Sleep Treatment Education Program for Cancer Survivors: STEP-Together
Sleep Treatment Education Program Together (STEP-Together): An Online Group Educational Intervention for Insomnia in Cancer Survivors
Dana-Farber Cancer Institute
100 participants
Jun 25, 2025
INTERVENTIONAL
Conditions
Summary
This single-arm research study of off-treatment cancer survivors with self-reported symptoms of insomnia will test the Sleep Treatment Education Program Together (STEP-Together) intervention which is delivered as a synchronous group session by videoconference.
Eligibility
Inclusion Criteria6
- Age 18-89
- History of a cancer diagnosis (except non-melanoma skin cancer) ≥ 6 months prior
- No active cancer therapy (excluding chemoprevention) in the past four months, and no further therapy planned.
- Significant insomnia as evidenced by an Insomnia Severity Index score ≥ 8
- Regular access to the internet
- Able to read and write in English
Exclusion Criteria4
- Usual bedtime does not fall between 5:00 pm and 5:00 am.
- Employment in a position where falling asleep at work could impact public safety (such as air traffic-controller, operating heavy machinery).
- Ever diagnosed with Bipolar Disorder or with Seizure Disorder, currently taking medications to prevent a seizure, or have experienced a seizure in the prior 12 months.
- Any impairment (e.g., hearing, visual, cognitive) that interferes with the ability to complete all study procedures independently.
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Interventions
STEP-Together is delivered in a single videoconference group session delivered live by a presenter. During the session, the participants are able to see and hear the presenter, view the presentation slides, and ask questions. The presentation includes educational information on the problem of insomnia after cancer and specific suggestions for improving sleep. Suggestions are presented in four sections addressing lifestyle issues, sleep environment, sleep timing, and managing expectations and challenges. During the course of the session, participants are asked to use these suggestions to develop an individual sleep action plan they will use to improve their sleep.
Coaching sessions are brief (\<1hour) sessions intended to support participants in implementing their personal sleep self-management plan. In the session, participants are asked to review their progress with their plan, report on areas of sucess and difficulty with adoption, and to problem solve with the study team as needed to support their sucessful implementation their plan.
Locations(1)
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NCT06736548