A Pilot Study Testing the Efficacy of dCBT in Patients With Cancer Experiencing Sleep Problems

Chung, Kyongmee; Suh, Yung Jae; Chin, Siyung; Seo, Dae-Sung; Yu, Eun-Seung; Lee, Hyun Jeong; Kim, Jong-Heun; Kim, Sang Wun; Koh, Su‐Jin

doi:10.3389/fpsyg.2022.699168

Cited by 3 publications

(1 citation statement)

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“…Zhou and Recklitis (2020) adopted an iCBT-I intervention for adolescent and young adult cancer survivors with promising results in insomnia severity ( d = 1.1, 8 weeks postbaseline and d = 2.5, 16 weeks postbaseline) and fatigue ( d = 0.70, 8 weeks postbaseline and d = 1.2, 16 weeks postbaseline). Chung and colleagues (2022) examined an iCBT-I intervention tailored to cancer survivors experiencing sleep problems (i.e., the intervention illustrated typical sleep complaints among cancer survivors) and found significant improvements in sleep quality, associated with large ES (η p 2 = .38).…”

Section: Recommended Treatments For Cancer-related Insomnia: State-of...mentioning

confidence: 99%

Insomnia in Cancer Survivors

Clara

Canavarro

Miller-Mendes

et al. 2023

European Psychologist

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Insomnia is among the most prevailing and distressing iatrogenic complaints reported by cancer survivors. Untreated insomnia negatively impacts survivors’ functioning, quality of life and health, and may have implications for cancer progression. Cognitive behavioral therapy is recommended as the first-line treatment for cancer-related insomnia but remains largely unavailable in European oncology care. For cancer survivors, it may be prudent to expand the scope of insomnia treatment. In this paper, we analyze the etiopathogenesis of insomnia among cancer populations and review the latest developments in cognitive behavioral therapeutics for cancer-related insomnia. Pondering upon the distinctive nature and pathophysiology of cancer-related insomnia, we discuss opportunities to optimize insomnia treatment in cancer care. We suggest adapting the content and format delivery of standard cognitive behavioral therapy for insomnia to meet the needs of cancer survivors and surmount resource availability. Digital therapeutics may provide cancer survivors who would otherwise be limited to pharmacologic treatment options with the guideline treatment for insomnia. Internet-delivered cognitive behavioral interventions may be integrated into survivorship care programs within healthcare systems.

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Section: Recommended Treatments For Cancer-related Insomnia: State-of...mentioning

confidence: 99%

Insomnia in Cancer Survivors

Clara

Canavarro

Miller-Mendes

et al. 2023

European Psychologist

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An App-based CBT Program tailored for College Students: A Randomized Controlled Trial (Preprint)

Kim,

Chung

2024

Preprint

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BACKGROUND Technology-based Cognitive Behavioral Therapy (t-CBT) programs are increasingly recognized as accessible interventions for addressing mental health challenges, particularly among college students. Despite their potential, low adherence rates remain a key challenge that needs to be resolved to maximize the impact of such interventions. OBJECTIVE To assess the effects of the tailored content and gamification elements of Mind Booster Green on reducing depressive symptoms and improving college life adjustment. METHODS A randomized, unblinded controlled trial was conducted among college students. All study procedures, including recruitment and assessments, were conducted entirely online. Participants were randomly assigned to either the intervention group or a waitlist control group. The intervention group used Mind Booster Green, an app-based self-help CBT program for one month, which incorporated tailored case stories and gamification elements such as point and level systems to enhance user engagement and adherence. All outcomes were self-assessed via online questionnaires, including changes in depressive symptoms, college life adjustment, and both negative and positive automatic thoughts. Application usability was also evaluated. These outcomes were measured at three time points: pre-intervention, post-intervention, and at a two-month follow-up, using validated and standardized tools. RESULTS A total of 170 participants (mean age 22.60, SD 3.37, 80% female) were participated in the study. A chi-square analysis revealed no significant differences between the intervention and waitlist control groups at baseline in terms of age, gender, or class year (ps > .05). Generalized Estimating Equation (GEE) analysis revealed significant time x group interactions for all variables. The intervention group showed larger reductions in depressive symptoms (PHQ-9: Pre to Post, Cohen’s d = 1.12; Post to F/U, Cohen’s d = 1.15; BDI-II: Pre to Post, Cohen’s d = .90; Post to F/U, Cohen’s d = 1.04) and negative automatic thoughts (ATNQ-SF: Pre to Post, Cohen’s d = .36; Post to F/U, Cohen’s d = .58), as well as greater increases in adjustment to college life (SACQ-R: Pre to Post, Cohen’s d = -.87) and positive automatic thoughts (ATPQ-SF: Pre to Post, Cohen’s d = -.45) compared to the control group (Cohen’s d for all variables = -.22 to .04). Adherence rates were 89% for the intervention group and 99% for the control group. Usability test results, assessed using the MARS, showed an overall score of 3.88, with scores above the medium level in the categories of entertainment, functionality, aesthetics, and information. CONCLUSIONS Mind Booster Green demonstrates substantial potential as a complementary or alternative intervention to traditional psychological counseling services for college students, providing a cost-effective and scalable solution for mental health issues. Future research should explore the applicability of this program in diverse populations. CLINICALTRIAL Korean Clinical Trial Registry (Clinical Research Information Service: CRIS) number KCT0009758 (retrospectively registered); https://cris.nih.go.kr/cris/search/detailSearch.do?seq=27868&search_page=L

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A Scoping Review and a Taxonomy to Assess the Impact of Mobile Apps on Cancer Care Management

Dhar

Bah

Giglioli³

et al. 2023

Cancers

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Mobile Health (mHealth) has a great potential to enhance the self-management of cancer patients and survivors. Our study aimed to perform a scoping review to evaluate the impact and trends of mobile application-based interventions on adherence and their effects on health outcomes among the cancer population. In addition, we aimed to develop a taxonomy of mobile-app-based interventions to assist app developers and healthcare researchers in creating future mHealth cancer care solutions. Relevant articles were screened from the online databases PubMed, EMBASE, and Scopus, spanning the time period from 1 January 2016 to 31 December 2022. Of the 4135 articles initially identified, 55 were finally selected for the review. In the selected studies, breast cancer was the focus of 20 studies (36%), while mixed cancers were the subject of 23 studies (42%). The studies revealed that the usage rate of mHealth was over 80% in 41 of the 55 studies, with factors such as guided supervision, personalized suggestions, theoretical intervention foundations, and wearable technology enhancing adherence and efficacy. However, cancer progression, technical challenges, and unfamiliarity with devices were common factors that led to dropouts. We also proposed a taxonomy based on diverse theoretical foundations of mHealth interventions, delivery methods, psycho-educational programs, and social platforms. We suggest that future research should investigate, improve, and verify this taxonomy classification to enhance the design and efficacy of mHealth interventions.

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A Pilot Study Testing the Efficacy of dCBT in Patients With Cancer Experiencing Sleep Problems

Cited by 3 publications

References 50 publications

Insomnia in Cancer Survivors

Insomnia in Cancer Survivors

An App-based CBT Program tailored for College Students: A Randomized Controlled Trial (Preprint)

A Scoping Review and a Taxonomy to Assess the Impact of Mobile Apps on Cancer Care Management

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