Evidence map›Paper›PMID 40021529›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Role and perception of healthcare professionals in referring cancer patients to online cognitive behavioral therapy for insomnia.

Louise Zanni, Jonathan Journiac, Josée Savard, Estelle Guerdoux, Guilhem Paillard-Brunet, Léonor Fasse, Jean-Bernard Le Provost, Cécile Charles, Sarah Dauchy, Diane Boinon

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Louise ZanniLaboratoire de Psychopathologie Et Processus de Santé, Université Paris Cité, 71, Avenue Édouard-Vaillant, 92100, Boulogne-Billancourt, France. louise.zanni@u-paris.fr.ORCID http://orcid.org/0009-0005-7696-2307
Jonathan JourniacLaboratoire de Psychopathologie Et Processus de Santé, Université Paris Cité, 71, Avenue Édouard-Vaillant, 92100, Boulogne-Billancourt, France.ORCID http://orcid.org/0000-0003-1229-8329
Josée SavardÉcole de Psychologie, Université Laval, Québec, Canada.ORCID http://orcid.org/0000-0002-8052-1046
Estelle GuerdouxInstitut du Cancer de Montpellier, Département de Soins de Support, Unité de Psycho-Oncologie, 208, Avenue Des Apothicaires, 34298, Montpellier Cedex 5, France.ORCID http://orcid.org/0000-0002-9608-0791
Guilhem Paillard-BrunetCentre Léon-Bérard, Unité de Psycho-Oncologie 28, Rue Laennec, 69008, Lyon, France.
Léonor FasseLaboratoire de Psychopathologie Et Processus de Santé, Université Paris Cité, 71, Avenue Édouard-Vaillant, 92100, Boulogne-Billancourt, France.ORCID http://orcid.org/0000-0003-1365-0566
Jean-Bernard Le ProvostGustave-Roussy, Unité de Psycho-Oncologie, 114, Rue Édouard-Vaillant, 94805, Villejuif, France.
Cécile CharlesCentre de recherche Bordeaux Population Health, Université de Bordeaux (MéRISP-U1219), Case 11, 146, Rue Léo-Saignat, 33076, Bordeaux Cedex, France.ORCID http://orcid.org/0000-0003-3126-1337
Sarah DauchyDépartement Médico-Universitaire de Psychiatrie Et d'Addictologie, AP-HP, Centre-Université Paris Cité Hôtel-Dieu, 1, Place du Parvis-Notre-Dame, 75004, Paris, France.ORCID http://orcid.org/0000-0001-6220-5624
Diane BoinonLaboratoire de Psychopathologie Et Processus de Santé, Université Paris Cité, 71, Avenue Édouard-Vaillant, 92100, Boulogne-Billancourt, France. diane.boinon@gustaveroussy.fr.ORCID http://orcid.org/0000-0002-8963-0847

Funding

NCI NIH HHS INCa SHS 2020 n°2020-1-PL SHS-03-IGR-1
6 · The paper itself

Abstract

purposeInsomnia represents a major issue in oncology, which can be successfully treated by online Cognitive-Behavioural Therapy for Insomnia, such as the Insomnet program. However, promoting its successful implementation in routine care requires healthcare providers' involvement. This study aimed to explore healthcare professionals' perceptions of this online program.

methodsThis qualitative study was a part of the French Sleep-4-All-2.0 multicentric study. It explored, through two focus groups including 19 healthcare professionals of three cancer centers, their perceptions regarding their role in patient referral, and the perceived barriers and facilitators in accessing this type of intervention. The content of the focus groups was subjected to a descriptive thematic analysis.

resultsFour major themes were identified: (1) ambivalent representations of online tools (including patients convinced by remote intervention, evolution of representations in relation to the health context, adapted to sleep disorders, professionals' preconceptions of online tools), (2) barriers to implementation (including few perceived barriers, forgetting patients' particularities, professionals' lack of knowledge, a possible threat to the patient-caregiver relationship, financial cost), (3) levers for implementation (including real benefits for patients, professionals who feel confident, preserved patient-caregiver relationship, institutional innovations to remedy dysfunctions), and (4) professional involvement in implementation (what they need, what to avoid, what they already do, what they see themselves doing).

conclusionOnline (healthcare) services were reported to help increase access to healthcare, but that should not replace the relationship between patients and healthcare professionals. All professionals must be informed and trained to refer patients to these programs.

Indexed as

Attitude of Health PersonnelCognitive Behavioral TherapyHealth PersonnelNeoplasmsReferral and ConsultationSleep Initiation and Maintenance DisordersAdultFemaleFocus GroupsFranceHumansInternetMaleMiddle AgedQualitative ResearchCancerDelivery of health careFocus groupsHealthcare professionalsInsomniaOnline cognitive-behavioral therapy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.