About this trial
The investigators will answer the question of whether treating insomnia using the mobile-app-based intervention of Cognitive Behavioural Therapy for Insomnia (CBT-I) for cancer survivors ("iCANSleep") can improve symptoms of insomnia in Canadian cancer survivors compared to a waitlist control group. The investigators will recruit 146 people with insomnia who have completed cancer treatment at least 3 months prior to the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Cancer survivors
Over 18 years of age
Lives in Canada
Understands English or French fluently
Disqualifiers
Presence of a sleep disorder other than insomnia that is not adequately treated (e.g., untreated sleep apnea)
Presence of a psychological disorder that is currently untreated or would impair the ability to participate (e.g., bipolar disorder)
Major sensory deficit (e.g., blindness)
Previous experience receiving CBT-I.
Trial design
Single group
Treatments tested in this trial
App-Based Cognitive Behavioural Therapy for Insomnia
BehavioralThe iCANSleep app is based on an established CBT-I protocol. The core features of the iCANSleep app include 1) a modified CBT-I protocol for cancer survivors and 2) daily sleep diaries. Core components of CBT-I treatment to be implemented include sleep restriction, stimulus control, cognitive restructuring, and psychoeducation. These components will be modified into 7-weekly modules.
Treatment groups
Trial outcomes
Primary outcomes
Insomnia Severity
Insomnia Severity Index (Min: 0, Max: 28; Higher scores = worse outcomes)
Sleep Efficiency
Sleep efficiency measured by the Consensus Sleep Diary
Sleep-Onset Latency
Sleep-onset latency measured by the Consensus Sleep Diary
Wake After Sleep Onset
Wake after sleep onset measured by the Consensus Sleep Diary
Secondary outcomes
Fatigue
Patient-Reported Outcome Measurement Information System: Fatigue 8a Short Form (Min: 8, Max: 40; Higher scores = worse outcomes)
Anxiety
Patient-Reported Outcome Measurement Information System Anxiety 8a Short Form (Min: 8, Max: 40; Higher scores = worse outcomes)
Depression
Patient-Reported Outcome Measurement Information System Depression 8a Short Form (Min: 8, Max: 40; Higher scores = worse outcomes)
Pain Level
Patient-Reported Outcome Measurement Information System Pain 8a Short Form (Min: 8, Max: 40; Higher scores = worse outcomes)
Sponsors and contacts
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