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Gepubliceerd in: Journal of Behavioral Medicine 3/2022

19-04-2022 | Brief Report

Pilot randomized controlled trial of eHealth cognitive-behavioral therapy for insomnia among Spanish-speaking breast cancer survivors

Auteurs: Laura B. Oswald, Jennifer Morales-Cruz, Sarah L. Eisel, Jocelyn Del Rio, Aasha I. Hoogland, Vanessa Ortiz-Rosado, Grace Soto-Lopez, Edgar Rodriguez-Rivera, Josée Savard, Eida Castro, Heather S. L. Jim, Brian D. Gonzalez

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2022

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Abstract

Cognitive-Behavioral Therapy for Insomnia (CBT-I) is the gold-standard treatment for insomnia, which is common among breast cancer survivors (BCS). This pilot randomized controlled trial tested the first CBT-I intervention for Spanish-speaking BCS delivered using eHealth. Participants (N = 30) were Spanish-speaking BCS with insomnia symptoms recruited in Puerto Rico and randomized to a 6-week eHealth CBT-I group intervention or a waitlist control. Primary outcomes were acceptability (recruitment, treatment satisfaction) and feasibility (retention, attendance). Secondary outcomes were group differences in sleep outcomes post-treatment (i.e., insomnia symptoms, sleep disturbance, sleep efficiency). Recruitment (95%) and retention (97%) were excellent. All CBT-I participants (100%) attended ≥ 3 of 6 sessions. Satisfaction with CBT-I was acceptable. Post-intervention, there were medium to large group differences for average insomnia symptoms (d = 1.02), sleep disturbance (d = 1.25), and sleep efficiency (d = 0.77) favoring CBT-I. There were small/medium to medium/large group differences for the proportion of participants with clinically significant insomnia symptoms (d = 0.52), sleep disturbance (d = 0.67), and low sleep efficiency (d = 0.33) favoring CBT-I. Spanish-language eHealth CBT-I for BCS was acceptable and feasible and showed preliminary efficacy.
ClinicalTrials.gov TRN: NCT04101526 (Posted September 24, 2019).
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Metagegevens
Titel
Pilot randomized controlled trial of eHealth cognitive-behavioral therapy for insomnia among Spanish-speaking breast cancer survivors
Auteurs
Laura B. Oswald
Jennifer Morales-Cruz
Sarah L. Eisel
Jocelyn Del Rio
Aasha I. Hoogland
Vanessa Ortiz-Rosado
Grace Soto-Lopez
Edgar Rodriguez-Rivera
Josée Savard
Eida Castro
Heather S. L. Jim
Brian D. Gonzalez
Publicatiedatum
19-04-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-022-00313-6

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