Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorThe University of Texas Health Science Center, Houston
Academic / other
Locations1 site (Houston, Texas)
StatusRecruiting
StartedMarch 5, 2024
Main results expectedJune 1, 2026
Study endsJune 1, 2026
Registry record updatedJuly 16, 2025
Trial IDNCT06194344 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.