Sleep Hygiene Education, ReadiWatch™ Actigraphy, and Telehealth Cognitive Behavioral Training for Insomnia for People With Prostate Cancer.

OBJECTIVES

To test the feasibility of sleep hygiene education and longitudinal wrist actigraph sleep metrics measurement alone versus in combination with telehealth-delivered cognitive behavioral therapy for insomnia (teleCBT-I) for people with prostate cancer (PC) receiving androgen deprivation therapy (ADT).

SAMPLE & SETTING: 45 men with PC receiving ADT were recruited from a midwestern comprehensive cancer center.

METHODS & VARIABLES: Participants were provided with wrist actigraphs, their individual sleep metrics data, and sleep hygiene education. Half the sample was randomized to a four-week teleCBT-I intervention. Outcomes were collected at baseline, one month, and two months. Exit interviews were conducted to glean participants' feedback about the study.

RESULTS

Feasibility was demonstrated. Physical function, sleep efficiency, fatigue, and health-related quality of life improved for participants receiving teleCBT-I.

IMPLICATIONS FOR NURSING

Assessment of sleep disturbance, access to sleep hygiene education, and teleCBT-I may benefit people with PC receiving ADT.