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Sleep TO Prevent Post-surgical Pain

Recruiting

Who can join

Ages 60 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* People with knee osteoarthritis,
* 60 years old and older,
* scheduled to have unilateral (one knee) total knee replacement surgery for osteoarthritis and
* have trouble falling or staying asleep

Exclusion Criteria:

* currently using medications to help sleep
* have completed Cognitive Behavioral Therapy for Insomnia
* used either Bright Light or Negative Ion exposures in the past year
* have an inflammatory rheumatologic disorder, seizure disorder
* serious mental health disorder, Bipolar I disorder, substance or alcohol use disorder
* serious sleep or circadian rhythm disorder, untreated sleep apnea
* are pregnant or lactating
* have retinal pathology
* history of eye surgery (Lasik or cataract okay if more than 3 months ago)
* are taking disease-modifying antirheumatic drugs
* taking photosensitizing medications
* are unwilling to discontinue over the counter sleep aids (for example, melatonin) for at least 2 weeks before enrolling

About the study

This research study is being done to compare different methods of addressing sleep problems before total knee replacement surgery. These methods include Cognitive Behavioral Therapy and light exposure.

What is being tested

Sponsor: Johns Hopkins University · Participants: 252 · Started: Jun 13, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06976138

Locations in the U.S.

MarylandJohns Hopkins School of Medicine, Baltimore

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.