Improving the Sleep of Cancer Patients Using an Internet-Based Program (SHUTi-C)
24 février 2010 mis à jour par: University of Virginia
Evaluating Internet-Based Interventions for Insomnia in Cancer Patients
The purpose of this study is to determine whether an Internet-based program, Sleep Healthy Using the Internet (SHUTi, or "Shut-Eye"), can help to improve the sleep of people who are in remission from cancer and experiencing symptoms of insomnia.
Aperçu de l'étude
Statut
Complété
Intervention / Traitement
Description détaillée
The purpose of this study is to test the feasibility of using an Internet program to improve the sleep of cancer patients with insomnia.
Participants will receive access to the Internet program (called SHUTi, or "Shut-Eye") as well as to self-hypnosis recordings designed to improve sleep.
SHUTi provides an online, tailored educational program to individuals who are experiencing sleep difficulties, including those having difficulty falling asleep, waking in the middle of the night, and waking too early in the morning.
Type d'étude
Interventionnel
Inscription (Anticipé)
22
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Virginia
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Charlottesville, Virginia, États-Unis, 22908
- University of Virginia Department of Psychiatry & Neurobehavioral Sciences
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
21 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- Age = At least 21 years old
- Regular access to the Internet, including e-mail
Cancer patient
- Any type of cancer (EXCEPT non-melanoma skin cancer)
- In remission from any stage of cancer (active treatment completed at least one month prior to enrollment)
Insomnia diagnosis (combined from DSM-IV and ICSD):
- Subjective complaints of poor sleep for at least 6 months
- Sleep difficulties ≥3 nights/week
- Difficulty falling asleep (≥30 minutes to fall asleep) OR
Difficulty staying asleep (≥30 minutes awake in the middle of the night)
- ≤6.5 hours sleep/night
- Poor sleep causes marked distress or significant impairment in daytime functioning (e.g. fatigue, performance deficits, mood disturbance)
- Participant feels that the insomnia was caused/aggravated by cancer or cancer treatment
Exclusion Criteria:
- Having a sleep disorder other than insomnia (e.g. sleep apnea, RLS, narcolepsy, parasomnias)
- Having a medical condition other than cancer that causes insomnia
- Experiencing a psychiatric disturbance (major depression, psychosis)
- Experiencing substance abuse
- Currently undergoing psychotherapy or counseling
- Changing sleep/anxiety/depression medication within the past month
Having an "unusual" sleep pattern
- Normal bedtime is after 2am OR
- Normal wake time is after 9am
- Working as a shift worker (that is, having a schedule that requires working through the night)
- Participants reports that she is pregnant or intending to get pregnant in the next 4 months
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: ImmedSHUTi/ImmedHyp
In the first part of the trial, participants are assigned to the Immediate SHUTi group; that is, they receive access to the SHUTi program right away.
In the second part of the trial (3 months later), participants are assigned to the Immediate Hypnosis group; that is, they receive access to the Hypnosis recordings right away.
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SHUTi is an Internet program based on cognitive-behavioral therapy for insomnia (CBT-I).
Users complete daily online sleep diaries in addition to receiving weekly access to six interactive "Cores" of information.
As they progress through the program, users receive tailored instructions for how to improve their sleep.
Subjects listen to self-hypnosis recordings designed to improve their disturbed sleep.
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Expérimental: ImmedSHUTi/DelayHyp
In the first part of the trial, participants are assigned to the Immediate SHUTi group; that is, they receive access to the SHUTi program right away.
In the second part of the trial (3 months later), participants are assigned to the Delayed Hypnosis group; that is, they receive access to the Hypnosis recordings at the end of the study.
|
SHUTi is an Internet program based on cognitive-behavioral therapy for insomnia (CBT-I).
Users complete daily online sleep diaries in addition to receiving weekly access to six interactive "Cores" of information.
As they progress through the program, users receive tailored instructions for how to improve their sleep.
|
|
Expérimental: DelaySHUTi/ImmedHyp
In the first part of the trial, participants are assigned to the Delayed SHUTi group; that is, they receive access to the SHUTi program at the end of the study.
In the second part of the trial (3 months later), participants are assigned to the Immediate Hypnosis group; that is, they receive access to the Hypnosis recordings right away.
|
Subjects listen to self-hypnosis recordings designed to improve their disturbed sleep.
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Aucune intervention: DelaySHUTi/DelayHyp
In the first part of the trial, participants are assigned to the Delayed SHUTi group; that is, they receive access to the SHUTi program at the end of the study.
In the second part of the trial (3 months later), participants are assigned to the Delayed Hypnosis group; that is, they receive access to the Hypnosis recordings at the end of the study.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
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Insomnia Severity Index (ISI)
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Sleep Diary: Sleep Efficiency
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Sleep Diary: Total Sleep Time
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Mesures de résultats secondaires
Mesure des résultats |
Délai |
|---|---|
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Sleep Diary: Sleep Onset Latency (SOL)
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Sleep Diary: Wake After Sleep Onset (WASO)
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Sleep Diary: Number of Nighttime Awakenings
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Hospital Depression and Anxiety Scale
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Pain scale
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Multidimensional Fatigue Symptom Inventory
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Quality of Life (SF-12 Health Survey)
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Hot flashes
Délai: prior to intervention, after SHUTi use, after Hypnosis use
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prior to intervention, after SHUTi use, after Hypnosis use
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Les enquêteurs
- Chercheur principal: Lee M Ritterband, Ph.D., University of Virginia
- Chercheur principal: Lora D Baum, Ph.D., University of Virginia
- Directeur d'études: Elaine T Bailey, Ph.D., University of Virginia
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 juillet 2008
Achèvement primaire (Réel)
1 novembre 2009
Achèvement de l'étude (Réel)
1 novembre 2009
Dates d'inscription aux études
Première soumission
18 juin 2008
Première soumission répondant aux critères de contrôle qualité
14 juillet 2008
Première publication (Estimation)
16 juillet 2008
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
25 février 2010
Dernière mise à jour soumise répondant aux critères de contrôle qualité
24 février 2010
Dernière vérification
1 février 2010
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 13685
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .