A Comparison of MBSR and CBT for the Treatment of Insomnia in Cancer (I-CAN SLEEP)

June 17, 2013 updated by: Tavis S. Campbell, University of Calgary

An Objective Comparison of Cognitive Behavioral Therapy and Mindfulness-based Stress Reduction for the Treatment of Insomnia in Cancer Survivors Using Wrist Actigraphy: A Randomized Noninferiority Trial

Sleep disturbance in cancer patients is often overlooked despite its documented high prevalence and negative impact. There are few empirically validated non-pharmacological treatments for insomnia and many patients are unwilling to rely on sleeping medications. This study will determine whether Mindfulness-Based Stress Reduction (a program that teaches meditation and yoga) produces equivalent results with the additional benefits of reduced stress and mood disturbance, to an already established treatment for insomnia, Cognitive-Behavioral Therapy. This will allow for the expansion of treatment options for insomnia beyond what is currently available and improve quality of life for millions of cancer survivors.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

111

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • Alberta
      • Calgary, Alberta, Canada, T2S 3C1
        • Tom Baker Cancer Centre-Holy Cross Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • English speaking
  • Non metastatic cancer
  • 1 month post chemotherapy/radiation treatment (hormone treatment okay)
  • Diagnosis of Primary or Secondary Insomnia

Exclusion Criteria:

  • Presence of another sleep disorder
  • Presence of another Axis I diagnosis (not in remission)
  • Inability to attend at least 5 out of the 8 treatment sessions
  • Randomization Refusal
  • Previous participation in CBT-I or MBSR
  • Shift work

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Cognitive Behavior Therapy
Cognitive Behavior Therapy for insomnia consists of stimulus control therapy, sleep restriction therapy, cognitive therapy and relaxation.
Behavioral: Cognitive Behavior Therapy
This treatment is delivered to small groups over the course of 8 weekly, 90 minute sessions
Other Names:
  • CBT-I
Experimental: Mindfulness-Based Stress Reduction
The program consists of three primary components: theoretical material related to relaxation, meditation, and the mind-body connection; experiential practice of meditation and yoga and home based practice; group process focused on problem solving and support.
Behavioral: Mindfulness-Based Stress Reduction
This intervention is provided over the course of eight, weekly, 90 minute sessions, plus one 6 hour silent retreat.
Other Names:
  • MBSR

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change in Insomnia Severity from baseline to 3 months
Time Frame: Baseline, Post-Treatment, 3 month follow up
Baseline, Post-Treatment, 3 month follow up

Secondary Outcome Measures

Outcome Measure
Time Frame
Change in objective measures of sleep using Wrist Actigraphy from baseline to 3 months
Time Frame: Baseline, Post Treatment, 3 month follow up
Baseline, Post Treatment, 3 month follow up
Change in subjective measures of sleep using Sleep Diaries from baseline to 3 months
Time Frame: Baseline (one week), During treatment (7 weeks), Post Treatment (1 week), 3 month Follow up (1 week)
Baseline (one week), During treatment (7 weeks), Post Treatment (1 week), 3 month Follow up (1 week)
Change in Pittsburgh Sleep Quality Index scores from baseline to 3 months
Time Frame: Baseline, Post Treatment, 3 month follow up
Baseline, Post Treatment, 3 month follow up
Change in Dysfunctional Attitudes and Beliefs about Sleep Scale scores from baseline to 3 months
Time Frame: Baseline, Post Treatment, 3 month folllow up
Baseline, Post Treatment, 3 month folllow up
Change in Calgary Symptoms of Stress Inventory scores from baseline to 3 months
Time Frame: Baseline, Post Treatment, 3 month folllow up
Baseline, Post Treatment, 3 month folllow up
Change in Five Facet Mindfulness Questionnaire scores from baseline to 3 months
Time Frame: Baseline, Post Treatment, 3 month folllow up
Baseline, Post Treatment, 3 month folllow up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Calgary

Collaborators

Canadian Cancer Society (CCS)

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2008

Primary Completion (Actual)

July 1, 2011

Study Completion (Actual)

July 1, 2012

Study Registration Dates

First Submitted

April 12, 2011

First Submitted That Met QC Criteria

April 13, 2011

First Posted (Estimate)

April 14, 2011

Study Record Updates

Last Update Posted (Estimate)

June 19, 2013

Last Update Submitted That Met QC Criteria

June 17, 2013

Last Verified

June 1, 2013

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • RT735639

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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