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InsominaNCT07600840

Integrating Smart Wearable Device Into Digital Insomnia Treatment Application: Exploration of Combining Emotional and Lifestyle Records

A study testing Personalized Experience Sampling Method and Non-personalized Experience Sampling Method in people with Insomina and Mood Change, run by National Taipei University of Technology at 1 site in Taiwan.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

Emotions, behavior, and cognition are the main factors contributing to insomnia. Insomnia not only affects sleep quality but also harms health, quality of life, and daytime functioning. Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Insomina, Mood Change
What is being tested?
Personalized Experience Sampling Method and Non-personalized Experience Sampling Method
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteTaiwan
Study dates
16 Apr 2026to Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Aged 18 to 64 years
  • Complaints of insomnia symptoms
  • Insomnia Severity Index (ISI) total score ≥ 8
  • Able to express emotions and physical/mental condition normally
  • Able to independently complete questionnaires
  • Able to cooperate with wearing smart watches and EEG devices Subjects Without Insomnia
Show all 33Show fewer
  • Aged 18 to 64 years
  • Insomnia Severity Index (ISI) total score < 8
  • Able to express emotions and physical/mental condition normally
  • Able to independently complete questionnaires
  • Able to cooperate with wearing smart watches and EEG devices
  • Experimental Phase 2 Insomnia Subjects
  • Aged 18 to 64 years
  • Complaints of insomnia symptoms
  • Insomnia Severity Index (ISI) total score ≥ 8
  • Able to express emotions and physical/mental condition normally
  • Able to independently complete questionnaires
  • Able to cooperate with wearing smart watches and EEG devices
  • Owns an iOS device capable of downloading the experimental application Subjects Without Insomnia
  • Aged 18 to 64 years
  • Insomnia Severity Index (ISI) total score < 8
  • Able to express emotions and physical/mental condition normally
  • Able to independently complete questionnaires
  • Able to cooperate with wearing smart watches and EEG devices
  • Owns an iOS device capable of downloading the experimental application
  • Phase III
  • Aged 18 to 64 years
  • Complaints of insomnia symptoms (e.g., total wakefulness at night for at least 30 minutes, occurring more than 3 days per week for at least 3 months)
  • Insomnia Severity Index (ISI) total score ≥ 8
  • Able to express emotions and physical/mental condition normally
  • Able to independently complete questionnaires
  • Able to cooperate with wearing a smart watch
  • Able to use the system for recording over a four-week period

Who cannot join

  • Previously diagnosed with epilepsy
  • Complaints of other sleep disorders
  • Current diagnosis of a psychiatric disorder requiring treatment
  • History of substance abuse or alcohol dependence
  • Pregnant or breastfeeding women
  • Women experiencing severe menopausal symptoms

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Taiwan1 site
  • National Taipei University of Technology

    Taipei, Taipei, 10608

Other trials in Taiwan

About this study

Official title: Integrating Smart Wearable Devices Into Digital Insomnia Treatment Applications: An Exploration of Combining Emotional and Lifestyle Records

Emotions, behavior, and cognition are the main factors contributing to insomnia. Insomnia not only affects sleep quality but also harms health, quality of life, and daytime functioning. Brief Behavioral Treatment for Insomnia (BBTI) is considered a short-term effective treatment for insomnia and has been implemented on online platforms.

However, the causes of insomnia are complex, and when designing related digital products, it is essential to consider the psychological and lifestyle states of individuals with insomnia, employing a user-centered approach and interactive design.

Read more

Previous research has integrated emotion tracking and an abdominal breathing game into the existing BBTI APP. This study will further incorporate the tracking of emotions and lifestyle factors (specifically diet and exercise) into a digital insomnia application, while also connecting with smartwatches and using the Experience Sampling Method (ESM) to collect data. It aims to explore the preferences of individuals with insomnia for digital tracking and examine the impact of their recorded information related to insomnia on their sleep and self-management.

The ultimate goal of this study is to enhance the existing insomnia app's features, offering innovative and convenient self-monitoring methods to help therapists better understand the condition of individuals with insomnia, while improving self-awareness and self-management. The anticipated results are expected to provide design recommendations for future digital applications related to insomnia, thereby improving the digital healthcare experience and medical efficacy.

Being tested
Personalized Experience Sampling Method, Non-personalized Experience Sampling Method
Keywords
insomnia, bbti, Mood, Lifestyle, Digital recording,, Experience Sampling Method, Wearable Devices
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

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

  • Personalized Experience Sampling MethodDevice

    Reminder times will be personalized based on participants' lifestyle patterns. Participants will wear a smartwatch daily and use the app to record emotions, diet, exercise, and sleep during the two-week study.

  • Non-personalized Experience Sampling MethodDevice

    Reminder times will be preset by the researchers. Participants will wear a smartwatch daily and use the app to record emotions, diet, exercise, and sleep during the two-week study.

Study groups in NCT07600840
Study groupRoleWhat they receive
Personalized Experience Sampling MethodExperimentalReminder times will be personalized based on participants' lifestyle patterns. Participants will wear a smartwatch daily and use the app to record emotions, diet, exercise, and sleep during the two-week study.
Receives: Device: Personalized Experience Sampling Method
Non-personalized Experience Sampling MethodOtherReminder times will be preset by the researchers. Participants will wear a smartwatch daily and use the app to record emotions, diet, exercise, and sleep during the two-week study.
Receives: Device: Non-personalized Experience Sampling Method

What is being measured

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

  1. Changes in Insomnia Severity

    Insomnia severity will be measured using the Insomnia Severity Index (ISI). The ISI consists of seven items, with each item rated from 0 to 4, resulting in a total score ranging from 0 to 28. Higher scores indicate greater insomnia severity. Changes in ISI scores will be used to evaluate whether the BBTI app intervention improves participants' insomnia symptoms.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  2. Changes in Sleep Quality

    Sleep quality will be measured using the Pittsburgh Sleep Quality Index (PSQI). The PSQI evaluates subjective sleep quality and sleep-related problems. Higher scores indicate poorer sleep quality. PSQI has 18 questions to evaluate sleep condition. The score range from 0-21, if score>5 is associated with poor sleep. The higher score means poorer sleep quality.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  3. Changes in Sleep parameters from sleep logs: sleep onset latency(SOL)

    Sleep onset latency(SOL) is the time of duration from lying on bed to fall asleep. SOL shorter than 30 minutes is one of criteria of good sleep condition.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  4. Changes in Sleep parameters from sleep logs: after sleep onset(WASO)

    Wake after sleep onset(WASO) is the total time of wakefulness after sleep onset. WASO less than 30 minutes is one of criteria of good sleep condition.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  5. Changes in Sleep parameters from sleep logs: total sleep time(TST)

    Total sleep time(TST) is the total time of falling asleep. TST will be used to calculate sleep efficiency(SE).

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  6. Changes in Sleep parameters from sleep logs: sleep efficiency(SE)

    Sleep efficiency(SE) is the percentage of total sleep time to time in bed. A good sleep condition should meet the criteria of SE greater than 85%.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  7. Changes in Emotional State: BBTI App self-record

    Participants' emotional state will be measured through app-based self-reports and/or standardized emotional state questionnaires. Emotional records may include daily mood, stress, anxiety, or other sleep-related psychological states. Changes in emotional state will be used to examine whether lifestyle and sleep self-monitoring through the BBTI app is associated with emotional awareness and psychological well-being.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  8. Changes in Emotional State: Profile of Mood States

    The Profile of Mood States (POMS) is a self-administered questionnaire that measures mood through ratings of 65 emotion terms on a five-point scale.

    A Total Mood Disturbance (TMD) can be calculated by adding Tension, Depression, Anger, Fatigue and Confusion scores and then subtracting the Vigour score. TMD = (Tension + Depression + Anger + Fatigue + Confusion) - Vigour.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  9. Response Rate for Sleep-Related Lifestyle Self-Monitoring

    The response rate for sleep-related lifestyle self-monitoring will be assessed using app usage records from the BBTI app. Lifestyle self-monitoring entries include meal records, caffeinated beverage intake, and exercise records. This measure will be calculated as the percentage of lifestyle self-monitoring reminders followed by at least one completed relevant entry.

    Unit of Measure:Percentage of reminders followed by a completed entry (%)

    Measured: From Day 1 to Day 28 of the intervention period

  10. Response Latency for Sleep-Related Lifestyle Self-Monitoring

    Response latency for sleep-related lifestyle self-monitoring will be assessed using app usage records from the BBTI app. Lifestyle self-monitoring entries include meal records, caffeinated beverage intake, and exercise records. This measure will be calculated as the average time between the delivery of a lifestyle self-monitoring reminder and the completion of a relevant entry.

    Unit of Measure:Minutes

    Measured: From Day 1 to Day 28 of the intervention period

  11. Overall Self-Monitoring Completion Rate Assessed by the BBTI App

    Overall self-monitoring completion rate will be assessed using app usage records from the BBTI app. This measure will be calculated as the percentage of scheduled daily self-monitoring tasks completed by participants, including sleep, emotion, diet, and exercise entries.

    Unit of Measure:Percentage of scheduled self-monitoring tasks completed (%)

    Measured: From Day 1 to Day 28 of the intervention period

  12. Difference in Overall Self-Monitoring Completion Rate Between Personalized and Non-Personalized ESM Reminder Groups

    The difference in overall self-monitoring completion rate between the personalized ESM reminder group and the non-personalized ESM reminder group will be assessed using app usage records from the BBTI app. Overall self-monitoring completion rate will be calculated as the percentage of scheduled self-monitoring tasks completed by participants, including sleep, emotion, diet, and exercise entries. The personalized ESM reminder group will receive reminders based on individual lifestyle patterns, while the non-personalized ESM reminder group will receive reminders at fixed times.

    Unit of Measure:Difference in percentage of scheduled self-monitoring tasks completed between groups (%)

    Measured: From Day 1 to Day 28 of the intervention period

  13. Changes in Sleep-Related Lifestyle Behaviors: BBTI App Self-Record

    Participants' sleep-related lifestyle behaviors will be measured through app-based self-records in the BBTI app. Lifestyle records will include meal timing and perceived fullness, caffeinated beverage intake time and amount, and exercise timing and exercise amount. Changes in sleep-related lifestyle behaviors will be used to examine participants' self-monitoring patterns and changes in lifestyle behaviors during the intervention.

    Measured: From Day 1 to Day 28 of the intervention period

  14. Changes in Perceived Capability, Opportunity, and Motivation for Lifestyle Self-Monitoring

    Participants' perceived capability, opportunity, and motivation for insomnia-related lifestyle self-monitoring will be assessed using a COM-B-based self-report questionnaire. The questionnaire will evaluate participants' perceived capability to record lifestyle behaviors, perceived opportunity to perform self-monitoring, and motivation to continue tracking sleep-related lifestyle factors. The change score will be calculated as the difference between baseline and post-intervention questionnaire scores.

    Unit of Measure:Change in mean questionnaire score

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  15. Change in Insomnia-Related Lifestyle Knowledge, Attitudes, and Behaviors

    Insomnia-related lifestyle knowledge, attitudes, and behaviors will be assessed using a self-report questionnaire. The questionnaire will evaluate participants' knowledge of sleep-related lifestyle factors, attitudes toward lifestyle self-monitoring and behavior change, and self-reported lifestyle behaviors related to insomnia management. The change score will be calculated as the difference between baseline and post-intervention questionnaire scores.

    Unit of Measure:Change in mean questionnaire score

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

Secondary outcomes (14)
  1. Brief Symptom Rating Scale-5 (BSRS-5)

    The BSRS-5 asks patients to reflect on the past week (including the assessment day) and rate their level of distress or discomfort. A total score of ≤3 indicates low suicide risk. It uses a 5-point Likert scale and contains 6 items.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  2. WHO-5 Well-Being Index

    The WHO-5 measures subjective mental well-being and quality of life over the past two weeks using 5 items on a 6-point Likert scale.

    Scoring: Raw scores range from 0-25, with higher scores indicating better well-being. Multiply the raw score by 4 to obtain a percentage score (0-100).

    Interpretation: Further assessment for major depression (ICD-10) is recommended if the raw score is below 13 or if any item is rated 0 or 1.

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  3. Rating Scale of Mental Effort in App Use Experience

    The RSME measures the level of mental effort experienced while performing a task. Scores range from 0 to 150, with higher scores indicating greater mental effort.

    Measured: at baseline, Week 2, and Week 4, participants completed the in-app assessment before the task and after completing the intervention.

  4. Average Sleep Score Collected by Smartwatch

    Average sleep score will be assessed using sleep data collected by a smartwatch. This measure will be calculated as the average nightly sleep score during the intervention period.

    Unit of Measure:Sleep score

    Measured: From Day 1 to Day 28 of the intervention period

  5. Average Daily Step Count Collected by Smartwatch

    Average daily step count will be assessed using physical activity data collected by a smartwatch. This measure will be calculated as the average number of steps per day during the intervention period.

    Unit of Measure:Steps per day

    Measured: From Day 1 to Day 28 of the intervention period

  6. Average Active Energy Expenditure Collected by Smartwatch

    Average active energy expenditure will be assessed using physical activity data collected by a smartwatch. This measure will be calculated as the average active energy expenditure per day during the intervention period.

    Unit of Measure:Kilocalories per day

    Measured: From Day 1 to Day 28 of the intervention period

  7. Average Heart Rate Collected by Smartwatch

    Average heart rate will be assessed using physiological data collected by a smartwatch. This measure will be calculated as the average heart rate during the intervention period.

    Unit of Measure:Beats per minute

    Measured: From Day 1 to Day 28 of the intervention period

  8. Average Heart Rate Variability Collected by Smartwatch

    Average heart rate variability will be assessed using physiological data collected by a smartwatch. This measure will be calculated as the average heart rate variability during the intervention period.

    Unit of Measure:Milliseconds

    Measured: From Day 1 to Day 28 of the intervention period

  9. System Usability Assessed by the System Usability Scale

    System usability will be assessed using the System Usability Scale after the 4-week intervention. The scale will evaluate participants' subjective perceptions of system usability, learnability, and overall satisfaction with the BBTI app and self-monitoring system.

    Unit of Measure:System Usability Scale score

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  10. User Experience of the BBTI App: User Experience Questionnaire

    Participants' user experience of the BBTI app will be assessed using the User Experience Questionnaire (UEQ). The questionnaire will evaluate participants' perceptions of the app across user experience dimensions, such as attractiveness, perspicuity, efficiency, dependability, stimulation, and novelty. The UEQ score will be used to assess participants' subjective experience of using the BBTI app and smartwatch-supported lifestyle self-monitoring system.

    Unit of Measure:UEQ mean scale score

    Measured: at baseline, Week 2, and Week 4, immediately after completion of the intervention.

  11. Cognitive Load During Usability Testing Assessed by NASA-TLX

    Cognitive load during usability testing will be assessed using the NASA Task Load Index (NASA-TLX). Participants will complete the NASA-TLX after operating the prototype. The scale will assess perceived workload, including mental demand, physical demand, temporal demand, performance, effort, and frustration.

    Unit of Measure:NASA-TLX score

    Measured: During usability testing, Day 1

  12. Attention Level During Prototype Operation Assessed by EEG

    Attention level during prototype operation will be assessed using an electroencephalography device during usability testing. The measure will be calculated based on the attention index or attention-related EEG indicator recorded while participants operate the prototype.

    Measured: During usability testing, Day 1

  13. Heart Rate Variability During Usability Testing

    Heart rate variability during usability testing will be assessed using physiological data collected while participants operate the prototype. This measure will be calculated as the average heart rate variability during prototype operation.

    Unit of Measure:Milliseconds

    Measured: During usability testing, Day 1

  14. Insight Formation Ability During Lifestyle Data Visualization Review

    Insight formation ability will be assessed during usability testing based on participants' responses while reviewing lifestyle data visualizations. The analysis will refer to North's insight-based evaluation approach to evaluate the degree to which participants generate meaningful insights from lifestyle data charts.

    Unit of Measure:Insight formation score

    Measured: During usability testing, Day 1

Timeline

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

  1. First posted22 May 2026
  2. Study start16 Apr 2026
  3. Primary completionJun 2027 (estimated)
  4. Study completionJun 2027 (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
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07600840
Sponsor's protocol ID
N202502043
Status last verified
Apr 2026
First submitted
29 Apr 2026
Last updated
22 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Personalized Experience Sampling Method and Non-personalized Experience Sampling Method in people with Insomina and Mood Change, run by National Taipei University of Technology at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 33 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 22 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Insomnia Severity (time frame: at baseline, Week 2, and Week 4, immediately after completion of the intervention.). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 May 2026.

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