Adapted Delivery of Cognitive-Behavioral Treatment for Insomnia in Adolescent and Young Adult Cancer Survivors: A Pilot Study |
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| Authors: | Eric S Zhou Lynda M Vrooman Peter E Manley Valerie M Crabtree Christopher J Recklitis |
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| Institution: | 1. David B. Perini Jr. Quality of Life Clinic, Dana-Farber Cancer Institute, Boston, Massachusetts;2. Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;3. Department of Pediatrics, Boston Children’s Hospital, Boston, Massachusetts;4. Pediatric Neuro-Oncology Clinic, Dana-Farber Cancer Institute, Boston, Massachusetts;5. Department of Psychology, St. Jude Children’s Research Hospital, Memphis, Tennessee |
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| Abstract: | Adolescent and young adult cancer survivors (AYACS) are at risk for the development of insomnia, though it remains vastly undertreated. Limited research has evaluated cognitive-behavioral treatment for insomnia (CBT-I) in AYACS. The present study piloted adapted CBT-I designed to improve treatment accessibility by delivering a three-session intervention in person and via videoconference. AYACS with insomnia (N = 12) enrolled in the study. Ten AYACS completed the intervention, with six in person and four via videoconference. Sleep variables improved immediately postintervention and were sustained at two-month follow-up. Within sample effect sizes of the adapted intervention for sleep, variables were large, and there were no noted differences on sleep outcomes between the in-person and videoconference participants. These pilot findings indicate that an adapted CBT-I intervention is feasible and promising in AYACS populations. |
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