Initial evaluation of an Internet intervention to improve the sleep of cancer survivors with insomnia
Open accessAbstract
Objective : Insomnia is a common complaint among cancer survivors. Fortunately, cognitive‐behavioral therapy for insomnia (CBT‐I) has been shown to be an effective treatment in this population. However, it is rarely implemented given its limited availability. To address this barrier, we examined the ability of an easily accessible online CBT‐I program to improve insomnia symptoms in cancer survivors. Methods : Twenty‐eight cancer survivors with insomnia were randomly assigned to either an Internet insomnia intervention ( n = 14) or to a waitlist control group ( n = 14). The online program, Sleep Healthy Using The Internet, delivers the primary components of CBT‐I (sleep restriction, stimulus control, cognitive restructuring, sleep hygiene, and relapse prevention). Pre‐ and post‐assessment data were collected via online questionnaires and daily sleep diaries. Results : Participants in the Internet group showed significant improvements at post‐assessment compared with those in the control group in overall insomnia severity ( F 1,26 = 22.8; p <0.001), sleep efficiency ( F 1,24 = 11.45; P = 0.002), sleep onset latency ( F 1,24 = 5.18; P = 0.03), soundness of sleep ( F 1,24 = 9.34; P = 0.005), restored feeling upon awakening ( F 1,24 = 11.95; P = 0.002), and general fatigue ( F 1,26 = 13.88; P = 0.001). Although other group × time interactions were not significant, overall adjusted effect sizes for all sleep variables as well as for fatigue, depression, anxiety, and quality of life ranged from small to large. Conclusions : CBT‐I delivered through an interactive, individually tailored Internet intervention may be a viable treatment option for cancer survivors experiencing insomnia. Copyright © 2011 John Wiley & Sons, Ltd.
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Initial results of CCBT for somatic problems are promising, but many of the trials have been relatively small.
“Although initial results are promising, further work is needed because many of the trials have been relatively small [44-47].”
From Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress (2012) · cites this paper as [46]
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- Authors
- Ritterband, L. M., Bailey, E. T., Thorndike, F. P., Lord, H. R., Farrell‐Carnahan, L., & Baum, L. D.
- Affiliations
- University of Virginia Health System (US)
- Corresponding author
- Ritterband, Lee M.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2011-04-29
- Volume
- 21
- Issue
- 7
- Pages
- 695-705
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- PMC
- PMC3424270
- OpenAlex
- W2002264690
- Cited by
- 296
- References
- 63
- Citations by year
- 2026: 14 · 2025: 22 · 2024: 12 · 2023: 19 · 2022: 21 · 2021: 19 · 2020: 23 · 2019: 18 · 2018: 19 · 2017: 33 · 2016: 20 · 2015: 30 · 2014: 21 · 2013: 13 · 2012: 10
- FWCI
- 18.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Virginia
- UVA Cancer Center
- National Institutes of Health
- National Institute of Mental Health (R34 MH70805, R34MH070805)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- insomnia, cancer survivors, cognitive behavioral therapy for insomnia, online intervention, sleep restriction, stimulus control, cognitive restructuring, sleep hygiene, relapse prevention, sleep efficiency, fatigue, depression, anxiety, quality of life
- MeSH terms
- Adult, Fatigue, Female, Follow-Up Studies, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Neoplasms, Patient Education as Topic, Quality of Life, Severity of Illness Index, Stress, Psychological, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Survivors, Internet
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