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Improving the Sleep of Cancer Patients Using an Internet-Based Program (SHUTi-C)

24 de fevereiro de 2010 atualizado por: 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.

Visão geral do estudo

Descrição detalhada

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.

Tipo de estudo

Intervencional

Inscrição (Antecipado)

22

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

    • Virginia
      • Charlottesville, Virginia, Estados Unidos, 22908
        • University of Virginia Department of Psychiatry & Neurobehavioral Sciences

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

21 anos e mais velhos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

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

Plano de estudo

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Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: 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.
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.
Experimental: 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.
Experimental: 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.
Sem intervenção: 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.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Prazo
Insomnia Severity Index (ISI)
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Sleep Diary: Sleep Efficiency
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Sleep Diary: Total Sleep Time
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use

Medidas de resultados secundários

Medida de resultado
Prazo
Sleep Diary: Sleep Onset Latency (SOL)
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Sleep Diary: Wake After Sleep Onset (WASO)
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Sleep Diary: Number of Nighttime Awakenings
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Hospital Depression and Anxiety Scale
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Pain scale
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Multidimensional Fatigue Symptom Inventory
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Quality of Life (SF-12 Health Survey)
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use
Hot flashes
Prazo: prior to intervention, after SHUTi use, after Hypnosis use
prior to intervention, after SHUTi use, after Hypnosis use

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Investigadores

  • Investigador principal: Lee M Ritterband, Ph.D., University of Virginia
  • Investigador principal: Lora D Baum, Ph.D., University of Virginia
  • Diretor de estudo: Elaine T Bailey, Ph.D., University of Virginia

Publicações e links úteis

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Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de julho de 2008

Conclusão Primária (Real)

1 de novembro de 2009

Conclusão do estudo (Real)

1 de novembro de 2009

Datas de inscrição no estudo

Enviado pela primeira vez

18 de junho de 2008

Enviado pela primeira vez que atendeu aos critérios de CQ

14 de julho de 2008

Primeira postagem (Estimativa)

16 de julho de 2008

Atualizações de registro de estudo

Última Atualização Postada (Estimativa)

25 de fevereiro de 2010

Última atualização enviada que atendeu aos critérios de controle de qualidade

24 de fevereiro de 2010

Última verificação

1 de fevereiro de 2010

Mais Informações

Termos relacionados a este estudo

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