Guided web-based intervention for insomnia targeting breast cancer patients: Feasibility and effect

Els Dozeman, Irma M. Verdonck-de Leeuw, Josée Savard, Annemieke van Straten

Research output: Contribution to journalArticleAcademicpeer-review

25 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalInternet Interventions
Publication statusPublished - 1 Sept 2017


  • Breast cancer
  • CBT
  • E-health
  • Insomnia
  • Internet
  • Web-based intervention

Cite this