Dream2Heal: A Pilot Sequential Multiple Assignment Randomized Trial (SMART) of an Adaptive Stepped-care Intervention for Chinese Cancer Survivors With Mild-to-moderate Insomnia

What this Trial Is About

Researchers are evaluating an adaptive stepped-care approach to improve sleep quality in Chinese cancer survivors experiencing mild-to-moderate sleep disturbances. This study uses a sequential multiple assessment randomized controlled trial (SMART) design to assess the feasibility, acceptability, and potential clinical impact of these interventions. The goal is to find effective ways to help cancer patients improve their sleep through tailored web-based and face-to-face therapies. The study compares several interventions: a self-guided web-based cognitive behavioural therapy for insomnia called iDream2Heal (iD2H), a self-guided web-based exercise program called Easy Exercise (eEX), a face-to-face therapist-led cognitive behavioural therapy called Dream2Heal (D2H), and a combined web-based intervention including both iD2H and eEX. Initially, participants receive either iD2H or eEX for five weeks. Those with ongoing sleep issues may then receive either the face-to-face D2H therapy or the combined web-based intervention. Participants will be assessed at multiple points: before treatment, immediately after the initial intervention (5 weeks), and during follow-ups at 4 and 10 months post-intervention. Researchers will measure sleep disturbance and feasibility outcomes, along with anxiety, depression, and quality of life using standardized questionnaires. The study includes ongoing monitoring to evaluate how acceptable and practical these approaches are for improving sleep in this patient group.

Dream2Heal: An Adaptive Stepped-care Intervention for Chinese Cancer Survivors With Mild-to-moderate Insomnia