Could protecting nighttime sleep in the ICU ward off delirium?
NCT ID NCT07801092
First seen Sep 03, 2026 · Last updated Sep 09, 2026 · Updated 2 times
Summary
This trial tests whether a nighttime care routine called the Triple Sleep-Promotion Protocol can lower the chance of delirium in adults staying in intensive care units (ICUs). Delirium, a state of sudden confusion, is common in ICUs and may be linked to broken sleep and frequent nighttime disturbances. The protocol groups nursing tasks into set windows, offers eye masks and earplugs during protected sleep periods, and cuts down avoidable light and noise. Researchers will randomly assign 200 ICU patients without delirium to receive either this protocol or usual care, then track new delirium cases and sleep quality over up to five days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Triple Sleep-Promotion Protocol, a non-pharmacological nursing intervention that clusters nighttime care, provides eye masks and earplugs, and reduces light and noise to protect sleep.
- What this could lead to
- If effective, this simple, drug-free protocol could offer a practical way to lower delirium risk in intensive care units, potentially improving recovery and shortening hospital stays.
- What could go wrong
- The trial is relatively small and tests a behavioral intervention, so results may vary across ICUs. Delirium has many causes, and sleep promotion alone may not prevent it in all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 years or older. * Admitted to one of the participating intensive care units. * Expected ICU stay of at least 24 hours. * Richmond Agitation-Sedation Scale (RASS) score between -3 and +4 at baseline. * Negative Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) assessment at baseline. * Able to communicate in Turkish when communication is required for study assessments. * Written informed consent provided by the patient or, when the patient is unable to provide consent because of their clinical condition, by a first-degree relative. Exclusion Criteria: * Positive CAM-ICU assessment at baseline. * Dementia or a severe neurological disorder that may interfere with delirium assessment, including stroke or severe head trauma. * Delirium related to alcohol or substance withdrawal. * Visual or hearing impairment that prevents implementation of the sleep-promotion intervention. * Ear infection or tympanic membrane perforation that precludes the use of earplugs. * Terminal clinical condition.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Çanakkale Onsekiz Mart University, Faculty of Health Sciences
RECRUITINGÇanakkale, Çanakkale, 17100, Turkey (Türkiye)
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