Move and Snooze: Exercise and Insomnia Treatment for Knee Osteoarthritis

This study, called "Move and Snooze," is looking at how adding an insomnia treatment to an exercise program might help older adults with knee osteoarthritis (a condition causing joint pain and stiffness). All participants will receive personalized exercise coaching through online or phone sessions. Some will also receive a 6-week online program called Sleepio, which uses cognitive behavioral therapy for insomnia (a type of talk therapy to improve sleep). Researchers want to see if combining exercise with Sleepio leads to greater improvements in pain compared to exercise alone. You might be able to join if you are 50 or older, have a doctor's diagnosis of knee osteoarthritis with persistent pain, and also have ongoing insomnia symptoms.

Study design
This interventional study plans to enroll 288 participants. It compares two groups: one receiving personalized exercise coaching, and another receiving personalized exercise coaching plus cognitive behavioral therapy for insomnia.
What's involved
You will complete six 30-minute online or phone exercise coaching sessions over 8 weeks. If you are in the combined group, you will also complete weekly 15-20 minute online Sleepio sessions for 6 weeks.
Compensation
Not stated in the trial record.
Follow-up
Your pain intensity will be measured at the beginning of the study and again at 8 weeks after the interventions start.

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NCT06580561

Move and Snooze: Adding Insomnia Treatment to an Exercise Program to Improve Pain Outcomes in Older Adults With Knee Osteoarthritis

Recruiting
NAAges 50+InterventionalTreatment
University of Michigan
~288 participants
Updated 2026-04-13 on ClinicalTrials.gov
What's tested:Personalized exercise coachingCognitive behavioral therapy for Insomnia

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in average pain intensity using a 0-10 numerical rating scale between baseline and the 8-week follow-up (post-intervention) period
Measured over Baseline, 8-week follow-up (post-intervention)
Knee Osteoarthritis
Insomnia
1 sites across 1 states
Michigan1
  • Daniel Whibley, PhD · PRINCIPAL_INVESTIGATOR · University of Michigan

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Eligibility criteria

Inclusion

Self-reported physician diagnosis of knee osteoarthritis
Persistent knee osteoarthritis-related pain of at least moderate intensity (as indicated in the protocol)
Indication of persistent symptoms of insomnia, determined by scoring on the Sleep Condition Indicator questionnaire (as indicated in the protocol)
If receiving medication for pain or sleep disturbances, having had no change in prescription in the previous three months and be willing to make no other changes to medications for pain or sleep during the active study period.
Adequate literacy level to ensure web-based surveys can be completed independently, as assessed using a brief 3-item literacy level screener

Exclusion

Concurrent diagnosis of a systemic, inflammatory musculoskeletal disorder (e.g., rheumatoid arthritis)
Active malignancy
Neurological conditions (e.g., movement disorders)
Any medical condition which would make graded increase of physical activity unsuitable (determined by a positive answer to the question: "Has a doctor or healthcare professional advised you to avoid physical activity for any reason?").
Unable to understand English sufficiently to take part in the intervention.
Unable to provide electronic informed consent.
Evidence of significant cognitive impairment (i.e., ≥2 errors on a 6-item cognitive screener).
Presence of severe psychiatric disorder.
Currently participating in an interventional trial or a pain or sleep management program or having done so in the past six months.
Visual or hearing impairment that would prevent use of the intervention.
Serious physical health concerns necessitating surgery or with a prognosis \<6 months
Irregular sleep-wake schedule, e.g., shift work.
Self-report of diagnosis of a specific sleep disorder other than insomnia that is not currently adequately treated, e.g., sleep apnea or narcolepsy.
Currently meeting or exceeding physical activity guidance from the U.S. Department of Health and Human Services (noted in protocol)
  • Change in average pain intensity using a 0-10 numerical rating scale between baseline and the 8-week follow-up (post-intervention) periodBaseline, 8-week follow-up (post-intervention)

    This is a one question numerical rating scale in which participants select from 0 (no pain) -10 (worst pain imaginable) numerical rating scale 4 times a day over 7 days during each assessment period (baseline and 8-week follow-up). These four within-day ratings collected over seven days will be averaged for each participant to provide a single pain intensity rating for each assessment period.