Feasibility of a self-help treatment for insomnia comorbid with cancer
Article first published online: 2 AUG 2010
Copyright © 2010 John Wiley & Sons, Ltd.
Volume 20, Issue 9, pages 1013–1019, September 2011
How to Cite
Savard, J., Villa, J., Simard, S., Ivers, H. and Morin, C. M. (2011), Feasibility of a self-help treatment for insomnia comorbid with cancer. Psycho-Oncology, 20: 1013–1019. doi: 10.1002/pon.1818
- Issue published online: 23 AUG 2011
- Article first published online: 2 AUG 2010
- Manuscript Accepted: 22 JUN 2010
- Manuscript Revised: 15 JUN 2010
- Manuscript Received: 1 DEC 2009
- breast cancer;
- cognitive-behavioral therapy;
- self-help treatment;
- stepped care
Objective: Professionally administered cognitive-behavioral therapy (CBT) is efficacious for treating insomnia in breast cancer survivors. However, given the limited accessibility to CBT for insomnia in cancer clinics, there is a need to develop other delivery formats for this intervention. This feasibility study examined patients' satisfaction with a self-help CBT for insomnia comorbid with cancer and gathered some preliminary data on its effect on sleep and associated features.
Methods: Eleven breast cancer patients reporting insomnia symptoms received a 6-week intervention composed of a 60-min video using an animated cartoon format and 6 short booklets developed in French. Patients completed a semi-structured interview at post-treatment, a battery of self-report scales and a daily sleep diary (14 days) at pre- and post-treatment and at a 3-month follow-up.
Results: At post-treatment interview, comments about the treatment material were uniformly positive. On a questionnaire, patients also reported to be satisfied with the treatment overall, with the video and the booklets' content, as well as with their sleep improvement at post-treatment (scores from 2.7 to 3.1; scale from 0 to 4). From pre- to post-treatment, moderate-to-large effect sizes and statistically and clinically significant differences were found on most sleep variables, as well as overall quality of life. These therapeutic gains were well sustained at a 3-month follow-up.
Conclusions: Patients were satisfied with the treatment received. Although it is too early to draw any firm conclusion, treatment outcomes suggest a potential for integration into routine cancer care as a first-line sleep management intervention. Copyright © 2010 John Wiley & Sons, Ltd.