A Sleep Intervention to Improve Quality of Life and Symptom Management in Veterans With the Polytrauma Clinical Triad

Status: Recruiting
Location: See location...
Intervention Type: Device
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The polytrauma clinical triad (PCT), a highly disabling constellation of factors, is defined by the coexistence of traumatic brain injury, post-traumatic stress disorder, and chronic pain. Veterans with the PCT are medically complex, often refractory to conventional therapies, and suffer from additional related chronic sequela. Notably, sleep disturbances and cognitive impairment, which the investigators hypothesize are significant contributing factors to these functional impairments and an impediment toward rehabilitation. Thus, the investigators' research aims to intervene at the level of sleep, and by improving sleep, improve these interconnected, disabling, and difficult to treat enduring complexities associated with the PCT - ultimately to improve Veteran quality of life, functional independence, and restorative function. The investigators predict that the proposed intervention, morning bright light therapy, which is cost-effective, rapidly deployable and home-based, will be effective in improving sleep and overall PCT symptom management, thereby, resulting in a measurable and impactful improvement in quality of life.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 89
Healthy Volunteers: f
View:

• Veteran

• English speaking with phone and internet access

• Current self-reported sleep disturbances

• Clinical stable for current pharmacologic or behavioral health treatments for depression, anxiety, sleep and pain

• Documented history of TBI

Locations
United States
Oregon
VA Portland Health Care System, Portland, OR
RECRUITING
Portland
Contact Information
Primary
Jonathan E Elliott, PhD
jonathan.elliott@va.gov
(503) 220-8262
Backup
Joshua P Kreider
Joshua.Kreider@va.gov
(503) 220-8262
Time Frame
Start Date: 2025-05-01
Estimated Completion Date: 2028-09-29
Participants
Target number of participants: 96
Treatments
Experimental: Morning Bright Light Therapy
Morning bright light: Sitting in front of a lightbox for 60 minutes every morning within 120 minutes of waking up.
Sham_comparator: Negative Ion Generator
Negative ion generator: Sitting in front of a modified negative ion generator for 60 min every morning within 120 minutes of waking up.
Sponsors
Leads: VA Office of Research and Development

This content was sourced from clinicaltrials.gov