Comparing Brief Behavioral Therapy (BBT-CI) and Healthy Eating Education Learning (HEAL) for Cancer-Related Sleep Problems While Receiving Cancer Treatment
Purpose
This phase III trial compares BBT-CI to HEAL for the reduction of insomnia in patients with stage I-IV cancer who are receiving cancer treatment. Cancer treatment can cause side effects such as sleep problems. Sleep problems such as insomnia, are common for cancer patients. Insomnia can be described as difficulty falling asleep, waking up many times during the night or waking up earlier than patient would like. Insomnia can increase fatigue and worsen quality of life. This trial may help researchers determine which treatment works better in reducing insomnia, BBT-CI or HEAL.
Conditions
- Hematopoietic and Lymphoid Cell Neoplasm
- Malignant Solid Neoplasm
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Be at least 18 years of age - Be diagnosed with cancer (stage I, II, III, or IV) with a life expectancy of at least 12 months - Be currently receiving any cancer treatment (surgery alone is excluded) - Report sleep disturbance of 3 or greater on the sleep disturbance question: "Rate your sleep disturbance in the past 2 weeks on a scale from 0-10, 0 is no problems and 10 is having the most severe problems" - Have a score of 2, 1, or 0 on the Eastern Cooperative Oncology Group (ECOG) performance status scale - Be able to speak, understand and read English to participate in the study assessments and interventions
Exclusion Criteria
- Have a clinical diagnosis of obstructive sleep apnea or restless leg syndrome (even if controlled) - Be engaged in a formal cognitive behavioral therapy for insomnia program presently or in the past 30 days. Use of sleep medications are allowed
Study Design
- Phase
- Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Supportive Care
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
- Masking Description
- After completion of all baseline assessments, the coordinator will tell the study participant which group they are in but will not reveal which intervention is hypothesized to have a greater effect on insomnia. Both interventions will be presented with equipoise. The investigator and the statistical team will be blinded to the intervention group. The rest of the study staff will not be blinded.
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Group I (BBT-CI) |
Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions. |
|
|
Active Comparator Group II (HEAL) |
Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions. |
|
Recruiting Locations
Kingman 5301067, Arizona 5551752 86401
Fort Smith 4111410, Arkansas 4099753 72903
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Denver 5419384, Colorado 5417618 80205
Lafayette 5427771, Colorado 5417618 80026
Lone Tree 5429208, Colorado 5417618 80124
Millville 4143696, Delaware 4142224 19967
Newark 4143861, Delaware 4142224 19713
Newark 4143861, Delaware 4142224 19713
Rehoboth Beach 4144284, Delaware 4142224 19971
Savannah 4221552, Georgia 4197000 31404
Honolulu 5856195, Hawaii 5855797 96813
Honolulu 5856195, Hawaii 5855797 96813
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Honolulu 5856195, Hawaii 5855797 96826
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‘Aiea 5856430, Hawaii 5855797 96701
‘Aiea 5856430, Hawaii 5855797 96701
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Bloomington 4885164, Illinois 4896861 61704
Canton 4831990, Illinois 4896861 61520
Carbondale 4235193, Illinois 4896861 62902
Carterville 4235311, Illinois 4896861 62918
Carthage 4886716, Illinois 4896861 62321
Centralia 4235587, Illinois 4896861 62801
Danville 4889426, Illinois 4896861 61832
Decatur 4236895, Illinois 4896861 62526
Decatur 4236895, Illinois 4896861 62526
Dixon 4889959, Illinois 4896861 61021
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Effingham 4237727, Illinois 4896861 62401
Eureka 4891310, Illinois 4896861 61530
Galesburg 4893392, Illinois 4896861 61401
Kewanee 4898433, Illinois 4896861 61443
Macomb 4900817, Illinois 4896861 61455
O'Fallon 4245926, Illinois 4896861 62269
Ottawa 4905006, Illinois 4896861 61350
Pekin 4905599, Illinois 4896861 61554
Peoria 4905687, Illinois 4896861 61615
Peru 4905770, Illinois 4896861 61354
Princeton 4906818, Illinois 4896861 61356
Urbana 4914570, Illinois 4896861 61801
Washington 4915545, Illinois 4896861 61571
Ankeny 4846960, Iowa 4862182 50023
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Cedar Rapids 4850751, Iowa 4862182 52402
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Clive 4852065, Iowa 4862182 50325
Clive 4852065, Iowa 4862182 50325
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Des Moines 4853828, Iowa 4862182 50309
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Des Moines 4853828, Iowa 4862182 50314
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New Orleans 4335045, Louisiana 4331987 70112
New Orleans 4335045, Louisiana 4331987 70112
Elkton 4354234, Maryland 4361885 21921
Battle Creek 4985153, Michigan 5001836 49017
Grand Rapids 4994358, Michigan 5001836 49503
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Reed City 5006946, Michigan 5001836 49677
Burnsville 5019767, Minnesota 5037779 55337
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Ballwin 4375663, Missouri 4398678 63011
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Farmington 4386289, Missouri 4398678 63640
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Joplin 4392768, Missouri 4398678 64804
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Henderson 5505411, Nevada 5509151 89052
Henderson 5505411, Nevada 5509151 89052
Henderson 5505411, Nevada 5509151 89074
Henderson 5505411, Nevada 5509151 89074
Las Vegas 5506956, Nevada 5509151 89102
Las Vegas 5506956, Nevada 5509151 89113
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Las Vegas 5506956, Nevada 5509151 89148
Las Vegas 5506956, Nevada 5509151 89148
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Cary 4459467, North Carolina 4482348 27518
Belpre 4506187, Ohio 5165418 45714
Columbus 4509177, Ohio 5165418 43213
Columbus 4509177, Ohio 5165418 43219
Grove City 4513409, Ohio 5165418 43123
Marietta 4517586, Ohio 5165418 45750
Mount Vernon 5163799, Ohio 5165418 43050
Newark 5164466, Ohio 5165418 43055
Westerville 5176472, Ohio 5165418 43081
Newberg 5742726, Oregon 5744337 97132
Oregon City 5744253, Oregon 5744337 97045
Portland 5746545, Oregon 5744337 97213
Portland 5746545, Oregon 5744337 97225
Chadds Ford 4557084, Pennsylvania 6254927 19317
Danville 5186327, Pennsylvania 6254927 17822
Hazleton 5193011, Pennsylvania 6254927 18201
Lewisburg 5197842, Pennsylvania 6254927 17837
Pottsville 5207080, Pennsylvania 6254927 17901
Scranton 5211303, Pennsylvania 6254927 18510
Wilkes-Barre 5219488, Pennsylvania 6254927 18711
Chesapeake 4752186, Virginia 6254928 23320
Fredericksburg 4760059, Virginia 6254928 22408
Lynchburg 4771075, Virginia 6254928 24501
Richmond 4781708, Virginia 6254928 23229
Richmond 4781708, Virginia 6254928 23235
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Winchester 4794120, Virginia 6254928 22601
Winchester 4794120, Virginia 6254928 22601
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Bellingham 5786899, Washington 5815135 98225
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360-788-8223
Longview 5801617, Washington 5815135 98632
Renton 5808189, Washington 5815135 98055
Sedro-Woolley 5809902, Washington 5815135 98284
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Appleton 5244080, Wisconsin 5279468 54911
Green Bay 5254962, Wisconsin 5279468 54301
Green Bay 5254962, Wisconsin 5279468 54303
New Richmond 5264475, Wisconsin 5279468 54017
Sturgeon Bay 5274867, Wisconsin 5279468 54235-1495
More Details
- NCT ID
- NCT04829539
- Status
- Recruiting
- Sponsor
- University of Rochester NCORP Research Base
Detailed Description
PRIMARY OBJECTIVE: I. Determine the efficacy of BBT-CI compared to HEAL for treating insomnia as measured by the Insomnia Severity Index (ISI) at post-intervention. SECONDARY OBJECTIVE: I. Determine the efficacy of BBT-CI compared to HEAL for improving sleep efficiency as measured via actigraphy at post-intervention. MECHANISTIC OBJECTIVE: I. Examine the efficacy of BBT-CI compared to HEAL for regulating circadian rhythms as measured via actigraphy (i.e., Mesor, Acrophase, Amplitude, I<O dichotomy index). EXPLORATORY OBJECTIVES: I. Examine potential moderators of BBT-CI effects on insomnia (ISI). II. Examine potential mediators of BBT-CI effects on insomnia (ISI). III. Determine the efficacy of BBT-CI compared to HEAL for treating insomnia as measured by the Insomnia Severity Index at the 6-month follow-up. IV. Determine the efficacy of BBT-CI compared to HEAL for improving sleep efficiency as measured via actigraphy at the 6-month follow-up. OUTLINE: Patients are randomized to 1 of 2 groups. GROUP I (BBT-CI): Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions. GROUP II (HEAL): Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions. After completion of study, patients are followed for up to 6 months.