![]() ![]() Furthermore, the reductions were found to be durable at the 3-month (week 20) follow-up. ![]() 001), with clinically meaningful reductions in insomnia severity observed in both groups (acupuncture: −8.31 points, 95% confidence interval = −9.36 to −7.26 CBT-I: −10.91 points, 95% CI = −11.97 to −9.85). Secondary outcomes included pain, fatigue, quality of life, and diary capture of sleep medication use.įindings indicated that, overall, CBT-I was more effective than acupuncture ( P <. Items are scored on a 5-point scale (range 0–4), with higher scores representing more severe insomnia symptoms. The index is a set of seven questions and answers. It is a well-validated measure to assess the impact of insominia on daytime functioning and associated distress levels. The primary outcome was patient-reported insomnia severity as measured by the Insomnia Severity Index. The trial involved 160 participants (mean age = 61.5 years 91 female 113 white), who were randomly assigned to 8 weeks of CBT-I or acupuncture. The Choosing Options for Insomnia in Cancer Effectively (CHOICE) study was conducted to evaluate the efficacy of CBT-I vs acupuncture for reducing insomnia in cancer survivors who had completed active treatment. 14-16 In addition, the comparative effectiveness of acupuncture and CBT-I has not been determined. It has been shown to be effective for insomnia, but the evidence in oncology settings is limited. 12,13Īcupuncture is a form of traditional Chinese medicine that involves inserting fine needles at specific points on the body. 11 The American College of Physicians and the American Academy of Sleep Medicine both recommend it as the first-line treatment for insomnia. Relaxation training focuses on reducing thoughts and physical tension that hinder sleep, and education training involves teaching patients about behaviors for healthy sleep.Ĭlinical data indicate that CBT-I is highly effective in cancer survivors. 10 Sleep restriction induces mild sleep deprivation by limiting time spent in bed to actual sleep stimulus control focuses on strengthening behaviors that associate the bed with sleep and cognitive restructuring aims to manage anxiety related to sleep. 8,9 Cognitive behavioral therapy for insomnia (CBT-I) and acupuncture are two such approaches that have been used for managing insomnia.ĬBT-I is a behavioral intervention specially designed to address insomnia through sleep restriction, stimulus control, cognitive restructuring, relaxation training, and education. Integrative oncology combines evidence-based complementary therapies with conventional cancer care to address the symptoms associated with cancer and its treatments. ![]()
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