Sleep-Wake Disturbance: A Systematic Review of Evidence-Based Interventions for Management in Patients With Cancer.
Study Goal
The researchers aimed to evaluate the empirical evidence supporting the efficacy of interventions, including massage, for cancer-related sleep-wake disturbances (SWD).
Results Summary
The study found that massage has insufficient evidence to support its efficacy for improving cancer-related SWD, based on the systematic review of studies from 2009-2017.
Population
Cancer patients experiencing sleep-wake disturbances.
Effective Dosage
Not available
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Cognitive behavioral intervention/approach | decrease | sleep-wake disturbance (SWD) | cancer patients | - | is recommended for practice | #1 |
Mindfulness-based stress reduction | decrease | sleep-wake disturbance (SWD) | cancer patients | - | likely to be effective | #2 |
exercise interventions | decrease | sleep-wake disturbance (SWD) | cancer patients | - | likely to be effective | #3 |
Pharmacologic interventions | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #4 |
relaxation | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #5 |
imagery | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #6 |
meditation | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #7 |
acupuncture | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #8 |
yoga | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #9 |
massage | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #10 |
psychoeducation | no change | sleep-wake disturbance (SWD) | cancer patients | - | have insufficient evidence | #11 |
BACKGROUND: New or worsening sleep-wake disturbance (SWD) can occur throughout the cancer trajectory. . OBJECTIVES: The purpose of this article is to critically review available empirical evidence supporting the efficacy of interventions for SWD, highlighting new evidence since the 2006 and 2009 Putting Evidence Into Practice (PEP) SWD publications. . METHODS: A systematic review of studies published from 2009-2017 was conducted to identify effective interventions for cancer-related SWD. The PEP weight of evidence classification schema was used to categorize the strength of evidence. . FINDINGS: Cognitive behavioral intervention/approach is the only intervention that is recommended for practice. Mindfulness-based stress reduction and exercise interventions are likely to be effective but require more evidence. Pharmacologic interventions, relaxation, imagery, meditation, acupuncture, yoga, massage, and psychoeducation have insufficient evidence.