Actively Recruiting

Phase Not Applicable
Age: 60Years +
All Genders
ID06110091

Multi-center Trial to Improve Nocturia and Sleep in Older Adults (MINT)

Led by Atlanta VA Medical Center · Updated on 2025-09-30

192

Participants Needed

2

Research Sites

17 weeks

Total Duration

On this page

Sponsors

A

Atlanta VA Medical Center

Lead Sponsor

V

VA Greater Los Angeles Healthcare System

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating treatments for older adults aged 60 years and above who experience frequent nighttime urination (nocturia) and insomnia. This randomized trial aims to assess the effectiveness of an integrated behavioral therapy combining treatments for both conditions and explore its impact on quality of life. The study addresses a gap in current treatment options by focusing on coexisting nocturia and sleep difficulties in this population. Participants will be randomly assigned to one of two programs. The Integrated Behavioral Therapy Program includes five weekly one-hour sessions, either in-person or via video, plus two telephone check-ins focusing on managing nocturia and insomnia through education, lifestyle changes, and behavioral techniques. The Health Education Program also involves five weekly sessions and two phone calls but covers brain health topics like physical activity, social engagement, sleep changes with aging, and managing medical conditions. Both programs are delivered by an interventionist. During the study, participants will complete two baseline visits, five weekly treatment sessions, a post-intervention assessment, three monthly phone check-ins, and a final assessment four months after treatment. Assessments include questionnaires, blood and urine tests, sleep and urinary symptom diaries, and wearing a wrist actigraph for one week. The main outcome measured is the average frequency of nighttime urination at four months. Additional measures include insomnia severity and nocturia-related quality of life. The total participation lasts about four months with ongoing monitoring and support.

CONDITIONS

Brief Title

Multi-center Trial to Improve Nocturia and Sleep in Older Adults

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 60 years or older
  • Average of 2 or more episodes of nighttime urination per night based on the ICIQ-OAB questionnaire
  • Insomnia Severity Index score greater than 7
  • Able to attend weekly study visits
Not Eligible

You will not qualify if you...

  • Prior cognitive behavioral therapy for insomnia
  • Diagnosis of bipolar disorder
  • Significant cognitive impairment with Mini-Mental State Exam score less than 20
  • Sleep disturbances better explained by other sleep disorders such as restless legs syndrome, narcolepsy, insufficient sleep syndrome, or circadian rhythm disorders
  • Untreated sleep-disordered breathing meeting specific severity criteria
  • Current urinary tract infection or blood in urine
  • Unstable or recent changes in bladder medication
  • New or recently stopped insomnia medication within the past month
  • Previous or current intensive behavioral therapy for insomnia or urinary symptoms
  • Unstable health conditions expected to cause death or hospitalization within 3 months
  • Unstable medical conditions contributing to nocturia or insomnia, including poorly controlled heart failure, diabetes with high hemoglobin A1c, or advanced kidney disease
  • Unstable psychiatric conditions such as psychosis or active substance abuse
  • Unstable housing situation
  • Significant urinary retention measured by bladder volume
  • Active genitourinary cancer treatment
  • Recent pelvic or colon surgery or botulinum toxin therapy within 6 months prior to enrollment

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

2 visits including screening and enrollment visit

Outpatient Treatment

Duration - Approximately 6 weeks

Participants undergo 5 weekly one-hour sessions of either Integrated Behavioral Therapy or Health Education Program delivered face-to-face or remotely, followed by 2 telephone check-ins with an interventionist.

5 weekly sessions (in-person or remote) and 2 telephone check-ins

Follow-up

Duration - Approximately 3 months

After the treatment sessions, participants complete a post-intervention assessment and receive monthly phone calls until the final assessment at 4 months.

1 post-intervention visit and 3 monthly 15-minute phone calls plus 1 final assessment visit

Trial Site Locations

Total: 2 locations

1

VA Greater Los Angeles Healthcare System

Los Angeles, California, United States, 91343

Actively Recruiting

2

Atlanta VAHCS

Atlanta, Georgia, United States, 30033

Actively Recruiting

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Research Team

T

Taressa Sergent

P

Patric Campbell

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

An integrated behavioral treatment for improving nocturia and insomnia symptoms in older adults (MINT): study protocol for a multi-site randomized clinical trial.

Constance H Fung, Courtney J Bolstad, Alison Huang...

https://pubmed.ncbi.nlm.nih.gov/41692807

Protocol for a multi-site randomized trial testing an integrated behavioral treatment for improving nocturia and insomnia symptoms in older adults (MINT).

Constance Fung, Courtney J Bolstad, Alison Huang...

https://pubmed.ncbi.nlm.nih.gov/41041560