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Randomized Controlled Trial
. 2025 Feb 18;52(2):E15-E34.
doi: 10.1188/25.ONF.E15-E34.

Sleep Hygiene Education, ReadiWatch™ Actigraphy, and Telehealth Cognitive Behavioral Training for Insomnia for People With Prostate Cancer

Jamie S Myers  1 , Rebekah E Humphrey-Sewell  2 , Lauren A Fowler  3 , Daniel English  4 , Rachael Stickler  5 , Dedrick Hooper  6 , Jaromme Geebum Kim  7 , Jianghua He  8 , Mary Penne Mays  9 , Catherine Siengsukon  10 , Elizabeth Wulff-Burchfield  11 , Xinglei Shen  12 , Jennifer Heins  13 , William Parker  14 , Sally Maliski  15
Affiliations
Randomized Controlled Trial

Sleep Hygiene Education, ReadiWatch™ Actigraphy, and Telehealth Cognitive Behavioral Training for Insomnia for People With Prostate Cancer

Jamie S Myers et al. Oncol Nurs Forum. .

Abstract

Objectives: To test the feasibility of sleep hygiene education and longitudinal wrist actigraph sleep metrics measurement alone versus in combination with telehealth-delivered cognitive behavioral therapy for insomnia (teleCBT-I) for people with prostate cancer (PC) receiving androgen deprivation therapy (ADT).

Sample & setting: 45 men with PC receiving ADT were recruited from a midwestern comprehensive cancer center.

Methods & variables: Participants were provided with wrist actigraphs, their individual sleep metrics data, and sleep hygiene education. Half the sample was randomized to a four-week teleCBT-I intervention. Outcomes were collected at baseline, one month, and two months. Exit interviews were conducted to glean participants' feedback about the study.

Results: Feasibility was demonstrated. Physical function, sleep efficiency, fatigue, and health-related quality of life improved for participants receiving teleCBT-I.

Implications for nursing: Assessment of sleep disturbance, access to sleep hygiene education, and teleCBT-I may benefit people with PC receiving ADT.

Keywords: cognitive behavioral therapy; insomnia; prostate cancer; sleep disturbance; sleep hygiene.

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Figures

FIGURE 1
FIGURE 1
Conceptual Framework
FIGURE 2
FIGURE 2
Study Schema teleCBT-I—telehealth-delivered cognitive behavioral therapy for insomnia
FIGURE 3
FIGURE 3
ReadiWatch™ Note. Image courtesy of Fatigue Science. Used with permission.
FIGURE 4
FIGURE 4
Sleep Hygiene Education Modules
FIGURE 5
FIGURE 5
CONSORT Flow Diagram for Sample ADT—androgen deprivation therapy; CONSORT—Consolidated Standards of Reporting Trials
FIGURE 6
FIGURE 6
Perceptions of Participation tech—technical
FIGURE 7
FIGURE 7
Sampling of Participant Quotes From Qualitative Content Analyses tech—technical
See this image and copyright information in PMC

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