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NCT Number: NCT07809386

The Effect of Gamified Sleep Hygiene Education on Sleep Quality and Fatigue Levels in Chemotherapy Patients

Sleep disturbances and fatigue are common problems among patients receiving chemotherapy and may negatively affect their quality of life. This randomized controlled trial aims to evaluate the effect of gamified sleep hygiene education on sleep quality and cancer-related fatigue in patients receiving chemotherapy.

A total of 56 patients will be randomly assigned to two groups, with 28 participants in each group. The intervention group will receive gamified sleep hygiene education through the web-based "Sleep Hunter" program, while the active comparator group will receive standard sleep hygiene education through verbal instruction and educational brochures. The intervention will be delivered in two sessions over a two-week period.

Sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire, and cancer-related fatigue will be assessed using the Hirai Cancer Fatigue Scale. Outcomes will be assessed at baseline and after completion of the two-week intervention.

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Key information

Conditions

Cancer Behavior Dyssomnias Health Behavior Mental Disorders Neoplasms Nervous System Diseases Sleep Disorders, Intrinsic Sleep Hygiene Sleep Initiation and Maintenance Disorders Sleep Wake Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Lokman Hekim University Ankara Hospital

Ankara, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 18 years or older
  • Currently receiving chemotherapy
  • Able to read and write in Turkish
  • Able to communicate effectively
  • Able to use a smartphone or tablet and access the web-based educational intervention
  • No previous diagnosis of a sleep disorder
  • No previous treatment for a sleep disorder
  • Voluntary participation in the study

Exclusion criteria

  • Presence of a major mental disorder that may interfere with participation in the study
  • Presence of a major visual, hearing, or communication impairment that may interfere with participation in the study
  • Unable to read or write in Turkish
  • Unable to use a smartphone or tablet or access the web-based educational intervention
  • Previous diagnosis of a sleep disorder
  • Previous treatment for a sleep disorder
  • Unwilling to participate in the study

Treatment and study plan

Gamified Sleep Hygiene Education

Behavioral

Gamified sleep hygiene education will be delivered using the web-based "Sleep Hunter" educational material developed in an online escape-room format. The educational content includes sleep hygiene, stimulus control, caffeine use, screen light exposure, regulation of the sleep environment, relaxation exercises, breathing techniques, and establishment of a sleep routine. The program incorporates gamification elements including badges, levels, rewards, educational videos, audio narrations, visuals, animations, matching activities, fill-in-the-blank activities, and true/false questions. The intervention will be delivered using smartphones or tablets in two sessions over a two-week period. Each session will last no longer than 10 minutes, with a total education duration of approximately 20 minutes.

Standard Sleep Hygiene Education

Behavioral

Standard sleep hygiene education will be provided through verbal instruction and educational brochures in two sessions.

Primary outcomes

  1. Change in Richards-Campbell Sleep Questionnaire Total Score

    Time frame: Baseline and immediately after completion of the 2-week intervention

    Sleep quality will be measured using the Richards-Campbell Sleep Questionnaire (RCSQ). The RCSQ yields a total score ranging from 0 to 100, with higher scores indicating better perceived sleep quality. The outcome will be the change in the RCSQ total score from baseline to the end of the 2-week intervention.

Secondary outcomes

  1. Change in Hirai Cancer Fatigue Scale Total Score

    Time frame: Baseline and immediately after completion of the 2-week intervention

    Cancer-related fatigue will be measured using the Hirai Cancer Fatigue Scale. The scale consists of 15 items and yields a total score ranging from 15 to 75, with higher scores indicating greater cancer-related fatigue. The outcome will be the change in the total score from baseline to the end of the 2-week intervention.

Study contacts

Contact information is provided by the study sponsor or research team.

Esra Türker, Assoc. Prof.

CONTACT

[email protected]

+905074521224

Sponsors and collaborators

Lead sponsor

Lokman Hekim University

Other Gov

Collaborators

  • The Scientific and Technological Research Council of Turkey

Registry information

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Sep 9, 2026
Registry last updated
Sep 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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