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Developing efficient and effective behavioral treatment for insomnia in cancer survivors: Results of a stepped care trial

Cancer Sep 30, 2019

Zhou ES, et al. - Given a common occurrence of insomnia among cancer survivors, researchers examined the efficacy of and accessibility to stepped care delivery models in treating insomnia among cancer survivors. First, 51 survivors (mean age, 55 years) with elevated Insomnia Severity Index (ISI) scores (≥ 12) participated in Sleep Training Education Program (STEP)-1: a single, sleep education session. One month later, participants with elevated ISI scores were offered STEP-2: a 3-session, group cognitive-behavioral treatment for insomnia that has been demonstrated to be efficacious. Participants were considered treatment responders if they display improvement in the ISI score by ≥ 6 points and were considered as having remitted if they display posttreatment ISI score of < 12. The Profile of Mood States–Short Form (POMS-SF) was used to assess mood. Following STEP-1, improvement in ISI scores was reported (17.1 to 11.2), with 45% responding and 41% remitted. Fourteen (47%) participants participated in STEP-2. Following STEP-2, improvement in ISI scores occurred (16.9 to 8.8), with 79% responding and 71% remitted. AS per findings treatment accessibility could be improved with a stepped care approach to treating insomnia among cancer survivors. Two different low-intensity approaches that could be delivered by nonsleep specialists could benefit a sizable proportion of survivors. They suggest assessing treatment interest among individuals who require more intensive care in order to recognize those who are likely to engage.
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