Guided web-based intervention for insomnia targeting breast cancer patients: Feasibility and effect
Guided web-based intervention for insomnia targeting breast cancer patients: Feasibility and effect
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DOI：
10.1016/j.invent.2017.03.005
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发表时间：
2017-09-01
期刊：
影响因子：
4.3
通讯作者：
van Straten, Annemieke
中科院分区：
文献类型：
--
作者：
Dozeman, Els;Verdonck-de Leeuw, Irma M.;van Straten, Annemieke
背景：乳腺癌（BRC）患者中胰岛素抵抗非常普遍，但非药物治疗并不广泛。本初步研究的目的是调查是否通过互联网（I-CBT）的指导认知行为治疗是一个可行的和有效的解决方案，这种治疗不足的条件下，在BRC patients.Methods，并调查谁受益最大：现有的证据为基础的I-CBT睡眠干预（I-Sleep）适应BRC患者。一个开放的混合方法设计，包括定性访谈和前，后测试问卷测量睡眠，疲劳，日常功能，和心理distress.Results：100的171名参与者（59%）完成了充分的干预和参与者高度重视的干预（7.5出10）。发现失眠严重程度（d = 1.33）、疲劳（d = 0.24）和日间功能（d = 0.30）的前-后效应大小从大到小。结论：I-CBT干预I-Sleep对BRC失眠患者是可行的、可接受的、有效的，尤其是对年轻患者和失眠较严重的患者。
Background: Insomnia is highly prevalent in breast cancer (BRC) patients, but non-pharmacological treatment is not widely available. The aim of this preliminary study was to investigate whether guided cognitive behavioral therapy via the Internet (I-CBT) is a feasible and effective solution for this undertreated condition in BRC patients, and to investigate who benefits most.Methods: An existing evidence based I-CBT sleep intervention (I-Sleep) was adapted for BRC patients. An open mixed methods design was used including qualitative interviews and pre- and post-test questionnaires measuring sleep, fatigue, daily functioning, and psychological distress.Results: 100 of the 171 participants (59%) completed the intervention fully and participants highly valued the intervention (7.5 out of 10). Large to small pre-post effect sizes were found on insomnia severity (d = 1.33) fatigue (d = 0.24), and daytime functioning (d = 0.30). Younger patients and patients with more severe insomnia at baseline benefited most from the intervention.Conclusion: The I-CBT intervention I-Sleep is feasible, well-accepted, and effective for BRC patients who suffer from insomnia, especially for younger patients and those with more severe insomnia.