Loading…
Cereset Research Standard Operating Procedures for Insomnia: A Randomized, Controlled Clinical Trial
Background Interventions for insomnia that also address autonomic dysfunction are needed. Objective We evaluate Cereset Research™ Standard Operating Procedures (CR-SOP) in a pilot randomized, controlled trial. CR-SOP is a less operator-dependent, more generalizable innovation of HIRREM®, a noninvasi...
Saved in:
Published in: | Global advances in health and medicine 2023-01, Vol.12, p.27536130221147475 |
---|---|
Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c466t-4e83e98e6600e18283c4e1e7b650ee54696ea0c21d902c465f4a185f49a5013e3 |
---|---|
cites | cdi_FETCH-LOGICAL-c466t-4e83e98e6600e18283c4e1e7b650ee54696ea0c21d902c465f4a185f49a5013e3 |
container_end_page | |
container_issue | |
container_start_page | 27536130221147475 |
container_title | Global advances in health and medicine |
container_volume | 12 |
creator | Tegeler, Catherine L. Munger Clary, Heidi Shaltout, Hossam A. Simpson, Sean L. Gerdes, Lee Tegeler, Charles H. |
description | Background
Interventions for insomnia that also address autonomic dysfunction are needed.
Objective
We evaluate Cereset Research™ Standard Operating Procedures (CR-SOP) in a pilot randomized, controlled trial. CR-SOP is a less operator-dependent, more generalizable innovation of HIRREM®, a noninvasive, closed-loop, allostatic, acoustic stimulation neurotechnology demonstrated to improve insomnia and autonomic function.
Methods
Adults with Insomnia Severity Index (ISI) scores of ≥8 were randomized to receive ten sessions of CR-SOP, with tones linked to brainwaves (LB, intervention), or a sham condition of random tones not linked to brainwaves (NL, control). Measures were collected at enrollment and 0-14 days and 4-6 weeks post-allocated intervention. The primary outcome was differential change in ISI from baseline to 4-6 weeks post-intervention. Secondary self-report measures assessed sleep quality65 and behavioral outcomes. Ten-minute recordings of heart rate and blood pressure were collected to analyze autonomic function (heart rate variability [HRV] and baroreflex sensitivity).
Results
Of 22 randomized, 20 participants completed the allocated condition. Intention to treat analysis of change from baseline to the 4-6 week outcome demonstrated mean ISI score reduction of 4.69 points among controls (SE 1.40). In the intervention group, there was an additional 2.58 point reduction in ISI score (SE 2.13; total reduction of 7.27, P = .24). Sleep quality and some measures of autonomic function improved significantly among the intervention group compared to control.
Conclusions
This pilot study compared use of a standardized, allostatic, acoustic neurotechnology intervention with a sham, active control condition. The magnitude of change in insomnia severity was clinically relevant and similar to the findings in a prior, fully powered trial, but the differential improvement observed was not statistically significant. Significant improvements were demonstrated in sleep quality and some autonomic function measures. |
doi_str_mv | 10.1177/27536130221147475 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9933987</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_27536130221147475</sage_id><sourcerecordid>2779343785</sourcerecordid><originalsourceid>FETCH-LOGICAL-c466t-4e83e98e6600e18283c4e1e7b650ee54696ea0c21d902c465f4a185f49a5013e3</originalsourceid><addsrcrecordid>eNp1kU1rVTEQhoMottT-ADcScOPC2-br5MOFUA5qC4VKreuQ5sy9TclJrsk5Bf315nJrPyzdTMLkmXfeySD0lpIDSpU6ZKrjknLCGKVCCdW9QLub3GKTfPngvoP2a70mhDDDmNb6NdrhUlMppNlFQw8FKkz4vEVX_BX-Mbk0uDLgszUUN4W0wt9L9jDMDcTLXPBJqnlMwX3CR_i8wXkMf2D4iPucppJjhAH3MaTgXcQXJbj4Br1aulhh__bcQz-_frnojxenZ99O-qPThRdSTgsBmoPRICUhQDXT3AugoC5lRwC65leCI57RwRDWSrqlcFS3aFxHKAe-hz5vddfz5QiDh-bHRbsuYXTlt80u2McvKVzZVb6xxnButGoCH24FSv41Q53sGKqHGF2CPFfLlDJccKW7hr7_D73Oc0ltPNv-mVAjWEcbRbeUL7nWAss7M5TYzRrtkzW2mncPp7ir-Le0BhxsgepWcN_2ecW_-4KkZw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2920194251</pqid></control><display><type>article</type><title>Cereset Research Standard Operating Procedures for Insomnia: A Randomized, Controlled Clinical Trial</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Tegeler, Catherine L. ; Munger Clary, Heidi ; Shaltout, Hossam A. ; Simpson, Sean L. ; Gerdes, Lee ; Tegeler, Charles H.</creator><creatorcontrib>Tegeler, Catherine L. ; Munger Clary, Heidi ; Shaltout, Hossam A. ; Simpson, Sean L. ; Gerdes, Lee ; Tegeler, Charles H.</creatorcontrib><description>Background
Interventions for insomnia that also address autonomic dysfunction are needed.
Objective
We evaluate Cereset Research™ Standard Operating Procedures (CR-SOP) in a pilot randomized, controlled trial. CR-SOP is a less operator-dependent, more generalizable innovation of HIRREM®, a noninvasive, closed-loop, allostatic, acoustic stimulation neurotechnology demonstrated to improve insomnia and autonomic function.
Methods
Adults with Insomnia Severity Index (ISI) scores of ≥8 were randomized to receive ten sessions of CR-SOP, with tones linked to brainwaves (LB, intervention), or a sham condition of random tones not linked to brainwaves (NL, control). Measures were collected at enrollment and 0-14 days and 4-6 weeks post-allocated intervention. The primary outcome was differential change in ISI from baseline to 4-6 weeks post-intervention. Secondary self-report measures assessed sleep quality65 and behavioral outcomes. Ten-minute recordings of heart rate and blood pressure were collected to analyze autonomic function (heart rate variability [HRV] and baroreflex sensitivity).
Results
Of 22 randomized, 20 participants completed the allocated condition. Intention to treat analysis of change from baseline to the 4-6 week outcome demonstrated mean ISI score reduction of 4.69 points among controls (SE 1.40). In the intervention group, there was an additional 2.58 point reduction in ISI score (SE 2.13; total reduction of 7.27, P = .24). Sleep quality and some measures of autonomic function improved significantly among the intervention group compared to control.
Conclusions
This pilot study compared use of a standardized, allostatic, acoustic neurotechnology intervention with a sham, active control condition. The magnitude of change in insomnia severity was clinically relevant and similar to the findings in a prior, fully powered trial, but the differential improvement observed was not statistically significant. Significant improvements were demonstrated in sleep quality and some autonomic function measures.</description><identifier>ISSN: 2753-6130</identifier><identifier>ISSN: 2164-957X</identifier><identifier>EISSN: 2753-6130</identifier><identifier>EISSN: 2164-9561</identifier><identifier>DOI: 10.1177/27536130221147475</identifier><identifier>PMID: 36816469</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Clinical outcomes ; Heart rate ; Insomnia ; Intervention ; Original ; Sleep</subject><ispartof>Global advances in health and medicine, 2023-01, Vol.12, p.27536130221147475</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023.</rights><rights>The Author(s) 2023. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023 2023 Academic Consortium for Integrative Medicine & Health, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-4e83e98e6600e18283c4e1e7b650ee54696ea0c21d902c465f4a185f49a5013e3</citedby><cites>FETCH-LOGICAL-c466t-4e83e98e6600e18283c4e1e7b650ee54696ea0c21d902c465f4a185f49a5013e3</cites><orcidid>0000-0003-0476-9290 ; 0000-0001-7948-3815 ; 0000-0002-9594-0569 ; 0000-0002-8654-8661 ; 0000-0002-2943-6719 ; 0000-0002-9889-8351</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933987/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2920194251?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36816469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tegeler, Catherine L.</creatorcontrib><creatorcontrib>Munger Clary, Heidi</creatorcontrib><creatorcontrib>Shaltout, Hossam A.</creatorcontrib><creatorcontrib>Simpson, Sean L.</creatorcontrib><creatorcontrib>Gerdes, Lee</creatorcontrib><creatorcontrib>Tegeler, Charles H.</creatorcontrib><title>Cereset Research Standard Operating Procedures for Insomnia: A Randomized, Controlled Clinical Trial</title><title>Global advances in health and medicine</title><addtitle>Glob Adv Integr Med Health</addtitle><description>Background
Interventions for insomnia that also address autonomic dysfunction are needed.
Objective
We evaluate Cereset Research™ Standard Operating Procedures (CR-SOP) in a pilot randomized, controlled trial. CR-SOP is a less operator-dependent, more generalizable innovation of HIRREM®, a noninvasive, closed-loop, allostatic, acoustic stimulation neurotechnology demonstrated to improve insomnia and autonomic function.
Methods
Adults with Insomnia Severity Index (ISI) scores of ≥8 were randomized to receive ten sessions of CR-SOP, with tones linked to brainwaves (LB, intervention), or a sham condition of random tones not linked to brainwaves (NL, control). Measures were collected at enrollment and 0-14 days and 4-6 weeks post-allocated intervention. The primary outcome was differential change in ISI from baseline to 4-6 weeks post-intervention. Secondary self-report measures assessed sleep quality65 and behavioral outcomes. Ten-minute recordings of heart rate and blood pressure were collected to analyze autonomic function (heart rate variability [HRV] and baroreflex sensitivity).
Results
Of 22 randomized, 20 participants completed the allocated condition. Intention to treat analysis of change from baseline to the 4-6 week outcome demonstrated mean ISI score reduction of 4.69 points among controls (SE 1.40). In the intervention group, there was an additional 2.58 point reduction in ISI score (SE 2.13; total reduction of 7.27, P = .24). Sleep quality and some measures of autonomic function improved significantly among the intervention group compared to control.
Conclusions
This pilot study compared use of a standardized, allostatic, acoustic neurotechnology intervention with a sham, active control condition. The magnitude of change in insomnia severity was clinically relevant and similar to the findings in a prior, fully powered trial, but the differential improvement observed was not statistically significant. Significant improvements were demonstrated in sleep quality and some autonomic function measures.</description><subject>Clinical outcomes</subject><subject>Heart rate</subject><subject>Insomnia</subject><subject>Intervention</subject><subject>Original</subject><subject>Sleep</subject><issn>2753-6130</issn><issn>2164-957X</issn><issn>2753-6130</issn><issn>2164-9561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><recordid>eNp1kU1rVTEQhoMottT-ADcScOPC2-br5MOFUA5qC4VKreuQ5sy9TclJrsk5Bf315nJrPyzdTMLkmXfeySD0lpIDSpU6ZKrjknLCGKVCCdW9QLub3GKTfPngvoP2a70mhDDDmNb6NdrhUlMppNlFQw8FKkz4vEVX_BX-Mbk0uDLgszUUN4W0wt9L9jDMDcTLXPBJqnlMwX3CR_i8wXkMf2D4iPucppJjhAH3MaTgXcQXJbj4Br1aulhh__bcQz-_frnojxenZ99O-qPThRdSTgsBmoPRICUhQDXT3AugoC5lRwC65leCI57RwRDWSrqlcFS3aFxHKAe-hz5vddfz5QiDh-bHRbsuYXTlt80u2McvKVzZVb6xxnButGoCH24FSv41Q53sGKqHGF2CPFfLlDJccKW7hr7_D73Oc0ltPNv-mVAjWEcbRbeUL7nWAss7M5TYzRrtkzW2mncPp7ir-Le0BhxsgepWcN_2ecW_-4KkZw</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Tegeler, Catherine L.</creator><creator>Munger Clary, Heidi</creator><creator>Shaltout, Hossam A.</creator><creator>Simpson, Sean L.</creator><creator>Gerdes, Lee</creator><creator>Tegeler, Charles H.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0476-9290</orcidid><orcidid>https://orcid.org/0000-0001-7948-3815</orcidid><orcidid>https://orcid.org/0000-0002-9594-0569</orcidid><orcidid>https://orcid.org/0000-0002-8654-8661</orcidid><orcidid>https://orcid.org/0000-0002-2943-6719</orcidid><orcidid>https://orcid.org/0000-0002-9889-8351</orcidid></search><sort><creationdate>20230101</creationdate><title>Cereset Research Standard Operating Procedures for Insomnia: A Randomized, Controlled Clinical Trial</title><author>Tegeler, Catherine L. ; Munger Clary, Heidi ; Shaltout, Hossam A. ; Simpson, Sean L. ; Gerdes, Lee ; Tegeler, Charles H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-4e83e98e6600e18283c4e1e7b650ee54696ea0c21d902c465f4a185f49a5013e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical outcomes</topic><topic>Heart rate</topic><topic>Insomnia</topic><topic>Intervention</topic><topic>Original</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tegeler, Catherine L.</creatorcontrib><creatorcontrib>Munger Clary, Heidi</creatorcontrib><creatorcontrib>Shaltout, Hossam A.</creatorcontrib><creatorcontrib>Simpson, Sean L.</creatorcontrib><creatorcontrib>Gerdes, Lee</creatorcontrib><creatorcontrib>Tegeler, Charles H.</creatorcontrib><collection>SAGE Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Global advances in health and medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tegeler, Catherine L.</au><au>Munger Clary, Heidi</au><au>Shaltout, Hossam A.</au><au>Simpson, Sean L.</au><au>Gerdes, Lee</au><au>Tegeler, Charles H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cereset Research Standard Operating Procedures for Insomnia: A Randomized, Controlled Clinical Trial</atitle><jtitle>Global advances in health and medicine</jtitle><addtitle>Glob Adv Integr Med Health</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>12</volume><spage>27536130221147475</spage><pages>27536130221147475-</pages><issn>2753-6130</issn><issn>2164-957X</issn><eissn>2753-6130</eissn><eissn>2164-9561</eissn><abstract>Background
Interventions for insomnia that also address autonomic dysfunction are needed.
Objective
We evaluate Cereset Research™ Standard Operating Procedures (CR-SOP) in a pilot randomized, controlled trial. CR-SOP is a less operator-dependent, more generalizable innovation of HIRREM®, a noninvasive, closed-loop, allostatic, acoustic stimulation neurotechnology demonstrated to improve insomnia and autonomic function.
Methods
Adults with Insomnia Severity Index (ISI) scores of ≥8 were randomized to receive ten sessions of CR-SOP, with tones linked to brainwaves (LB, intervention), or a sham condition of random tones not linked to brainwaves (NL, control). Measures were collected at enrollment and 0-14 days and 4-6 weeks post-allocated intervention. The primary outcome was differential change in ISI from baseline to 4-6 weeks post-intervention. Secondary self-report measures assessed sleep quality65 and behavioral outcomes. Ten-minute recordings of heart rate and blood pressure were collected to analyze autonomic function (heart rate variability [HRV] and baroreflex sensitivity).
Results
Of 22 randomized, 20 participants completed the allocated condition. Intention to treat analysis of change from baseline to the 4-6 week outcome demonstrated mean ISI score reduction of 4.69 points among controls (SE 1.40). In the intervention group, there was an additional 2.58 point reduction in ISI score (SE 2.13; total reduction of 7.27, P = .24). Sleep quality and some measures of autonomic function improved significantly among the intervention group compared to control.
Conclusions
This pilot study compared use of a standardized, allostatic, acoustic neurotechnology intervention with a sham, active control condition. The magnitude of change in insomnia severity was clinically relevant and similar to the findings in a prior, fully powered trial, but the differential improvement observed was not statistically significant. Significant improvements were demonstrated in sleep quality and some autonomic function measures.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>36816469</pmid><doi>10.1177/27536130221147475</doi><orcidid>https://orcid.org/0000-0003-0476-9290</orcidid><orcidid>https://orcid.org/0000-0001-7948-3815</orcidid><orcidid>https://orcid.org/0000-0002-9594-0569</orcidid><orcidid>https://orcid.org/0000-0002-8654-8661</orcidid><orcidid>https://orcid.org/0000-0002-2943-6719</orcidid><orcidid>https://orcid.org/0000-0002-9889-8351</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2753-6130 |
ispartof | Global advances in health and medicine, 2023-01, Vol.12, p.27536130221147475 |
issn | 2753-6130 2164-957X 2753-6130 2164-9561 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9933987 |
source | Publicly Available Content Database; PubMed Central |
subjects | Clinical outcomes Heart rate Insomnia Intervention Original Sleep |
title | Cereset Research Standard Operating Procedures for Insomnia: A Randomized, Controlled Clinical Trial |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T15%3A24%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cereset%20Research%20Standard%20Operating%20Procedures%20for%20Insomnia:%20A%20Randomized,%20Controlled%20Clinical%20Trial&rft.jtitle=Global%20advances%20in%20health%20and%20medicine&rft.au=Tegeler,%20Catherine%20L.&rft.date=2023-01-01&rft.volume=12&rft.spage=27536130221147475&rft.pages=27536130221147475-&rft.issn=2753-6130&rft.eissn=2753-6130&rft_id=info:doi/10.1177/27536130221147475&rft_dat=%3Cproquest_pubme%3E2779343785%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c466t-4e83e98e6600e18283c4e1e7b650ee54696ea0c21d902c465f4a185f49a5013e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2920194251&rft_id=info:pmid/36816469&rft_sage_id=10.1177_27536130221147475&rfr_iscdi=true |