Insomnia
Conditions
Brief summary
This feasibility phase II randomized controlled trial examines the preliminary efficacy of our standardized four-week YOCAS©® (Yoga for Cancer Survivors) intervention that is delivered virtually on insomnia and sleep quality in cancer survivors. Insomnia can be described as excessive daytime napping, difficulty falling asleep, difficulty staying asleep, or waking up earlier than desired. The vast majority of patients with cancer experience some form of sleep impairment post-treatment. Yoga is safe, feasible, and effective for improving insomnia and sleep quality in cancer survivors. However, most of the yoga intervention was delivered in person. With the challenges and the social distancing regulation regarding the COVID-19 pandemic, adapting to virtual behavioral intervention is critically important and needed. Whether the yoga intervention delivered virtually to survivors provides a similar benefit of improving insomnia and sleep quality is unknown.
Detailed description
PRIMARY OBJECTIVE: To compare the effects of virtual YOCAS©® intervention to standard care on changes in insomnia measured via the Insomnia Severity Index among cancer survivors SECONDARY OBJECTIVE: To compare the effects of virtual YOCAS©® intervention to standard care on changes in sleep quality measured via the Pittsburgh Sleep Quality Index among cancer survivors OUTLINE: Cancer survivors are randomized to 1 of 2 arms. ARM I: Standard Care: Cancer survivors receive their standard care ARM II: YOCAS©® intervention: Cancer survivors participate in 8 virtual YOCAS sessions (75 minutes/session, 2 times a week for 4 weeks) delivered via the electronic platform (e.g., Zoom)
Interventions
OTHERStandard Care
Standard Care is used as a control condition. Cancer survivors assigned to this arm continue to receive standard care from their medical providers.
BEHAVIORALYOCAS©® yoga
Yoga for Cancer Survivors, YOCAS©®, intervention is a low to moderate intensity mode of exercise that draws from two basic types of yoga; gentle Hatha and Restorative yoga. The program includes specific physical postures and mindfulness exercises focused on breathing and meditation. Cancer survivors will participate in 8 virtual YOCAS sessions (75 minutes/session, 2 times a week for 4 weeks) delivered via an electronic platform (e.g., Zoom)
Sponsors
University of Rochester
Bassett Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Cancer Survivors must: * have a confirmed diagnosis of cancer * have received surgery, chemotherapy, and/or radiation therapy * have completed all surgery, chemotherapy, and/or radiation therapy within the last 2 months to 10 years * score ≥4 on a 0-10 sleep screening scale * be at least 18 years of age * be able to read and understand English * be able to provide informed consent * have access to the internet and a smartphone, tablet, and/or computer * have the ability to attend 8 virtual yoga sessions
Exclusion criteria
Cancer Survivor must not: * have contraindications to yoga participation * have practiced yoga within the 3 months prior to enrolling in the study * be planning to start yoga on their own during the time they are enrolled in the study * have a confirmed diagnosis of sleep apnea or restless leg syndrome * be receiving any form of treatment for cancer with the exception of hormonal or biologic therapy * have distant metastases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean change in insomnia as measured by the Insomnia Severity Index (ISI) total score comparing cancer survivors in YOCAS vs. Standard Care | baseline to week 5 | The Insomnia Severity Index is a validated measure of insomnia. A 5-point Likert scale of 7 questions is used to rate each item (e.g., 0 = no problem; 4 = very severe problem), yielding a total score ranging from 0 to 28 with higher scores indicating higher severity of insomnia. A linear mixed effects ANCOVA will be used to assess the statistical significance of the differences in mean change among cancer survivors in YOCAS vs. Standard Care |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Change in sleep quality as measured by the Pittsburgh Sleep Quality Inventory (PSQI) total Score comparing cancer survivors in YOCAS vs. Standard Care | baseline to week 5 | The PSQI measures sleep quality with a total score ranging from 0-21 with higher scores indicating worse sleep quality. A linear mixed effects ANCOVA will be used to assess the statistical significance of the differences in mean change among cancer survivors in YOCAS vs. Standard Care |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKaren Mustian, PhD, MPH
University of Rochester
Outcome results
None listed