- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04827459
Sleep Coach: A Mobile App to Address Insomnia Symptoms Among Cancer Survivors
November 1, 2022 updated by: University of Michigan Rogel Cancer Center
This clinical trial will evaluate the adherence, usefulness, satisfaction and effect size for the Sleep Coach app as an intervention for insomnia in 30 adult post-treatment cancer survivors.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Difficulty sleeping, falling and/or staying asleep, is common in people after they have been diagnosed and treated for cancer.
Cognitive Behavioral Therapy for Insomnia (CBT-I) is considered to be the preferred treatment but until now, there has been limited access for most people to CBT-I because it has required an in-person visit with a trained therapist.
This research study is to test a mobile CBT-I app called MI Sleep Coach to deliver CBT-I.
The goal of this study is to understand if people are willing to use the app, if they find it useful in helping with sleep difficulty and if they are satisfied with using it.
The investigators hope to use information from this small feasibility study to study the effectiveness of the app in a larger group of cancer survivors and ultimately to help cancer survivors with sleep difficulties to sleep better.
Study Type
Interventional
Enrollment (Actual)
30
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
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan Rogel Cancer Center
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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:
- 18 years of age or older
- Has completed curative-intent treatment (chemo, surgery, RT) for prostate, colon or breast cancer at least three months and not more than 5 years prior to study entry. Note: Ongoing hormonal therapy (i.e., tamoxifen, aromatase inhibitors, casodex), Herceptin and maintenance therapies are allowed.
- Ability to read and write English
- Ability to complete questionnaire(s) by themselves or with assistance.
- Reports trouble falling asleep or staying asleep on at least 3 nights per week (most weeks) for the last 3 months.
- Own an Android phone version 8 or higher (The latest version of Android is 11.0) or an iPhone running iOS 11 or higher (The latest version of iOS is 14.3.)
- Ability to provide informed written consent.
Exclusion Criteria:
- Inability to read and write English
- Diagnosis of a sleep disorder other than insomnia (e.g. sleep apnea, restless legs syndrome, narcolepsy)
- Diagnosis of Insomnia prior to cancer diagnosis
- Reports physical symptoms that interfere with sleep, such as shortness of breath, pain, hot flashes, frequent urination
- Major psychiatric or medical condition other than cancer suspected to contribute to their sleep disturbance
- Evidence of active cancer (i.e. not considered NED)
- Currently or previously received CBT-I
- Patients who are night shift workers or subject to other external restrictions on their opportunity to sleep at night.
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: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: MI Sleep Coach Mobile Application
The Sleep Coach app includes evidence-based CBT-I strategies, interactive activities and a computerized dialogue agent to engage users in the adoption of and adherence to CBT-I strategies.
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Participants will be encouraged to interact with the mobile app daily for as much time as they wish, or for as little as 5 - 10 minutes, over a 7-week period.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of participants engaging with the app at least 4 days/week
Time Frame: 7 weeks
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Adherence will be evaluated using data gathered from the application.
Participants will be asked to interact daily with the application and will be deemed adherent if they interact with the app at least 4 times per week for the duration (7 weeks) of the study.
Adherence rate will be the number of participants deemed adherent / total number of participants.
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7 weeks
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Percentage of participants that find the intervention useful
Time Frame: 7 weeks
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Usefulness will be assessed using a survey developed by the investigators of this study called the User Experience Survey, which is based upon the Unified Theory of Acceptance and Use of Technology (UTAUT).
The survey assesses perceived ease of use and usefulness of the Sleep Coach app as well as participant satisfaction with the app.
To assess usefulness, participants are asked to rate the usefulness of 10 different features of the Sleep Coach app on a scale of 1 to 4, with higher scores indicating greater usefulness.
Participants who rate at least one app feature 2 or greater will be considered as finding the intervention useful.
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7 weeks
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Percentage of participants satisfied with the intervention
Time Frame: 7 weeks
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Satisfaction will be assessed using 2 questions from the User Experience Survey: one to determine the level of overall satisfaction with the app and the other to determine the level of willingness to recommend the app to others.
Satisfaction questions are rated on a scale of 1 to 5, with higher scores indicating greater agreement/satisfaction.
Participants who rate both questions 4 or greater will be considered satisfied with the Sleep Coach app.
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7 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Effect size of the intervention as measured by the Insomnia Severity Index (ISI).
Time Frame: baseline to 7 weeks
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The ISI is a 7-item questionnaire used to measure a patient's perceptions of the nature, impact and severity of insomnia.
Items are scored on a scale of 0 to 4, with higher scores indicating more severe insomnia.
Cohen's d or f will be calculated from baseline to week 7 to assess the effect size of the intervention.
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baseline to 7 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Noel Arring, DNP, PhD, RN, University of Michigan
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 (Actual)
May 12, 2021
Primary Completion (Actual)
August 8, 2022
Study Completion (Actual)
August 8, 2022
Study Registration Dates
First Submitted
March 29, 2021
First Submitted That Met QC Criteria
March 29, 2021
First Posted (Actual)
April 1, 2021
Study Record Updates
Last Update Posted (Actual)
November 2, 2022
Last Update Submitted That Met QC Criteria
November 1, 2022
Last Verified
November 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UMCC 2021.004
- HUM00194610 (Other Identifier: University of Michigan)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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