Abstract
This study examined the efficacy and feasibility of a brief telephone-delivered CBT-I (TeleCBT-I) intervention in cancer patients compared to a control group. The study used a randomized controlled trial design. The TeleCBT-I program consisted of a brief four-week CBT-I program adapted for cancer patients. Patients completed assessment measures at pre-treatment, post-treatment and one-month follow-up. Out of 184 patients screened, 39 were randomly assigned, and 35 (TeleCBT-I, n = 19; Control, n = 16) completed pre- and post-treatment measures and were included in the analyses. Compared to control group, the TeleCBT-I group reported decreased insomnia severity symptoms (p < .014), improved sleep quality (p < .023), and reduced dysfunctional beliefs about sleep (p = .039) at post-treatment with sustained treatment effects at one-month follow-up. Sleep measures yielded large effect sizes (Hedges' g, 0.84-2.7). Although the TeleCBT-I group indicated improvements in fatigue, general functioning, physical well-being, functional well-being, and physical quality of life, effects at follow-up were observed only for fatigue, functional well-being and physical quality of life. No effects were found on depression at any of the time points. In terms of feasibility, TeleCBT-I demonstrated high adherence, high homework completion and high overall satisfaction. These results advance the empirical evidence of CBT-I in cancer patients and support the use of telephone-delivered CBT-I to widely disseminate and implement among patients with cancer.
Notes
If this is your thesis or dissertation, and want to learn how to access it or for more information about readership statistics, contact us at STARS@ucf.edu
Graduation Date
2019
Semester
Summer
Advisor
Blaney, Cerissa
Degree
Doctor of Philosophy (Ph.D.)
College
College of Sciences
Department
Psychology
Degree Program
Psychology; Clinical Psychology
Format
application/pdf
Identifier
CFE0007694
URL
http://purl.fcla.edu/fcla/etd/CFE0007694
Language
English
Release Date
August 2019
Length of Campus-only Access
None
Access Status
Doctoral Dissertation (Open Access)
STARS Citation
Nicasio, Andel, "Telephone-Delivered Cognitive Behavioral Therapy for Insomnia in Patients with Cancer: A Randomized Controlled Trial" (2019). Electronic Theses and Dissertations. 6546.
https://stars.library.ucf.edu/etd/6546