Cognitive Impairment, Fatigue, Prostate Cancer, Sleep Disturbance
Conditions
Keywords
Prostate Cancer, Sleep Disturbance, Fatigue, Memory, Concentration
Brief summary
Many treatments for prostate cancer can cause significant fatigue and/or problems with memory and concentration. Many treatments for prostate cancer also result in disturbed sleep. Improving sleep may reduce feelings of fatigue and improve memory and concentration. The purpose of this study is to test a wearable device that provides real-time feedback on sleep patterns, instruction on how to improve sleep, and a score that indicates periods of time when fatigue and issues with memory and concentration may be most troublesome. The study also is designed to test a type of treatment (cognitive behavioral therapy for insomnia, CBT-I) that is helpful for people who are experiencing disturbed sleep.
Interventions
BEHAVIORALteleCBT-I + SH/ReadiWatchTM
Participants receive real time feedback on sleep metrics, education on sleep hygiene and a four-week virtual cognitive behavioral therapy for insomnia intervention
BEHAVIORALSH/ReadiWatchTM
Participants receive real time feedback on sleep metrics and education on sleep hygiene
Sponsors
Oncology Nursing Society
University of Kansas Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* At least 18 years old * Diagnosed with any stage of prostate cancer * Receiving androgen deprivation therapy * Able to speak and read English * Score \>/= 8 on Insomnia Severity Index
Exclusion criteria
* Diagnosis of Alzheimer's Disease or related dementias, or other conditions that would prevent informed consent * Sleep apnea not utilizing/or adherent to CPAP * Uncontrolled restless legs syndrome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility as measured by percentage of target sample enrolled | Through study completion (an average of 24 months) |
| Feasibility as measured by percentage of adherence to ReadiWatch wear time over two months | Two months |
| Feasibility as measured by percent attrition for the four teleCBT-I sessions | Two months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in insomnia severity | one months, two months | Measured by the Insomnia Severity Index (total score ranges from 0-28 with higher scores indicating worse insomnia severity. |
| Change from baseline for participants' ReadiScores | one month, two months | ReadiScores are measured by the SAFTE algorithm developed by the Department of Defense and reflect fatigue and cognitive function (range 0 to 100) |
| Change from baseline in cancer related fatigue, anxiety, depression, and health related quality of life | one months, two months | Measured by items and total score on the Patient Reported Outcomes Management System-29+2 (PROPr). Likert style items with variable ranges, raw scores converted to T-scores and standard deviations. |
| Change from baseline in sleep quality | one months, two months | Measured by Pittsburgh Sleep Quality Index (7 component scores calculated from 18 items yielding a global score. Higher scores indicate worse sleep quality |
| Change from baseline for participants' sleep metrics for total sleep time (hours per night) | one month, two months | total sleep time in hours per night measured by the SAFTE algorithm. |
| Change from baseline for participants' sleep metrics for sleep efficiency (total sleep time divided by time in bed) | one month, two months | sleep efficiency equals total sleep time in hours per night divided by time in bed as measured by the SAFTE algorithm. |
Countries
United States
Outcome results
None listed