Improving the Sleep of Cancer Patients Using an Internet-Based Program

NCT ID: NCT00716872

Last Updated: 2010-02-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2009-11-30

Brief Summary

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The purpose of this study is to determine whether an Internet-based program, Sleep Healthy Using the Internet (SHUTi, or "Shut-Eye"), can help to improve the sleep of people who are in remission from cancer and experiencing symptoms of insomnia.

Detailed Description

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The purpose of this study is to test the feasibility of using an Internet program to improve the sleep of cancer patients with insomnia. Participants will receive access to the Internet program (called SHUTi, or "Shut-Eye") as well as to self-hypnosis recordings designed to improve sleep. SHUTi provides an online, tailored educational program to individuals who are experiencing sleep difficulties, including those having difficulty falling asleep, waking in the middle of the night, and waking too early in the morning.

Conditions

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Cancer Insomnia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ImmedSHUTi/ImmedHyp

In the first part of the trial, participants are assigned to the Immediate SHUTi group; that is, they receive access to the SHUTi program right away. In the second part of the trial (3 months later), participants are assigned to the Immediate Hypnosis group; that is, they receive access to the Hypnosis recordings right away.

Group Type EXPERIMENTAL

Sleep Healthy Using the Internet (SHUTi)

Intervention Type BEHAVIORAL

SHUTi is an Internet program based on cognitive-behavioral therapy for insomnia (CBT-I). Users complete daily online sleep diaries in addition to receiving weekly access to six interactive "Cores" of information. As they progress through the program, users receive tailored instructions for how to improve their sleep.

Hypnosis recordings

Intervention Type BEHAVIORAL

Subjects listen to self-hypnosis recordings designed to improve their disturbed sleep.

ImmedSHUTi/DelayHyp

In the first part of the trial, participants are assigned to the Immediate SHUTi group; that is, they receive access to the SHUTi program right away. In the second part of the trial (3 months later), participants are assigned to the Delayed Hypnosis group; that is, they receive access to the Hypnosis recordings at the end of the study.

Group Type EXPERIMENTAL

Sleep Healthy Using the Internet (SHUTi)

Intervention Type BEHAVIORAL

SHUTi is an Internet program based on cognitive-behavioral therapy for insomnia (CBT-I). Users complete daily online sleep diaries in addition to receiving weekly access to six interactive "Cores" of information. As they progress through the program, users receive tailored instructions for how to improve their sleep.

DelaySHUTi/ImmedHyp

In the first part of the trial, participants are assigned to the Delayed SHUTi group; that is, they receive access to the SHUTi program at the end of the study. In the second part of the trial (3 months later), participants are assigned to the Immediate Hypnosis group; that is, they receive access to the Hypnosis recordings right away.

Group Type EXPERIMENTAL

Hypnosis recordings

Intervention Type BEHAVIORAL

Subjects listen to self-hypnosis recordings designed to improve their disturbed sleep.

DelaySHUTi/DelayHyp

In the first part of the trial, participants are assigned to the Delayed SHUTi group; that is, they receive access to the SHUTi program at the end of the study. In the second part of the trial (3 months later), participants are assigned to the Delayed Hypnosis group; that is, they receive access to the Hypnosis recordings at the end of the study.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Sleep Healthy Using the Internet (SHUTi)

SHUTi is an Internet program based on cognitive-behavioral therapy for insomnia (CBT-I). Users complete daily online sleep diaries in addition to receiving weekly access to six interactive "Cores" of information. As they progress through the program, users receive tailored instructions for how to improve their sleep.

Intervention Type BEHAVIORAL

Hypnosis recordings

Subjects listen to self-hypnosis recordings designed to improve their disturbed sleep.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age = At least 21 years old
* Regular access to the Internet, including e-mail
* Cancer patient

* Any type of cancer (EXCEPT non-melanoma skin cancer)
* In remission from any stage of cancer (active treatment completed at least one month prior to enrollment)
* Insomnia diagnosis (combined from DSM-IV and ICSD):

* Subjective complaints of poor sleep for at least 6 months
* Sleep difficulties ≥3 nights/week
* Difficulty falling asleep (≥30 minutes to fall asleep) OR
* Difficulty staying asleep (≥30 minutes awake in the middle of the night)

* ≤6.5 hours sleep/night
* Poor sleep causes marked distress or significant impairment in daytime functioning (e.g. fatigue, performance deficits, mood disturbance)
* Participant feels that the insomnia was caused/aggravated by cancer or cancer treatment

Exclusion Criteria

* Having a sleep disorder other than insomnia (e.g. sleep apnea, RLS, narcolepsy, parasomnias)
* Having a medical condition other than cancer that causes insomnia
* Experiencing a psychiatric disturbance (major depression, psychosis)
* Experiencing substance abuse
* Currently undergoing psychotherapy or counseling
* Changing sleep/anxiety/depression medication within the past month
* Having an "unusual" sleep pattern

* Normal bedtime is after 2am OR
* Normal wake time is after 9am
* Working as a shift worker (that is, having a schedule that requires working through the night)
* Participants reports that she is pregnant or intending to get pregnant in the next 4 months
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Virginia

OTHER

Sponsor Role lead

Responsible Party

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University of Virginia

Principal Investigators

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Lee M Ritterband, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Virginia

Lora D Baum, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Virginia

Elaine T Bailey, Ph.D.

Role: STUDY_DIRECTOR

University of Virginia

Locations

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University of Virginia Department of Psychiatry & Neurobehavioral Sciences

Charlottesville, Virginia, United States

Site Status

Countries

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United States

References

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Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: Sleep and psychological effects. J Clin Oncol. 2005 Sep 1;23(25):6083-96. doi: 10.1200/JCO.2005.09.548.

Reference Type BACKGROUND
PMID: 16135475 (View on PubMed)

Other Identifiers

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13685

Identifier Type: -

Identifier Source: org_study_id

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