title: Adapted Delivery of Cognitive-Behavioral Treatment for Insomnia in Adolescent and Young Adult Cancer Survivors: A Pilot Study.
abstract: Adolescent and young adult cancer survivors (AYACS) are at risk for the development of insomnia, though it remains vastly undertreated. Limited research has evaluated cognitive-behavioral treatment for insomnia (CBT-I) in AYACS. The present study piloted adapted CBT-I designed to improve treatment accessibility by delivering a three-session intervention in person and via videoconference. AYACS with insomnia (N = 12) enrolled in the study. Ten AYACS completed the intervention, with six in person and four via videoconference. Sleep variables improved immediately postintervention and were sustained at two-month follow-up. Within sample effect sizes of the adapted intervention for sleep, variables were large, and there were no noted differences on sleep outcomes between the in-person and videoconference participants. These pilot findings indicate that an adapted CBT-I intervention is feasible and promising in AYACS populations.
authors.affiliation: a David B. Perini Jr. Quality of Life Clinic , Dana-Farber Cancer Institute , Boston , Massachusetts.|b Department of Pediatrics, Harvard Medical School , Boston , Massachusetts.
authors.forename: Eric S
authors.initials: ES
authors.lastname: Zhou
authors.affiliation: a David B. Perini Jr. Quality of Life Clinic , Dana-Farber Cancer Institute , Boston , Massachusetts.|b Department of Pediatrics, Harvard Medical School , Boston , Massachusetts.|c Department of Pediatrics, Boston Children's Hospital , Boston , Massachusetts.
authors.forename: Lynda M
authors.initials: LM
authors.lastname: Vrooman
authors.affiliation: b Department of Pediatrics, Harvard Medical School , Boston , Massachusetts.|c Department of Pediatrics, Boston Children's Hospital , Boston , Massachusetts.|d Pediatric Neuro-Oncology Clinic, Dana-Farber Cancer Institute , Boston , Massachusetts.
authors.forename: Peter E
authors.initials: PE
authors.lastname: Manley
authors.affiliation: e Department of Psychology, St. Jude Children's Research Hospital , Memphis , Tennessee.
authors.forename: Valerie M
authors.initials: VM
authors.lastname: Crabtree
authors.affiliation: a David B. Perini Jr. Quality of Life Clinic , Dana-Farber Cancer Institute , Boston , Massachusetts.|b Department of Pediatrics, Harvard Medical School , Boston , Massachusetts.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Recklitis
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000150:complications*; D010865:Pilot Projects; D012890:Sleep / Q000502:physiology; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000503:physiopathology / Q000628:therapy*; D017741:Survivors; D016896:Treatment Outcome; D055815:Young Adult