Feasibility and acceptability of brief behavioral therapy for cancer-related insomnia: effects on insomnia and circadian rhythm during chemotherapy: a phase II randomised multicentre controlled trial.

British Journal of Cancer
Oxana PaleshKaren M Mustian

Abstract

This phase II RCT was conducted to determine the feasibility and acceptability of brief behavioral therapy for cancer-related insomnia (BBT-CI) in breast cancer patients undergoing chemotherapy. We also assessed the preliminary effects of BBT-CI on insomnia and circadian rhythm in comparison to a Healthy Eating Education Learning control condition (HEAL). Of the 71 participants recruited, 34 were randomised to receive BBT-CI and 37 to receive HEAL. Oncology staff was trained to deliver the intervention in four community clinics affiliated with the NCI. Insomnia was assessed with the Insomnia Severity Index (ISI), and circadian rhythm was assessed using a wrist-worn actiwatch. Community staff interveners delivered 72% of the intervention components, with a recruitment rate of 77% and an adherence rate of 73%, meeting acceptability and feasibility benchmarks. Those randomised to BBT-CI improved their ISI scores by 6.3 points compared to a 2.5-point improvement in those randomised to HEAL (P = 0.041). Actigraphy data indicated that circadian functioning improved in the BBT-CI arm as compared to the HEAL arm at post-intervention (all P-values <0.05). BBT-CI is an acceptable and feasible intervention that can be delivered directly i...Continue Reading

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Citations

Feb 27, 2020·The American Journal of Hospice & Palliative Care·Isa NzwaloHipólito Nzwalo
May 10, 2020·JNCI Cancer Spectrum·Ingrid Tonning OlssonTara M Brinkman
Mar 25, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Andreas CharalambousOxana Palesh
Jul 3, 2021·Current Treatment Options in Oncology·Diwakar D BalachandranPasquale F Innominato
Dec 8, 2021·Nature Reviews. Clinical Oncology·Judith E CarrollPatricia A Ganz

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Methods Mentioned

BETA
cognitive behavioral therapy

Software Mentioned

BBT
Actiware

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