TY - JOUR
T1 - Guided web-based intervention for insomnia targeting breast cancer patients
T2 - Feasibility and effect
AU - Dozeman, Els
AU - Verdonck-de Leeuw, Irma M.
AU - Savard, Josée
AU - van Straten, Annemieke
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Background Insomnia is highly prevalent in breast cancer (BRC) patients, but non-pharmacological treatment is not widely available. The aim of this preliminary study was to investigate whether guided cognitive behavioral therapy via the Internet (I-CBT) is a feasible and effective solution for this undertreated condition in BRC patients, and to investigate who benefits most. Methods An existing evidence based I-CBT sleep intervention (I-Sleep) was adapted for BRC patients. An open mixed methods design was used including qualitative interviews and pre- and post-test questionnaires measuring sleep, fatigue, daily functioning, and psychological distress. Results 100 of the 171 participants (59%) completed the intervention fully and participants highly valued the intervention (7.5 out of 10). Large to small pre-post effect sizes were found on insomnia severity (d = 1.33) fatigue (d = 0.24), and daytime functioning (d = 0.30). Younger patients and patients with more severe insomnia at baseline benefited most from the intervention. Conclusion The I-CBT intervention I-Sleep is feasible, well-accepted, and effective for BRC patients who suffer from insomnia, especially for younger patients and those with more severe insomnia.
AB - Background Insomnia is highly prevalent in breast cancer (BRC) patients, but non-pharmacological treatment is not widely available. The aim of this preliminary study was to investigate whether guided cognitive behavioral therapy via the Internet (I-CBT) is a feasible and effective solution for this undertreated condition in BRC patients, and to investigate who benefits most. Methods An existing evidence based I-CBT sleep intervention (I-Sleep) was adapted for BRC patients. An open mixed methods design was used including qualitative interviews and pre- and post-test questionnaires measuring sleep, fatigue, daily functioning, and psychological distress. Results 100 of the 171 participants (59%) completed the intervention fully and participants highly valued the intervention (7.5 out of 10). Large to small pre-post effect sizes were found on insomnia severity (d = 1.33) fatigue (d = 0.24), and daytime functioning (d = 0.30). Younger patients and patients with more severe insomnia at baseline benefited most from the intervention. Conclusion The I-CBT intervention I-Sleep is feasible, well-accepted, and effective for BRC patients who suffer from insomnia, especially for younger patients and those with more severe insomnia.
KW - Breast cancer
KW - CBT
KW - E-health
KW - Insomnia
KW - Internet
KW - Web-based intervention
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U2 - https://doi.org/10.1016/j.invent.2017.03.005
DO - https://doi.org/10.1016/j.invent.2017.03.005
M3 - Article
C2 - 30135831
SN - 2214-7829
VL - 9
SP - 1
EP - 6
JO - Internet Interventions
JF - Internet Interventions
ER -