Brief Behavioral Intervention for Insomnia During Chemotherapy

NCT ID: NCT02165839

Last Updated: 2020-12-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

139 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2020-06-30

Brief Summary

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PRIMARY OBJECTIVE(S):

To evaluate the efficacy of the Brief Behavioral Therapy for Insomnia (BBT-I) in treating insomnia among breast cancer patients receiving chemotherapy.

SECONDARY OBJECTIVE(S):

* To evaluate the efficacy of the BBT-I in treating cancer-related symptoms such as cancer-related fatigue and cognitive difficulties in breast cancer patients receiving chemotherapy.
* To examine potential moderators and mediators of BBT-I intervention effects on insomnia, cognitive difficulties, and fatigue. In particular, we are interested in age, depression and anxiety and side effects (hot flashes) as potential moderators of the intervention effects as well as evaluating modifiable behavioral and physiological mechanisms as hypothesized mediators

Detailed Description

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Conditions

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Breast Cancer Insomnia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Healthy Eating Education Learning (HEAL)

Control group.

Group Type ACTIVE_COMPARATOR

Healthy Eating Education Learning (HEAL)

Intervention Type BEHAVIORAL

Brief Behavioral Therapy for Insomnia (BBT-I)

Group Type EXPERIMENTAL

Brief Behavioral Therapy for Insomnia (BBT-I)

Intervention Type BEHAVIORAL

Interventions

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Brief Behavioral Therapy for Insomnia (BBT-I)

Intervention Type BEHAVIORAL

Healthy Eating Education Learning (HEAL)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Female
* Diagnosis of Breast Cancer (Stage I-IIIA)
* Scheduled for planned cancer treatment (eg, chemotherapy or biologic agents), or treatment is continuing
* Has ≥ 6 weeks of cancer treatment (eg, chemotherapy or biologic agents) remaining
* ≥ 21 years of age.
* Able to understand written and spoken English.
* Sleep disturbance of 8 or greater on the ISI, and insomnia that began or got worse with diagnosis of cancer or treatment with chemotherapy (to exclude pre-existing, chronic insomnia).
* Karnofsky score ≥ 70

Exclusion Criteria

* Have an unstable self-reported medical or psychiatric illness (Axis I - current or within the last 5 years).
* Be currently pregnant or nursing
* History of substance abuse or meet criteria for current alcohol abuse or dependence
* History (self-reported) of sleep apnea or restless leg syndrome (RLS)
* Self-report or have a medical record of an unstable comorbid medical or psychiatric condition that would make it unsafe or impossible to adhere to the study protocol
* Unable or unwilling to discontinue anxiolytics within 4 hours of education sessions
* Irregular heartbeat or arrhythmia (self-reported or in the medical record)
Minimum Eligible Age

21 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Oxana Palesh

Oxana Palesh PhD, MPH

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Oxana Palesh, PhD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford University, School of Medicine

Palo Alto, California, United States

Site Status

Countries

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United States

References

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Woldeamanuel YW, Blayney DW, Jo B, Fisher SE, Benedict C, Oakley-Girvan I, Kesler SR, Palesh O. Headache outcomes of a sleep behavioral intervention in breast cancer survivors: Secondary analysis of a randomized clinical trial. Cancer. 2021 Dec 1;127(23):4492-4503. doi: 10.1002/cncr.33844. Epub 2021 Aug 6.

Reference Type DERIVED
PMID: 34357593 (View on PubMed)

Provided Documents

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Document Type: Informed Consent Form

View Document

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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BRS0042

Identifier Type: OTHER

Identifier Source: secondary_id

1R01CA181659-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB-30470

Identifier Type: -

Identifier Source: org_study_id