Personalized audio imagery with compact EEG to improve sleep for inpatients with psychosis
Official title: The Effectiveness of Individualized Imagery Scripts on Sleep, Psychosis, and Suicidality Among Inpatients With Psychosis: A Randomized Control Pilot Study
Run by The University of Texas Health Science Center, Houston · NCT06194344 · Data updated 2026-11-12
This project tests whether individualized audio imagery delivered with compact EEG can improve sleep, psychosis symptoms, and suicidal thoughts in hospitalized patients with psychosis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | The University of Texas Health Science Center, Houston Academic / other |
| Locations | 1 site (Houston, Texas) |
| Status | Recruiting |
| Started | March 5, 2024 |
| Main results expected | June 1, 2026 |
| Study ends | June 1, 2026 |
| Registry record updated | July 16, 2025 |
| Trial ID | NCT06194344 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adult psychiatric inpatients at the site with a primary diagnosis of a schizophrenia-spectrum disorder or mood disorder with psychotic features who have sleep dysfunction (ISI ≥ 8 or weekly nightmares) and capacity to consent.
✕Probably not a fit
Patients with substance- or medical-induced psychosis, major neurocognitive or developmental disorders, implanted electronic devices, or those requiring one-to-one or 15-minute safety checks (or rooming with someone on such checks) are excluded and unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Hospitalized patients with schizophrenia-spectrum disorders or mood disorders with psychotic features who report sleep problems receive either individualized imagery audio interventions paired with compact EEG monitoring or a control condition. The team uses brief EEG recordings and tailored audio scripts aimed at improving sleep continuity and reducing nightmares, delivered during the inpatient stay. Outcomes include changes in sleep quality, psychotic symptom measures, and suicidality, along with feasibility metrics for delivering the intervention on an inpatient unit. The protocol excludes patients with substance- or medically induced psychosis, major cognitive disorders, implanted devices, or high-frequency safety checks that would interfere with sleep monitoring.
Why it matters
Potential benefit: If successful, this approach could provide a non-drug way to improve sleep and reduce psychotic symptoms and suicidal thinking in psychiatric inpatients.
How similar studies have gone: Imagery-based interventions and nightmare-focused therapies have shown benefit in other populations, but combining individualized audio imagery with compact EEG monitoring in psychosis inpatients is relatively novel and less well tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * primary diagnoses of schizophrenia spectrum disorder or mood disorder with psychotic features, as determined by the treatment team or record review * capacity to consent to the study as determined by licensed psychologists ( or the primary attending psychiatrist * reported sleep dysfunction which will be determined by a subthreshold or more severe score ≥ 8 on the Insomnia Severity Index (ISI), and/or report experiencing nightmares at least once a week. Exclusion Criteria: * primary substance- or medical-induced psychosis * intellectual and developmental disabilities * neurodegenerative cognitive disorders * implanted devices (e.g., Pacemakers) * on one-to-one supervision or 15-minute safety checks for suicidality or aggression * patients with roommates that are on 15-minute checks to minimize impact on study participants' awakenings
Where it's running
-
The University of Texas Health Science Center at Houston
Houston, Texas, United States Recruiting
Study contacts
- Principal investigator: Alia Warner, Ph.D. — The University of Texas Health Science Center, Houston
- Study coordinator: Alia Warner, Ph.D., ABPP
- Email: Alia.R.Warner@uth.tmc.edu
- Phone: 713-486-2700
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Examining the effects of combined therapy for schizophrenia
This study is testing whether combining two therapies, one for managing thoughts and another for improving cognitive skills, can help people with schizophrenia do better in their daily lives compared to using just one of the therapies.
-
State Representation in Early Psychosis 2
This observational study tests how people with early psychosis and healthy individuals use state information during tasks and how brain activity supports it.
-
Recovery-oriented suicide prevention for young people at clinical high risk for psychosis
This program tests a peer-supported, clinician-led suicide prevention group for young people at clinical high risk for psychosis to see if it helps reduce suicidal thoughts and support recovery.
-
Combined brain stimulation and yoga for improving cognition in psychosis
This study tests whether active brain stimulation plus yoga can improve thinking skills and daily function in adults with psychosis.
-
See if an early-detection program reduces time to treatment for first-episode psychosis
We test whether a large, region-wide early-detection program can shorten the time from first psychotic symptoms to treatment and help people function better later.
-
Cerebellar imaging markers to predict antipsychotic response in first-episode psychosis
This will test whether cerebellar brain scans can predict how people with first-episode psychosis respond to 12 weeks of treatment with risperidone or aripiprazole.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.