Web-based Insomnia Treatment for Adolescent and Young Adult Cancer Survivors

The purpose of this study is to learn whether an adapted version of SHUTi (Sleep Healthy Using the Internet), a six-session online program which has been found to be effective in other groups of people, will be useful in treating insomnia in adolescent and young adult cancer survivors.

Inclusion criteria

• 14-25 years of age
• History of a cancer diagnosis
• No active cancer therapy (excluding chemoprevention) in the past three months, and no cancer therapy currently planned in the next 6 months
• No surgery planned in the next 6 months
• Significant insomnia as evidenced by an Insomnia Severity Index score ≥12
• Able to read and write in English
• Has internet access at home
• Motivated and able to follow the demands of the SHUTi program, to keep sleep records, complete self-report symptom reports and make changes in their sleep schedule, including restricting their sleep

Exclusion criteria

• Prior attempt(s) to treat insomnia using cognitive-behavioral treatment for insomnia
• History of Bipolar Disorder diagnosis
• History of a Seizure Disorder diagnosis or have experienced a seizure in the past 12 months
• Intention to adjust (decrease or increase) use of sedative, hypnotic, or over-the-counter (e.g., Benadryl, Unisom) medications that can affect sleep during the study period
• Diagnosed, untreated sleep apnea or sleep apnea suspected by a physician but which has not been unevaluated, or other sleep disorder
• Employment that involves irregular sleep patterns, such as shift-work or frequent long-distance travel that involves adjusting to different time zones, or employment in a position that could impact public safety (such as operating heavy machinery)
• Refusal to modify or reduce excessive alcohol use that is likely to interfere with an individual's sleep