Evidence map›Paper›PMID 40411640›Full record

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

Cancer survivors' acceptability and perspectives on engagement with digital cognitive-behavioral therapy for insomnia: a mixed methods perspective.

Maria I Clara, Josephine Hegarty, Annemieke Van Straten, Federica Giudetti, Imke Buekenhout, Irem Koc, Maria C Canavarro, Ana Allen Gomes

Abstract read
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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effectiveness of eHealth interventions in long-term follow-up care for breast and gynecological cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Bibliometric and visual analysis of cancer-related insomnia research from 2015 to 2025.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
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

8 authors.

Maria I ClaraCenter for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua Do Colégio Novo, 3000-115, Coimbra, Portugal. mclara@uc.pt.ORCID http://orcid.org/0000-0002-9099-033X
Josephine HegartySchool of Nursing and Midwifery, University College Cork, Cork, Ireland.ORCID http://orcid.org/0000-0002-1663-4820
Annemieke Van StratenVrije Universiteit Amsterdam & Amsterdam Public Health Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-6875-2215
Federica GiudettiDepartment of Psychology "Renzo Canestrari", University of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-7321-8049
Imke BuekenhoutCenter for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua Do Colégio Novo, 3000-115, Coimbra, Portugal.ORCID http://orcid.org/0000-0003-0320-1644
Irem KocSchool of Nursing and Midwifery, University College Cork, Cork, Ireland.
Maria C CanavarroCenter for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua Do Colégio Novo, 3000-115, Coimbra, Portugal.ORCID http://orcid.org/0000-0002-5083-7322
Ana Allen GomesCenter for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua Do Colégio Novo, 3000-115, Coimbra, Portugal.ORCID http://orcid.org/0000-0002-8221-6985

Funding

Fundação para a Ciência e a Tecnologia 2020.05728.BD
6 · The paper itself

Abstract

purposeInsomnia is one of the most prevalent, persistent, and impairing conditions for which cancer survivors want treatment. However, the evidence-based first-line treatment, cognitive-behavioral therapy for insomnia (CBT-I), is seldom available to cancer survivors. Digital CBT-I improves dissemination, but its impact depends on patients' acceptance and preferences. We aimed to determine the acceptability of and explore perspectives of digital CBT-I for cancer survivors.

methodsResponses collected at study exit by 123 cancer survivors (mean age 47.1 years, 95.9% women, 76.4% breast cancer) who completed a digital CBT-I, OncoSleep, were analyzed using mixed methods. The exit survey included quantitative measures of acceptability, and qualitative insights were gathered through a free-response item. Responses were systematically coded and analyzed using deductive and inductive approaches to identify recurrent themes.

resultsThe digital CBT-I, OncoSleep, received high ratings for perceived efficacy, satisfaction, helpfulness, usability, likelihood of future use of therapeutic techniques, likelihood of recommendation, and user experience. Patients who showed clinically significant improvements in insomnia severity reported better user experience. Analyses revealed eight themes were relevant for engagement with treatment: clinician support and monitoring, interactive features and ease of use, perceived efficacy of treatment techniques, convenience and non-hospital setting, validation of unmet needs, sleep medication discontinuation, tailored treatment content, and empowerment.

conclusionsResults suggest digital CBT-I is well-accepted among cancer survivors. Digital CBT-I offers opportunities for treatment engagement.

Indexed as

Cancer SurvivorsCognitive Behavioral TherapyNeoplasmsPatient Acceptance of Health CareSleep Initiation and Maintenance DisordersAdultAgedFemaleHumansMaleMiddle AgedPatient SatisfactionSurveys and QuestionnairesCancer survivorsCBT-ICognitive-behavioral therapyInsomniaOncology

Identifiers

PMID40411640
PMCPMC12103371

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.