The effect of online cognitive behavioral therapy for insomnia in adolescents and young adults after childhood cancer: Results from a randomized controlled trial

Cognitive Behavioral Therapy for Insomnia in Young Cancer Survivors

Background: Many young people who have survived childhood cancer experience insomnia, which can lead to poor health and a lower quality of life. Unfortunately, many do not receive the help they need. An online program called iSleep youth offers cognitive behavioral therapy specifically for insomnia.

Study Overview

Participants: The study involved patients aged 12 to 30 who had insomnia for at least six months after their cancer treatment. They were randomly assigned to either the iSleep youth program or a waitlist group.

Program Details: iSleep youth includes five online sessions with a coach. The study measured various outcomes, including sleep quality, insomnia severity, fatigue, and overall health-related quality of life.

Results

Out of 54 participants, the following results were observed:

  • Insomnia Severity: Significant improvements were noted at 3 months and 6 months after starting the program.
  • Fatigue Levels: Participants reported reduced fatigue at both 3 and 6 months.
  • Quality of Life: Improvements in health-related quality of life were also seen at these time points.

However, there were no significant changes in sleep efficiency between the two groups.

Conclusions

The iSleep youth program is effective in reducing insomnia and fatigue in young cancer survivors. It is recommended that this program be implemented more widely to support these individuals.

Next Steps for Clinics and Patients

Measurable Outcomes: Set clear goals for improving sleep and quality of life in young cancer survivors.

AI Tools: Explore AI solutions that can assist in monitoring and enhancing treatment outcomes.

Implementation: Start with a pilot project to track results and expand based on findings.

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