Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| T&W Engineering A/S | INDUSTRY |
| University of Aarhus | OTHER |
Not provided
Not provided
Not provided
Insomnia is reported by more than 50% of patients with chronic pain. In this study, the investigators aim to advance the understanding of physiological sleep in individuals with chronic pain. To do this the investigators will monitor at-home sleep with an ear-EEG over 20 nights in patients with chronic pain and collect self-reported measures of sleep and pain. The collected data will be used to explore and characterize intra-individual variations in sleep metrics (e.g. total sleep time, time in each sleep stage (N1, N2, N3, REM), sleep latency, REM stage latency, wake after sleep onset, sleep efficiency, number of arousals and arousal index) over 20 nights.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| sleep period time (SPT) from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Qualitative sleep parameters obtained from sleep diary. | Sleep diary is completed in the morning | Sleep diary is completed 5 mornings every week for 4 weeks |
| Pain intensity rating | Average pain intensity during the last day and current pain intensity in the morning will be assessed on an 11-point numeric rating scale (NRS) ranging from 0 (no pain) to 10 (worst imaginable pain) | Pain intensity rating is completed 5 mornings every week for 4 weeks |
| Time from sleep onset until final awakening (TST) from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Sleep efficiency (SE) from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). SE is the ratio of TST to time in bed / 100% | 5 nights every week for 4 weeks |
| Sleep onset latency (SOL) from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Wake after sleep onset (WASO) from Ear EEG |
| Measure | Description | Time Frame |
|---|---|---|
| Ease-of-use and Comfort with ear EEG | Three 0-10 questions are used: 1) How did you experience falling asleep with the ear EEG device, 2) How did you experience sleeping with the ear EEG device?, 3) How would you rate your experience of soreness or discomfort in your ears after sleeping with the device? A lower sum score is worse. | Completed every morning after ear EEG first 2 weeks and at end of study |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep quality | Sleep quality will be assessed with the Pittsburgh Sleep Quality Index (PSQI), which is developed to provide a reliable, valid and standardized measure of sleep quality. The PSQI consists of 19 items with 15 multiple choice questions and 4 open-ended questions. The 19 items form the basis a global score. The seven components evaluated by the PSQI are: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medications and daytime dysfunction. Each component has a score ranging from 0 to 3 yielding a total score of 21, with higher scores reflecting worse sleep difficulties |
Inclusion Criteria:
For a subject to be eligible, all inclusion criteria must be answered "yes":
Exclusion Criteria:
For a subject to be eligible, all exclusion criteria must be answered "no":
Not provided
Not provided
Subjects eligible for this study are individuals with chronic pain in compliance with the inclusion/exclusion criteria listed below. The health status of the subjects is assessed by self-reports.
Inclusion and exclusion criteria ensure generalizability of study results for a broad population of individuals with chronic pain, and only serious concomitant conditions, which could interfere with the study procedures should prevent subjects from entering the study.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Henrik B Vægter, PhD | University Hospital Odense | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pain Center, Department of Anesthesiology and Intensive Care Medicine, University Hospital Odense | Odense | 5000 | Denmark |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Not provided
Not provided
Not provided
Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). |
| 5 nights every week for 4 weeks |
| REM sleep latency from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Time from sleep onset until first epoch of REM stage sleep from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Amount of wake and stage N1, N2, N3, and R sleep as a percentage of SPT from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Number of awakenings within TST from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Arousal index which is number of arousals per hour from Ear EEG | Sleep metrics will be derived from the EEG assessments as recommended by the American Academy of Sleep Medicine (AASM). | 5 nights every week for 4 weeks |
| Adverse device effects | Any adverse device effect defined as an adverse effect related to the use of the ear EEG | Baseline, after 2 weeks, after 6 weeks |
| Polysomnography | Polysomnography (PSG) is used in this study to ensure that the data that comes out of the automatic ear-EEG based sleep scoring matches the clinicians sleep scores based on the PSG. It will enable further development of the existing algorithm for automating the data analysis. | Baseline |
| Baseline |
| Insomnia | Insomnia will be assessed with the Insomnia Severity Index (ISI) which encompasses seven items measuring severity of sleep-onset; sleep maintenance and early morning awakening difficulties; satisfaction with sleep patterns; daily function interference; impairments due to sleep problems; and distress or concerns due to sleep problems. Each item is rated from 0 to 4 (0 = no problem, 4 = severe problem), yielding a total score of 28, with higher scores reflecting worse insomnia | Baseline |
| The Graded Chronic Pain Scale Revised | The Graded Chronic Pain Scale Revised (GCPS-R) is a brief, freely available questionnaire that assesses frequency and severity of pain and its impact. The GCPS-R uses 5 items to categorize pain into mild chronic pain, bothersome chronic pain, and high-impact chronic pain | Baseline |
| Age | Baseline |
| Sex | Baseline |
| Ethnicity | Baseline |
| Height | Baseline |
| Weight | Baseline |
| Level of education | Baseline |
| Obstructive sleep apnea | Risk for obstructive sleep apnea (OSA) will be evaluated with the snoring history, tired during the day, observed stop of breathing while sleeping, high blood pressure, BMI > 35 kg/m2 (or 30 kg/m2), age > 50 years, neck circumference > 40 cm and male gender) questionnaire (The STOP-BANG). The STOP-BANG questionnaire is a four item forced yes/no questionnaire. | Baseline |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |