Josée Savard1,2,3, Hans Ivers1,2,3, Marie-Hélène Savard2,3, Charles M Morin1. 1. School of Psychology, Université Laval, Québec, Québec, Canada. 2. CHU de Québec-Université Laval Research Center, Québec, Québec, Canada. 3. Université Laval Cancer Research Center, Québec, Québec, Canada.
Abstract
STUDY OBJECTIVES: The goal of this randomized controlled trial, conducted in breast cancer patients, was to assess the long-term efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I), as compared to a professionally administered intervention (PCBT-I) and to a no-treatment group (CTL). An earlier report revealed that, at posttreatment, VCBT-I patients showed significantly greater sleep improvements than CTL, but that PCBT-I produced superior effects than VCBT-I on some sleep and secondary outcomes. In this report, long-term effects are compared. METHODS:Two hundred forty-two women with breast cancer and with insomnia symptoms or using hypnotic medications participated to this three-arm randomized controlled trial: (1) PCBT-I (n = 81); (2) VCBT-I (n = 80); or (3) no treatment (CTL; n = 81) group. PCBT-I was composed of six weekly, individual sessions of approximately 50 min, whereas VCBT-I comprised a 60-min animated video and six booklets. RESULTS: Study measures (sleep and secondary variables) were administered at pretreatment and posttreatment, and at a 3-, 6-, and 12-mo follow-up. Treatment gains were well sustained at follow-up in both PCBT-I and VCBT-I. As at posttreatment, the remission rate of insomnia at follow-up was greater in PCBT-I than in VCBT-I, which was greater than in CTL. CONCLUSIONS: Although face-to-face therapy remains the optimal format to efficaciously administer CBT for insomnia in cancer patients, a minimal intervention, such as the video-based intervention tested in this study, produces significant and sustainable treatment effects. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT00674830.
RCT Entities:
STUDY OBJECTIVES: The goal of this randomized controlled trial, conducted in breast cancerpatients, was to assess the long-term efficacy of a video-based cognitive behavioral therapy for insomnia (VCBT-I), as compared to a professionally administered intervention (PCBT-I) and to a no-treatment group (CTL). An earlier report revealed that, at posttreatment, VCBT-Ipatients showed significantly greater sleep improvements than CTL, but that PCBT-I produced superior effects than VCBT-I on some sleep and secondary outcomes. In this report, long-term effects are compared. METHODS: Two hundred forty-two women with breast cancer and with insomnia symptoms or using hypnotic medications participated to this three-arm randomized controlled trial: (1) PCBT-I (n = 81); (2) VCBT-I (n = 80); or (3) no treatment (CTL; n = 81) group. PCBT-I was composed of six weekly, individual sessions of approximately 50 min, whereas VCBT-I comprised a 60-min animated video and six booklets. RESULTS: Study measures (sleep and secondary variables) were administered at pretreatment and posttreatment, and at a 3-, 6-, and 12-mo follow-up. Treatment gains were well sustained at follow-up in both PCBT-I and VCBT-I. As at posttreatment, the remission rate of insomnia at follow-up was greater in PCBT-I than in VCBT-I, which was greater than in CTL. CONCLUSIONS: Although face-to-face therapy remains the optimal format to efficaciously administer CBT for insomnia in cancerpatients, a minimal intervention, such as the video-based intervention tested in this study, produces significant and sustainable treatment effects. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT00674830.
Authors: Charles M Morin; Lynda Bélanger; Mélanie LeBlanc; Hans Ivers; Josée Savard; Colin A Espie; Chantal Mérette; Lucie Baillargeon; Jean-Pierre Grégoire Journal: Arch Intern Med Date: 2009-03-09
Authors: Ann M Berger; Brett R Kuhn; Lynne A Farr; James C Lynch; Sangeeta Agrawal; Julie Chamberlain; Susanna G Von Essen Journal: Psychooncology Date: 2009-06 Impact factor: 3.894
Authors: Charles M Morin; M Leblanc; H Ivers; L Bélanger; Chantal Mérette; Josée Savard; Denise C Jarrin Journal: Sleep Date: 2014-02-01 Impact factor: 5.849
Authors: Lavinia Fiorentino; John R McQuaid; Lianqi Liu; Loki Natarajan; Feng He; Monique Cornejo; Susan Lawton; Barbara A Parker; Georgia R Sadler; Sonia Ancoli-Israel Journal: Nat Sci Sleep Date: 2010-12-16
Authors: Hui-Fen Fang; Tzu-Yin Lee; King Cheung Hui; Howard Chi Ho Yim; Mei-Ju Chi; Min-Huey Chung Journal: J Cancer Date: 2019-05-21 Impact factor: 4.207
Authors: Oxana Palesh; Caroline Scheiber; Shelli Kesler; Michelle C Janelsins; Joseph J Guido; Charles Heckler; Mallory G Cases; Jessica Miller; Nick G Chrysson; Karen M Mustian Journal: Br J Cancer Date: 2018-07-20 Impact factor: 7.640