Perini Family Survivor's Center, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
J Psychosoc Oncol. 2023;41(1):123-132. doi: 10.1080/07347332.2022.2054750. Epub 2022 Apr 25.
Insomnia is a common late effect of cancer, affecting as many as 27% of cancer survivors. Although cognitive behavioral therapy for insomnia (CBT-I) is highly effective, treatment-associated burdens and limited availability of providers result in few survivors receiving this treatment. To address this gap, we developed the Sleep Treatment Education Program-1 (STEP-1), a single-session intervention addressing insomnia after cancer. As a preliminary evaluation of STEP-1's potential to improve survivors' insomnia, STEP-1 was delivered to a convenience sample of 34 cancer survivors as an educational workshop in person or by videoconference. Participants completed the Insomnia Severity Index (ISI) at the workshop and at 1-month follow-up; items assessing participants' intentions to implement program suggestions and satisfaction were also collected. At 1-month follow-up, mean insomnia symptoms on the ISI were significantly lower compared to baseline (9.73 vs 15.73; = 1.38, < .001); the reduction in mean ISI scores did not significantly differ between in-person and videoconference participants (5.82 vs 6.33; = .78). These results, along with positive indicators of program engagement and satisfaction, support the potential efficacy of STEP-1 to meet survivors' needs for insomnia care. Particularly when delivered by videoconference, STEP-1 has the potential to dramatically improve access and uptake for insomnia treatment in cancer survivors. Results also more generally support development of low-intensity, self-management insomnia interventions for cancer survivors and potentially other populations.
失眠是癌症的一种常见晚期效应,多达 27%的癌症幸存者受到影响。尽管认知行为疗法治疗失眠(CBT-I)非常有效,但由于治疗相关负担和提供者的有限可用性,很少有幸存者接受这种治疗。为了解决这一差距,我们开发了睡眠治疗教育计划-1(STEP-1),这是一种针对癌症后失眠的单次干预措施。作为对 STEP-1 改善幸存者失眠潜力的初步评估,STEP-1 作为一个教育研讨会,以面对面或视频会议的形式提供给 34 名癌症幸存者的便利样本。参与者在研讨会和 1 个月随访时完成了失眠严重程度指数(ISI);还收集了评估参与者实施计划建议的意图和满意度的项目。在 1 个月的随访中,与基线相比,ISI 上的平均失眠症状明显降低(9.73 对 15.73; = 1.38, < .001);面对面和视频会议参与者的 ISI 评分平均降低没有显著差异(5.82 对 6.33; = .78)。这些结果,以及对计划参与和满意度的积极指标,支持 STEP-1 有潜力满足幸存者对失眠护理的需求。特别是通过视频会议提供时,STEP-1 有可能极大地改善癌症幸存者的失眠治疗的可及性和接受度。结果还更普遍地支持为癌症幸存者和潜在其他人群开发低强度、自我管理的失眠干预措施。
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