Young adult cancer survivors (YACS) commonly experience chronic insomnia due to many factors such as cancer related symptoms, effects of anti-cancer therapies, co-morbid mood disorders, and/or other psychosocial and economic stressors. Cognitive behavioral therapy for insomnia (CBT-I) is the gold standard for insomnia management but remains challenging to deliver to patients due to limited numbers of trained therapists, inconvenient scheduling availability, or prohibitive therapy costs. To address this critical gap in young adult cancer survivorship, the investigators propose to develop and test efficacy of the More Sleep Hours Electronic Education Program (More SHEEP), a novel system of smart speaker, smart lighting, and specialized Wi-Fi router that delivers AI-driven CBT-I to patients at home.
Age 18-42 at time of enrollment
history of cancer diagnosis (any type) diagnosed at/after age 15, received all treatment before age 40
at least 6 months from date of cancer diagnosis
history of chronic sleep disorder with Insomnia Severity Index >/= 8
Refusal to try the study intervention
diagnosed untreated obstructive sleep apnea syndrome, or restless leg syndrome
narcolepsy, schizophrenia, bi-polar disorder, and/or poorly controlled psychiatric diagnoses
disease-related prognosis of less than 6 months or currently enrolled in hospice care
Medstar Health Research Institute
Lead sponsor
National Cancer Institute (NCI)
Collaborator