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Dyadic sleep intervention for adult patients with cancer and their sleep-partner caregivers: A feasibility study

Published online by Cambridge University Press:  14 June 2023

Youngmee Kim Open the ORCID record for Youngmee Kim [Opens in a new window] ,
Amanda Ting Open the ORCID record for Amanda Ting [Opens in a new window] ,
Thomas C. Tsai Open the ORCID record for Thomas C. Tsai [Opens in a new window]  and
Charles S. Carver Open the ORCID record for Charles S. Carver [Opens in a new window]
Youngmee Kim*
Affiliation:
Department of Psychology, University of Miami, Coral Gables, FL, USA
Amanda Ting
Affiliation:
Department of Psychology, Palo Alto VA, Palo Alto, CA, USA
Thomas C. Tsai
Affiliation:
Department of Psychology, University of Miami, Coral Gables, FL, USA
Charles S. Carver
Affiliation:
Department of Psychology, University of Miami, Coral Gables, FL, USA
*
Corresponding author: Youngmee Kim; Email: ykim@miami.edu
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Abstract

Objectives

Sleep disturbances are common among adult patients with cancer and their caregivers. To our knowledge, no sleep intervention to date has been designed to be provided to both patients with cancer and their caregivers simultaneously. This single-arm study aimed to pilot test the feasibility and acceptability, and to illustrate the preliminary efficacy on sleep efficiency of the newly developed dyadic sleep intervention, My Sleep Our Sleep (MSOS: NCT04712604).

Methods

Adult patients who were newly diagnosed with a gastrointestinal (GI) cancer and their sleep-partner caregivers (n = 20 persons: 10 dyads, 64 years old, 60% female patients, 20% Hispanic, 28 years relationship duration), both of whom had at least mild levels of sleep disturbance (Pittsburgh Sleep Quality Index [PSQI] ≥ 5) participated in this study. MSOS intervention consists of four 1-hour weekly sessions delivered using Zoom to the patient–caregiver dyad together.

Results

We were able to enroll 92.9% of the eligible and screened patient–caregiver dyads within 4 months. Participants reported high satisfaction in 8 domains (average 4.76 on a 1–5 rating). All participants agreed that the number of sessions, interval (weekly), and delivery mode (Zoom) were optimal. Participants also preferred attending the intervention with their partners. Both patients and caregivers showed improvement in sleep efficiency after completing the MSOS intervention: Cohen’s d = 1.04 and 1.47, respectively.

Significance of results

Results support the feasibility and acceptability, as well as provide the preliminary efficacy of MSOS for adult patients with GI cancer and their sleep-partner caregivers. Findings suggest the need for more rigorous controlled trial designs for further efficacy testing of MSOS intervention.

Keywords

Dyadic sleep interventionAdult patients with cancerCaregiversSleep efficacy
Type
Original Article
Information
Palliative & Supportive Care , Volume 22 , Issue 2 , April 2024 , pp. 226 - 235
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Copyright
© The Author(s), 2023. Published by Cambridge University Press.

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