SleepNow — A combined cognitive behavioral therapy for insomnia and physical exercise intervention in men with metastatic prostate cancer: results from a feasibility randomized controlled trial

SleepNow Study Overview

The SleepNow study focused on men with metastatic prostate cancer (mPCa) who struggle with insomnia. It tested a new program that combines cognitive behavioral therapy for insomnia (CBT-I) with physical exercise.

Study Details

  • Participants: 12 men undergoing treatment for castration-resistant mPCa with insomnia.
  • Method: Patients were divided into two groups: one received the SleepNow program, and the other received usual care.
  • Program Duration: 12 weeks, including bi-weekly exercise sessions and four nurse-led CBT-I sessions.
  • Assessment: Feasibility and outcomes were measured at the start and after 3 months.

Results

  • High satisfaction among participants in the intervention group.
  • 75% attended at least three CBT-I sessions, and four completed most exercise sessions.
  • Improvements were noted in insomnia, sleep quality, fatigue, anxiety, depression, and overall quality of life.
  • However, differences between the two groups were not statistically significant.

Conclusion

The SleepNow intervention is the first of its kind to combine nurse-led CBT-I with physical exercise. It was well-received and shows promise for helping patients with metastatic cancer manage sleep issues.

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