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Insomnia therapy and artery health in people with high blood pressure

Tests insomnia therapy against sleep education in adults with high blood pressure.

Key facts

Who runs it
Unidade Local de Saúde do Alto Ave, EPE
Where
Guimarães, PortugalSee the site
Trial code
Registry title
Sleep and Arterial Function in Hypertensive Patients With Poor Sleep Quality
Status
Recruiting
People taking part
234 people, planned
Started
18 May 2026
Expected to end
Mar 2030
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Behavioral: Cognitive-Behavioural Therapy for Insomnia (CBT-I)
  • Passive sleep education
Record updated
27 August 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with controlled high blood pressure and poor sleep. It tests whether a talking therapy for insomnia (CBT-I) improves how the arteries work.

Age
18 to 70 years
Sex
All sexes can join.
Disease stage
Controlled hypertension (high blood pressure) with poor sleep quality, meaning sleep efficiency of 85% or less measured by actigraphy or type II polysomnography. Mild sleep apnea (apnea-hypopnea index 5-14.9/h) that does not need CPAP/PAP therapy is allowed.
Biomarker or test result
Sleep efficiency of 85% or less on actigraphy or type II polysomnography.

Main reasons for not taking part

  • Severe cardiovascular disease, such as acute myocardial infarction or stroke
  • Severe neurological diseases
  • Moderate-to-severe sleep apnea (AHI 15/h or more), or any sleep apnea needing CPAP/PAP therapy
  • Central disorders of hypersomnolence
  • Intellectual disability or pregnancy

The registry criteria, word for word

Show all 11 criteriaShow less

Who can take part

  • Adults aged 18 to 70 years
  • Controlled hypertension
  • Poor baseline sleep quality (sleep efficiency <=85% assessed via actigraphy or type II polysomnography)
  • Capable of providing informed consent
  • Participants with mild obstructive sleep apnea (apnea-hypopnea index 5-14.9/h on type II polysomnography) who do not meet criteria for CPAP/PAP therapy are eligible

Who cannot take part

  • Moderate-to-severe obstructive sleep apnea (AHI >=15/h) or any obstructive sleep apnea with an indication for CPAP/PAP therapy
  • Severe cardiovascular disease (e.g., acute myocardial infarction or stroke)
  • Severe neurological diseases
  • Central disorders of hypersomnolence
  • Intellectual disability
  • Pregnancy

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 70 years old?

Where in Portugal

  • Unidade Local de Saúde do Alto Ave - Hospital Senhora da OliveiraGuimarães, PortugalContact: Sofia Gomes, MDTaking people

About the trial

What the trial wants to find out

This prospective, parallel-group randomised controlled trial evaluates whether cognitive-behavioural therapy for insomnia (CBT-I) improves arterial function and psychological and cognitive outcomes in hypertensive patients with poor sleep quality. Adults aged 18-70 with controlled hypertension and poor baseline sleep quality (sleep efficiency <=85%) are randomised 1:1 to CBT-I (four weekly 60-minute sessions) or passive sleep education. The primary outcomes are change from baseline in pulse wave velocity and central arterial pressure at 12 months. Secondary outcomes include blood pressure, depressive symptoms, perceived stress, cognitive complaints, and sleep quality, assessed at baseline, 1, 6, and 12 months.

The 2 groups in the trial

  • CBT-ITreatment being tested

    Cognitive-behavioural therapy for insomnia: four weekly 60-minute sessions covering sleep hygiene, stimulus control, and relaxation techniques, adapted for participants with mild obstructive sleep apnea or COMISA.

    Treatment: Behavioral: Cognitive-Behavioural Therapy for Insomnia (CBT-I)

  • Passive sleep educationExisting treatment, for comparison

    Informational leaflets plus non-interactive follow-up calls. Control participants are offered CBT-I after study completion.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Impact of Sleep on Arterial Function, Psychological and Cognitive Complaints in Hypertensive Patients With Poor Sleep Quality
Plain-language title
Insomnia therapy and artery health in people with high blood pressureGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 13 November 2026.
Fit questions
Built from NCT07789535, who can take part
Record updated
27 August 2026