What is the purpose of the CHOICE Study?
The CHOICE Study will compare the effectiveness of the following two treatments for insomnia in cancer patients:
Acupuncture and Cognitive Behavioral Therapy for Insomnia (CBT-I)
We are also interested in determining how useful these treatments are in improving other symptoms that often co-exist with insomnia in cancer patients, such as pain, fatigue, anxiety and depression. By capturing the patient experience of cancer-related insomnia and treatment, the CHOICE Study will be able to explore factors that influence how well a treatment works, such as patient preference for one treatment over the other, and expectations of how well a treatment will work.
What would I be asked to do?
You would be randomly assigned to either Acupuncture or CBT-I. There will be 160 subjects in the study, 80 subjects for each of the 2 groups. Even though you might prefer one or the other treatment, you must be willing to try either one.
What is the time commitment involved?
The total study length is 20 weeks from start to finish. The specific weekly time commitment will be different depending on which treatment you are assigned to.
For acupuncture you will meet with a licensed acupuncturist to receive 10 acupuncture treatments over 8 weeks. You will receive treatments 2 times per week for the first 2 weeks followed by treatments once a week for the following 6 weeks. Each acupuncture session will take approximately 30-45 minutes of your time.
For CBT-I you will meet with a trained and experienced therapist to receive 7 sessions of CBT-I over 8 weeks. You will receive weekly sessions for the first 6 weeks followed by a final session two weeks later. The first CBT-I session takes about 60 minutes of your time, and the remaining sessions take about 30 minutes each.
You will be asked to complete surveys assessing your sleep, pain, fatigue, and mood at week 0 (baseline), week 4 (mid-treatment), week 8 (post-treatment) and at weeks 12, 16, and 20 (monthly follow ups). The time to complete these questionnaires can vary.
We will also ask you to keep track of your sleep on a daily basis while you are receiving treatment. The time it takes to complete your sleep diary each day is approximately 3 minutes.