Sleep Well At Night

Launched by OUR LADY'S HOSPICE AND CARE SERVICES · Jul 7, 2025

Keywords

ClinConnect Summary

Advances in cancer treatments have improved prognosis for many patients, placing a heightened demand on clinical care to provide quality of life as well as quantity of life. Individuals with advanced cancer face progressive symptoms that are a major source of suffering and impairment. Sleep disturbance is a prevalent, but often overlooked symptom, affecting up to 96% of patients with advanced cancer. While there are multiple types of sleep disorders affecting patients with advanced cancer, insomnia seems to be the most prevalent sleep disorder in this patient cohort, occurring at various po...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. 18 years old and over
• • 2. Diagnosis of advanced cancer (locally advanced, metastatic)
• • 3. Subjective sleep disturbance
• • 4. Total score of 5 or more on PSQI
• • 5. Eastern Cooperative Oncology Group (ECOG) performance status 1-3
• • 6. Attending outpatients (oncology and/or palliative care)
• • 7. Estimated prognosis of \> 3 months
• Exclusion Criteria:
• • 1. Inpatient
• • 2. ECOG performance status 4
• • 3. Cognitive impairment limiting the ability to complete assessment tools and sleep diary
• • 4. Engaged in shift work
• • 5. A recent exacerbation of symptoms (e.g. pain/nausea/dyspnoea) which may impact sleep
• • 6. History of uncontrolled mania or bipolar disorder
• • 7. Recent history or current thoughts of self-harm or suicide
• • 8. Recent change in antidepressant medication