Study to Improve Nighttime Urination and Sleep in Adults 60 and Older Assessing Combined Behavioral Treatments for Nocturia and Insomnia

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.

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