worse sleep quality.
Time to completion is 5-10 minutes.
Trial sites (1)
Facility
City
Region
Status
University Health Network
Toronto
Ontario
Recruiting
More University Health Network, Toronto trials in Canada
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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