ClinicalTrials.gg
Not yet recruitingNCT07800715Updated Nov 10, 2026

Developing and Testing of Behavioral Intervention Programs for Hispanic Cancer Survivors With Insomnia

An interventional study of Body Mind Training and Cognitive Behavioral Therapy - Insomnia in Insomnia, sponsored by Rutgers, The State University of New Jersey. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Rutgers, The State University of New Jersey · Not applicable, Interventional, and Supportive care

Updated Nov 10, 2026Start date movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study focuses on improving insomnia among Hispanic cancer survivors. The three goals are to (1) culturally adapt Body-Mind Training and Cognitive Behavioral Therapy for Insomnia (CBT-I) with input from Hispanic cancer survivors, (2) determine whether the two programs are feasible and acceptable, and (3) explore whether they improve insomnia.

Read the detailed description

This study focuses on improving insomnia among Hispanic cancer survivors by adapting and testing two culturally appropriate sleep programs. First, up to 32 Hispanic cancer survivors will participate in four focus groups, with 6-8 participants per group, to provide feedback to help culturally adapt a Body-Mind Training (BMT) program and Cognitive Behavioral Therapy for Insomnia (CBT-I) in both English and Spanish. Eight of these participants will also complete individual interviews to provide additional feedback on the adapted programs. Second, 58 Hispanic cancer survivors with insomnia will participate in a randomized pilot study comparing BMT and CBT-I to determine whether the programs are feasible, acceptable, and practical for participants to complete. Third, the study will explore whether BMT and CBT-I improve insomnia, using both participant-reported insomnia symptoms and objective sleep measures collected with a wrist-worn activity monitor. Sleep will be assessed before the program, shortly after it ends, and three months later. The findings will help inform the design of a larger study comparing these approaches for treating insomnia among Hispanic cancer survivors.

02

Conditions studied

03

In context

Sleep Initiation and Maintenance Disorders

2,722 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 726 are open to participants now.

This study's planned enrollment of 58 is below the median of 68 across 2,350 interventional studies indexed under Sleep Initiation and Maintenance Disorders.

Browse Sleep Initiation and Maintenance Disorders studies →

Lead sponsor

Rutgers, The State University of New Jersey is the lead sponsor of 506 studies on the registry; 131 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 31 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Aim 1 (Cultural Adaptation):

Inclusion Criteria:

  • Be 18 years of age or older
  • Be at least 18 years old when received their cancer diagnosis
  • Self-identify as Hispanic and/or Latino(a)
  • Have/had a confirmed diagnosis of a solid tumor or hematologic
  • Completion of primary cancer treatment in the past 3 months - 5 years (may be on hormonal therapy and/or immunotherapy or other long-term therapies)
  • Have sleep disturbance (indicated by a response of 3 or more on the MDASI sleep question by using an 11-point scale anchored by 0 [no sleep disturbance] and 10 [worst possible sleep disturbance]
  • Be able to read and understand English and/or Spanish

Exclusion Criteria:

  • Inability to speak and read English or Spanish proficiently
  • \<12 months

Aims 2-3 (RCT):

Inclusion Criteria:

  • Be 18 years of age or older
  • Self-identify as Hispanic and/or Latino(a)
  • Have/had a confirmed diagnosis of a solid tumor or hematologic malignancy
  • Completion of primary cancer treatment in the past 3 months - 5years (may be on hormonal therapy and/or immunotherapy or other long-term therapies) Report sleep difficulties ≥3 times per week for ≥3 months consistentwith insomnia criteria4,
  • Must have a score of ≥10 on the Insomnia Severity Index
  • Must have a personal mobile device (i.e., mobile smart phone, laptop, desktop computer, tablet) with active internet
  • Be able to read and understand English and/or Spanish
  • Physically Inactive (\<150 minutes of vigorous exercise/week within the past 3 months)

Exclusion Criteria:

  • Current or last year practice of TCQ or similar practices;
  • Current or past CBT-I treatment,
  • Shift worker,
  • Life expectancy \<12 months,
  • Health conditions that may interfere with the intervention: respiratory, cardiovascular, or neurological problems.
  • Participants with a history of diagnosed sleep apnea or restless leg syndrome (RLS) will be excluded from the study, as both increase the risk for insomnia. All other participants will complete the STOP-Bang Sleep Apnea Screening Tool and a single RLS screening question during screening, as both are underdiagnosed in Hispanics. Those scoring ≥ 5 on the STOP-Bang, indicating high risk for moderate-to-severe sleep apnea, or who respond with 'Yes' on the RLS risk tool, will also be excluded and referred to a sleep medicine specialist for evaluation.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
58 participants (estimated)

Study arms

  • Experimental
    Body Mind Training

    Body-Mind Training: A 12-week, group-based program delivered virtually twice per week. Sessions combine gentle body movements, breathing exercises, meditation, and relaxation techniques designed to support sleep and overall well-being. Participants are also encouraged to practice at home between sessions.

    Behavioral: Body Mind Training

  • Experimental
    Cognitive Behavioral Therapy - Insomnia

    Cognitive Behavioral Therapy for Insomnia (CBT-I): An 8-week, group-based program delivered virtually once per week. Sessions include sleep education, sleep restriction, stimulus control, cognitive therapy, relaxation, sleep hygiene, and relapse prevention. Participants are encouraged to practice the skills between sessions.

    Behavioral: Cognitive Behavioral Therapy - Insomnia

Interventions

  • BehavioralBody Mind Training

    Body-Mind Training (BMT): A 12-week, group-based program delivered by live videoconference twice per week for 60 minutes. Each session includes a warm-up, gentle body movements combined with meditation, breathing techniques, and relaxation exercises. Movements can be completed while seated or standing to support participant safety and different physical abilities. Participants will also receive instructional videos and a manual to support home practice and will be encouraged to practice for at least 30 minutes, three days per week. The final four weeks of the program will emphasize skill consolidation and continued practice.

  • BehavioralCognitive Behavioral Therapy - Insomnia

    Cognitive Behavioral Therapy for Insomnia (CBT-I): An 8-week, group-based program delivered by live videoconference once per week for 60 minutes by a licensed bilingual psychologist experienced in CBT-I. Sessions include sleep education, sleep restriction, stimulus control, cognitive therapy, relaxation, sleep hygiene, and relapse prevention. Participants will be encouraged to practice the skills learned during sessions for at least 30 minutes per day, three days per week.

06

What researchers measure

Primary outcomes

  1. Insomnia Severity Index

    Insomnia will be assessed with the Insomnia Severity Index (ISI). A 5-point Likert scale of 7 questions is used to rate each item (e.g., 0 = no problem; 4 = very severe problem), yielding a total score ranging from 0 to 28 with higher scores indicating higher severity of insomnia.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  2. Recruitment Rate

    We hypothesize that at least 50% of eligible individuals approached for the study will enroll.

    Time frame: 1-2 weeks post-intervention

  3. Follow-up retention rate

    We hypothesize that ≥80% of participants will complete the 1-week post-intervention assessment and ≥70% will complete the 3-month post-intervention assessment.

    Time frame: 1-2 weeks post-intervention

  4. Actigraphy adherence rate

    We hypothesize that ≥80% of participants will collect ≥75% of actigraphy data

    Time frame: baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  5. Physical activity and sleep logs adherence rate

    we hypothesize that )≥70% of participants will complete ≥75% of activity \& sleep logs.

    Time frame: baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  6. Acceptability

    Acceptability will be assessed using the Treatment Perceptions Questionnaire (TPS). Participants will rate the comprehensibility of components of the culturally appropriate interventions, as well as their length, intensity, and overall suitability for reducing sleep-quality impairment. The TPQ is available in Spanish and English. We hypothesize that ≥80% of participants will find the intervention was acceptable

    Time frame: 1-2 weeks post-intervention

Secondary outcomes

  1. Pittsburgh Sleep Quality Index

    Pittsburgh Sleep Quality Index (PSQI). The PSQI is a widely used, validated 19-item self-report measure of sleep quality over the past month. It yields a global score ranging from 0-21, with higher scores indicating poorer sleep quality and scores \>5 indicating clinically significant sleep disturbance. The PSQI has demonstrated good internal consistency (Cronbach's α = 0.83), test-retest reliability, and construct validity.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  2. Sleep self-efficacy

    Sleep self-efficacy will be measured with the sleep self-efficacy scale(SES). The SES is a 9-item self-report measure that assesses anindividual's confidence in their ability to achieve and maintain healthysleep. Items are rated on a 5-point Likert scale, with higher scoresindicating greater sleep self-efficacy.106 The SES has demonstratedexcellent internal consistency (Cronbach's α ≈ 0.90).

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  3. Mindfulness

    Mindfulness will be measured with the Mindful Attention Awareness Scale (MAAS), a 15-item self-report measure that assesses dispositional mindfulness, specifically an individual's awareness of and attention to present-moment experiences. Items are rated on a 6-point Likert scale, with higher scores indicating greater mindfulness. The MAAS has demonstrated excellent internal consistency (Cronbach's α =0.80-0.90) and strong construct validity and is available in both English and Spanish

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  4. Physical Activity Level

    Differences in physical activity outside theintervention will be assessed with the Godin-Shephard Leisure-TimePhysical Activity Questionnaire. This questionnaire is available andvalidated in English and Spanish.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  5. Quality of Life (QOL)

    Quality of Life (QOL) will be assessed via the Functional Outcomes for Cancer Therapy - General (FACT-G). This measure consists of 27 items designed to measure four domains of quality of life in cancer patients: physical, social, emotional, and functional well-being. Coefficients of reliability and validity are uniformly high. The scale's ability to discriminate among patients based on disease stage, performance status rating (PSR), and hospitalization status supports its sensitivity. It has also demonstrated sensitivity to change over time. The FACT-G is available and validated in English and Spanish.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  6. Anxiety and Depressive Symptoms

    Anxiety and depression will be measured with the Patient Health Questionnaire-4 (PHQ-4), a 4-item self-report measure that assesses symptoms of anxiety and depression over the past two weeks. It combines the 2-item Generalized Anxiety Disorder scale (GAD-2) and the 2-item Patient Health Questionnaire (PHQ-2), with higher scores indicating greater psychological distress. The PHQ-4 has demonstrated good internal consistency (Cronbach's α ≈ 0.81) and strong validity and is available in both English and Spanish.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  7. Perceived Stress

    Perceived stress will be measured with the Perceived Stress Scale (PSS-10), a 10-item self-report measure that assesses the degree to which individuals perceive their lives as stressful during the past month. Items are rated on a 5-point Likert scale, with higher scores indicating greater perceived stress. The PSS-10 has demonstrated good internal consistency (Cronbach's α ≈ 0.78-0.91), strong construct validity, and is available in both English and Spanish.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  8. Fatigue

    Fatigue will be assessed with the Functional Assessment of Chronic Illness - Fatigue (FACIT-F) Scale.120 This scale is frequently used with cancer survivors because it has established minimally important differences. This 13-item scale assesses the level of fatigue during usual activities over the past 7 days, with higher scores indicating less fatigue (score range=0-52; Cronbach's alpha=0.86). The FACIT-F is available in English and Spanish and validated in Spanish-speaking populations.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  9. Comorbidities

    Comorbidities will be assessed with the Charlson Comorbidity Index. It is a weighted index that considers both the number and the seriousness of comorbid diseases. It consists of 19 items, each with an assigned weight from 1 to 6 according to the relative risk of dying within a year. In general, the absence of comorbidity is considered: 0-1 points; low comorbidity: 2 points; and high comorbidity:≥3 points.

    Time frame: Baseline

  10. Acculturation

    Acculturation will be measured with the Short Acculturation Scale for Hispanics (SASH). The 12-item scale (explaining 67.6% of the variance for Hispanics) correlates highly with the following validation criteria: respondents' generation, length of residence in the U.S., age at arrival, ethnic self-identification, and an acculturation index. The SASH is available and validated in English and Spanish.

    Time frame: Baseline, 1-2 weeks post-intervention, and 3 months post-intervention

  11. Objective Symptoms of Insomnia- Sleep Duration Via Actigraphy

    Actigraphy will measure the number of minutes of actual sleep.

    Time frame: 3 weeks (worn for 1 week at Baseline, 1-2 weeks post-intervention, and 3-months post-intervention)

  12. Objective Symptoms of Insomnia- Sleep Efficiency via Actigraphy

    Actigraphy will measure the percent of time actually slept compared to intended time sleeping.

    Time frame: 3 weeks (worn for 1 week at Baseline, 1-2 weeks post-intervention, and 3-months post-intervention)

  13. Objective Symptoms of Insomnia- Sleep Latency Via Actigraphy

    Actigraphy will measure the minutes it takes for the participant to fall asleep.

    Time frame: 3 weeks (worn for 1 week at Baseline, 1-2 weeks post-intervention, and 3-months post-intervention)

  14. Objective Symptoms of Insomnia- Wake After Sleep Onset Via Actigraphy

    Actigraphy will measure total minutes of wake time after sleep onset.

    Time frame: 3 weeks (worn for 1 week at Baseline, 1-2 weeks post-intervention, and 3-months post-intervention)

  15. Perceived exertion

    Perceived exertion will be measured after each BMT session, with the classic Borg Rating of Perceived Exertion (RPE) scale, which is a 15-point scale (ranging from 6 to 20). It has been extensively tested and validated against physiological markers. This will be collected to ensure that the BMT intervention is perceived as being of mild to moderate intensity.

    Time frame: Within 24 hours after each BMT session, up to 24 sessions over 12 weeks.

  16. Treatment Credibility and Expectancy

    Credibility/Expectancy Questionnaire (CEQ). The CEQ is a brief 6-item self-report measure assessing participants' perceived credibility of an intervention and expectations for improvement. It has demonstrated good internal consistency, with Cronbach's α generally ranging from 0.79-0.90 for credibility and 0.81-0.86 for expectancy, as well as good test-retest reliability.

    Time frame: During the first week of the intervention

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2027; primary completion for Jul 2031, 54 months later.

Of 1,207 non-industry interventional studies with no phase under Sleep Initiation and Maintenance Disorders, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 35. This study's planned 54 months is above that.

Counting every sponsor, half of 1,285 studies reached it within 15 months; a quarter within 6 and three quarters within 34.

Start moved once since we started tracking on Sep 25, 2026: Sep 2026 → Jan 2027, on Nov 10, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 25, 2026
First posted
Sep 2, 2026
StartEst.
Jan 2, 2027was Sep 2026
Primary completionEst.
Jul 2031
CompletionEst.
Jul 2031
Last update
Nov 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Start date
Sep 2, 2026→Jan 2, 2027
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    Start date Sep 2, 2026→Jan 2, 2027
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07800715
Responsible party
Evelyn Arana, DrPH (Assistant Professor, Rutgers, The State University of New Jersey) — Principal investigator
First posted
Sep 2, 2026
Start date
Jan 2, 2027 (estimated)
Primary completion
Jul 2031 (estimated)
Completion
Jul 2031 (estimated)
Last update
Nov 10, 2026

Study contacts

Evelyn Arana, DrPH
Contact
earana@cinj.rutgers.edu
9086420861
Evelyn Arana, DrPH
principal investigator · Rutgers Cancer Institute

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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