Promoting Sleep to Alleviate Pain - Arthroplasty
NCT06145516 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2026-05-06
Summary
PROSAP-A is a perioperative randomized, controlled trial with a 12-month follow-up period after total knee arthroplasty (TKA) or total hip arthroplasty (THA), aiming to investigate both acute and long-term postoperative effects of preoperative sleep-promotion. Participants with clinically significant insomnia symptoms will be randomized to a brief, hybrid version of cognitive behavioral therapy for insomnia (CBT-I) or sleep education therapy, administered over a 4-week period, prior to surgery. The primary objective is to evaluate effects of preoperative sleep-promotion on acute postoperative pain control. Secondary objectives include evaluation of postoperative sleep, recovery, mental health, cognitive function and alterations in blood biomarkers.
Conditions
- Osteoarthritis, Knee
- Osteoarthritis, Hip
- Insomnia
- Surgery
- Pain, Postoperative
- Postoperative Complications
Interventions
- BEHAVIORAL
-
Cognitive behavioral therapy for insomnia (CBT-I)
Hybrid CBT-I (self-guided digital format focusing on sleep restriction therapy and stimulus control + telehealth video-consultations with psychologist)
- BEHAVIORAL
-
Sleep education therapy (SET)
Self-guided digital sleep education (sleep hygiene, sleep physiology, sleep disturbances etc) + telehealth video-consultations with research nurse
Sponsors & Collaborators
-
Uppsala University
lead OTHER
Principal Investigators
-
Martin F Bjurström, MD, PhD · Uppsala University / Uppsala University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-01
- Primary Completion
- 2029-12-01
- Completion
- 2030-12-01
Countries
- Sweden
Study Locations
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