Feasibility of a Telemedicine-Delivered Cognitive Behavioral Therapy for Insomnia in Rural Breast Cancer Survivors

Abstract

Nurse-led, telemedicine-delivered CBTI for rural BCSs is feasible and may be effective in managing insomnia. Additional research is needed to determine widespread effectiveness and best practices for dissemination and implementation.

Can mHealth interventions improve quality of life of cancer patients? A systematic review and meta-analysis

“…The majority of studies (n = 9) were from the USA, Europe (n = 8) and Asia (n = 7). Sample sizes ranged from 18 ( McCarthy et al, 2018 ) to 409 patients ( Willems et al, 2017 ). Mean (or median) age of study participants ranged from 17 years ( Mendoza et al, 2017 ) to 69 years ( Hong et al, 2015 ).…”

“… ( Ham et al, 2019 ) South Korea Different cancer types 63 / 52 women / age range 20 – 65 years RCT Mobile-application-based CBT ( HARUToday ) / n = 21 Waitlist control group (n = 21) and attention control group (n = 21) 10 weeks SF-36 73% No significant changes in SF-36 score ( Compen et al, 2018 ) Netherlands Different cancer types and psychological distress 245 / 86% women / 51.7 ± 10.7 years RCT Internet-based mindfulness-based cognitive therapy (eMBCT) Treatment as usual and Face-to-Face mindfulness based cognitive therapy (MBCT) 8 weeks SF-12 (mental and physical scales) 70% Both eMBCT and face-to-face MBCT improved mental health, but not physical health compared to usual care. ( Willems et al, 2017 ) Netherlands Different cancer types 409 (who completed) / 81% women / 56 years RCT Web-based intervention according to CBT /PST principles Waiting list control / n = 231 6 months EORTC QLQ-C30 89% Intervention was associated with improved emotional and social functioning ( Børøsund et al, 2019 ) Norway Different cancer types 25 / 84% women / mean 48 years (range: 34-71) Pre-post App-based cognitive-behavioral stress management ( Stress Proffen ) None 8 weeks SF-36 67% completed at least 7 out of 10 modules Significant improvement of physical, general health, vitality, and emotional aspects of QoL, ( …”

“…We identified 17 RCTs ( Willems et al, 2017 ; Mendoza et al, 2017 ; Graetz et al, 2018 ; Ferrante et al, 2018 ; Admiraal et al, 2017 ; Compen et al, 2018 ; Frensham et al, 2018 ; Galiano-Castillo et al, 2016 ; Greer et al, 2019 ; Ham et al, 2019 ; Ji et al, 2019 ; Kubo et al, 2019 ; Rosen et al, 2018 ; Uhm et al, 2017 ; Urech et al, 2018 ; Yang et al, 2019 ; Zhu et al, 2018 ) and 8 pre-post design studies ( Børøsund et al, 2019 ; Cheong et al, 2018 ; Lozano-Lozano et al, 2019 ; McCarroll et al, 2015 ; Pappot et al, 2019 ; Park et al, 2019 ; Pope et al, 2019 ; Trinh et al, 2018 ). Nine studies (5 RCTs and 4 pre-post designs) tested physical activity / rehab / fitness interventions ( Mendoza et al, 2017 ; Frensham et al, 2018 ; Galiano-Castillo et al, 2016 ; Ji et al, 2019 ; Uhm et al, 2017 ; Cheong et al, 2018 ; Lozano-Lozano et al, 2019 ; Park et al, 2019 ; Trinh et al, 2018 ), six studies – CBT interventions (4 RCTs and 2 pre-post designs) ( McCarthy et al, 2018 ; Willems et al, 2017 ; Compen et al, 2018 ; Greer et al, 2019 ; Greer et al, 2019 ; Ham et al, 2019 ; Børøsund et al, 2019 ), three studies - mindfulness/stress management interventions (3 RCTs) ( Kubo et al, 2019 ; Rosen et al, 2018 ; Urech et al, 2018 ), two studies - social support (1 RCT and 1 pre-post design) ( Zhu et al, 2018 ; Pappot et al, 2019 ), two studies - information/psychoeducation (2 RCTs) ( Graetz et al, 2018 ; Admiraal et al, 2017 ), two studies – weight management (1 RCT and 1 pre-post design) ( Ferrante et al, 2018 ;…”

“…A single-arm pre-post design study (2019) in 25 survivors of different cancers found that an 8-week app-based cognitive behavioral stress management intervention ( Stress Proffen app) improved the perception of physical aspects, emotional aspects, vitality, and general health aspects of the HRQoL, as measured with the SF-36 questionnaire ( Børøsund et al, 2019 ). Another small study in 18 breast cancer patients found that CBT for insomnia intervention delivered via Internet videoconference on a computer was associated with an improved EORTC QLQ-C30 global health status score ( McCarthy et al, 2018 ).…”

Alternative Treatments for Cancer Prevention and Cure [Part 1]

“…Impaired cognitive function, change in brain metabolism and change in brain structure are associated with cancer treatment. CBT moderately improved anxiety and depression in patients with earlystage breast cancer [582], significantly improved tumor associated fatigue levels after 8 weeks [583], improved QoL [584], improved cognitive function [585], improved insomnia [586,587], reduced fear of cancer recurrence [588] and most importantly, reduced pain and distress [589]. Mindfulness-based approaches and hypnosis reduced demonstrated efficacy in reducing anxiety and depressive symptoms.…”