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Subjective Cognitive Decline (SCD)NCT07440498

Study of Bedroom Environment Sleep Intervention at Home for Older Adults Living Alone With Memory Concerns

A study testing Bedroom Environment Tailoring and Sleep Health Education in people with Subjective Cognitive Decline (SCD) and Mild Cognitive Impairment (MCI), run by Johns Hopkins University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

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Official record

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Trial summary

This is an eight-week pilot research study designed to test whether simple changes to the bedroom environment along with brief sleep hygiene strategies, can improve sleep in older adults who live alone, have memory concerns, and experience insomnia symptoms. Older adults may be eligible to participate. Read more about this study

Who is it for?
Ages 65 years and older
What is being tested?
Bedroom Environment Tailoring and Sleep Health Education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
No sites listed yet
Study dates
Feb 2027to Feb 2029
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Age 65 years and older
  • Living alone in a private residence or independent living setting ≥5 days/week
  • Subjective cognitive decline (Subjective Cognitive Decline Questionnaire MyCog > 7] OR objective mild cognitive impairment (Montreal Cognitive Assessment [MoCA] scores between 18-25).
  • Preserved Function (Functional Activity Questionnaire < 6)
  • Community-dwelling
  • Self-reported insomnia symptoms
  • Residence in the current home for ≥3 months
  • Expectation to sleep in the designated bedroom on ≥80% of nights during the 8 week protocol

Who cannot join

  • Diagnosis of dementia
  • Presence of acute illness or exacerbation of chronic conditions within the past month.
  • Current enrollment in another intervention study

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

JUNXIN LI contact

4105022608

jli248@jhu.edu

Youngmin Cho contact

ycho68@jh.edu

About this study

Official title: A Pilot Feasibility Study of Bedroom Environment Sleep Intervention at Home for Older Adults Living Alone With Memory Concerns

This is an eight-week pilot research study designed to test whether simple changes to the bedroom environment along with brief sleep hygiene strategies, can improve sleep in older adults who live alone, have memory concerns, and experience insomnia symptoms. Older adults may be eligible to participate. The intervention will take 8 weeks, which includes 1-2 in-person visits from the research team at the participant's residence (evaluate the bedroom environment, install participant-agreed bedroom changes, deliver target sleep hygiene strategy) and 2 virtual or telephone calls (support environmental and sleep hygiene strategies) over 8 weeks. Sleep and environment data will be collected at screening/baseline, mid-intervention (4-week) and post-intervention (8-week)

Being tested
Bedroom Environment Tailoring, Sleep Health Education
Keywords
insomnia, home-based intervention, randomized controlled trial, environmental sensors, community-dwelling older adults, sleep
Medical subject headings
Cognitive Dysfunction, Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bedroom Environment TailoringBehavioural

    Within two weeks of completing the parent study and consent, participants begin the personalized bedroom sleep environment program. During in one or two in-home visits, a research team member will review baseline sensor and actigraphy data and install low-cost environmental modifications (e.g., blackout shades, white-noise device, air purifier, thermostat adjustments). Participants collaborate with the coach to set stimulus-control goals and receive individualized sleep-hygiene guidance. A 30-45-minute virtual follow-up in Weeks 2-3 reviews progress and addresses barriers, with a brief Week 6 check-in to reinforce goals. Ongoing support includes daily self-practice, optional between-visit contact, automated reminders, and passive sensor monitoring to promote adherence and confidence in managing sleep.

  • Sleep Health EducationBehavioural

    The control group receives a single in-person or virtual session that provides participants with printed and online sleep health education materials. This introductory session aims to equip participants with foundational knowledge about sleep hygiene. Following this initial session, participants will engage in eight weeks of self-directed practice, allowing the participant to apply the information learned at the participant's own pace.

Study groups in NCT07440498
Study groupRoleWhat they receive
Bedroom Environment TailoringExperimentalNot described
Receives: Behavioral: Bedroom Environment Tailoring
Sleep Health EducationActive comparatorThe control group receives a single in-person or virtual session that provides participants with printed and online sleep health education materials. This introductory session aims to equip participants with foundational knowledge about sleep hygiene. Following this initial session, participants will engage in eight weeks of self-directed practice, allowing the participants to apply the information learned at the participant's own pace.
Receives: Behavioral: Sleep Health Education

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Feasibility of study and intervention

    Feasibility will be assessed by recruitment, retention, fidelity, and safety over the study period, with progression thresholds: ≥70% eligible enrollee ≥85% retained to Week 8, treatment fidelity (coaching delivered ≥80%), and no serious intervention-related adverse events.

    Measured: Duration of study, approximately 2 years

  2. Subjective sleep quality as assessed by the Pittsburgh Sleep Quality Index (PSQI)

    Pittsburgh Sleep Quality Index (PSQI) is a 19-item self-report measure of overall sleep quality and disturbances over the past 30 days. It includes seven component scores-subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction-each scored 0-3 (0 = no difficulty; 3 = severe difficulty). Component scores are summed to a global score (0-21), with higher scores indicating worse sleep quality; the global score will be used in the analysis

    Measured: Baseline, 4-weeks, 8-weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Feb 2026
  2. Study startFeb 2027 (estimated)
  3. Primary completionFeb 2029 (estimated)
  4. Study completionFeb 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07440498
Sponsor's protocol ID
IRB00543636
Status last verified
Oct 2026
First submitted
23 Feb 2026
Last updated
9 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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