Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial

Maria Inês Clara; Annemieke van Straten; Maria Cristina Canavarro; Ana Allen Gomes

doi:10.20344/amp.21094

Autores

Maria Inês Clara Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC). Universidade de Coimbra. Coimbra; Faculty of Psychology and Educational Sciences. Universidade de Coimbra. Coimbra; Chronopsychology and Cognitive Systems Lab (ChronCog). Universidade de Coimbra. Coimbra. https://orcid.org/0000-0002-9099-033X
Annemieke van Straten Department of Clinical, Neuro and Developmental Psychology & Amsterdam Public Health Research Institute. Vrije Universiteit Amsterdam. Amsterdam. https://orcid.org/0000-0001-6875-2215
Maria Cristina Canavarro Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC). Universidade de Coimbra. Coimbra; Faculty of Psychology and Educational Sciences. Universidade de Coimbra. Coimbra. https://orcid.org/0000-0002-5083-7322
Ana Allen Gomes Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC). Universidade de Coimbra. Coimbra; Faculty of Psychology and Educational Sciences. Universidade de Coimbra. Coimbra; Chronopsychology and Cognitive Systems Lab (ChronCog). Universidade de Coimbra. Coimbra. https://orcid.org/0000-0002-8221-6985

DOI:

https://doi.org/10.20344/amp.21094

Palavras-chave:

Distúrbios do Início e da Manutenção do Sono, Neoplasias/complicações, Saúde Digital, Terapia Cognitivo-Comportamental

Resumo

Introdução: A insónia é um dos sintomas associados ao cancro mais prevalentes, persistentes e debilitantes, afetando quase metade das pessoas sobreviventes. Embora a terapia cognitivo-comportamental para a insónia esteja bem estabelecida como o tratamento de referência para a insónia persistente, permanece praticamente inacessível na prática clínica. Pretendemos examinar os efeitos clínicos e a aceitabilidade de uma intervenção digital de terapia cognitivo-comportamental para a insónia para pessoas sobreviventes de cancro com sintomas de insónia através de um ensaio clínico em Portugal.
Métodos e Análise: O nosso ensaio oncológico vai testar os efeitos clínicos e aceitabilidade de uma intervenção digital de terapia cognitivo-comportamental para a insónia com apoio clínico oferecido online, o programa OncoSleep. O programa online inclui seis sessões semanais, interativas e personalizadas, que envolvem técnicas baseadas na evidência para reduzir a hiperativação psicofisiológica e condicionamentos maladaptativos, adaptadas à sobrevivência oncológica. O recrutamento será realizado na população geral e, após triagem, os participantes elegíveis serão aleatoriamente alocados a um de dois braços: o grupo de intervenção da terapia cognitivo-comportamental para a insónia ou um grupo em lista de espera. A gravidade da insónia (indicador primário), fadiga, indicadores de sono, sofrimento psicológico, e a qualidade de vida (indicadores secundários) serão avaliados pré- e pós-intervenção.

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