Trial Outcomes & Findings for Sleep Treatment Education Program for Young Adult Cancer Survivors (STEP-YA) (NCT NCT05358951)

NCT ID: NCT05358951

Last Updated: 2026-02-27

Results Overview

The Insomnia Severity Index (ISI) is a 7-item measure used to evaluate insomnia severity (e.g. dissatisfaction with sleep and worry about sleep problems). Item response values are totaled to calculate a total ISI score ranging from 0-28, with higher scores indicating more insomnia symptom burden.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

56 participants

Primary outcome timeframe

Baseline to 8-weeks post-intervention session

Results posted on

2026-02-27

Participant Flow

Participant milestones

Participant milestones
Measure
NON-COACHING CONDITION STEP-YA
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
COACHING CONDITION STEP-YA
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Intervention Session and Evaluation
STARTED
27
29
Intervention Session and Evaluation
COMPLETED
27
29
Intervention Session and Evaluation
NOT COMPLETED
0
0
Required Follow-up
STARTED
27
29
Required Follow-up
COMPLETED
27
28
Required Follow-up
NOT COMPLETED
0
1
Optional Follow-up
STARTED
27
25
Optional Follow-up
COMPLETED
18
19
Optional Follow-up
NOT COMPLETED
9
6

Reasons for withdrawal

Reasons for withdrawal
Measure
NON-COACHING CONDITION STEP-YA
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
COACHING CONDITION STEP-YA
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Required Follow-up
Withdrawal by Subject
0
1
Optional Follow-up
Lost to Follow-up
9
6

Baseline Characteristics

One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NON-COACHING CONDITION STEP-YA
n=27 Participants
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
COACHING CONDITION STEP-YA
n=28 Participants
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Total
n=55 Participants
Total of all reporting groups
Age, Continuous
30.67 Years
STANDARD_DEVIATION 6.10 • n=24 Participants • One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.
29.29 Years
STANDARD_DEVIATION 5.28 • n=20 Participants • One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.
29.96 Years
STANDARD_DEVIATION 5.69 • n=40 Participants • One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.
Sex/Gender, Customized
Female
21 Participants
n=24 Participants
16 Participants
n=20 Participants
37 Participants
n=40 Participants
Sex/Gender, Customized
Male
6 Participants
n=24 Participants
10 Participants
n=20 Participants
16 Participants
n=40 Participants
Sex/Gender, Customized
Not Specified
0 Participants
n=24 Participants
2 Participants
n=20 Participants
2 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Asian
1 Participants
n=24 Participants
0 Participants
n=20 Participants
1 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=24 Participants
1 Participants
n=20 Participants
2 Participants
n=40 Participants
Race (NIH/OMB)
White
21 Participants
n=24 Participants
22 Participants
n=20 Participants
43 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=24 Participants
2 Participants
n=20 Participants
3 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=24 Participants
3 Participants
n=20 Participants
6 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=24 Participants
3 Participants
n=20 Participants
6 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=24 Participants
25 Participants
n=20 Participants
49 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Insomnia Severity Index
15.11 Units on a scale
STANDARD_DEVIATION 3.34 • n=24 Participants
15.17 Units on a scale
STANDARD_DEVIATION 3.58 • n=20 Participants
15.14 Units on a scale
STANDARD_DEVIATION 3.43 • n=40 Participants
Profile of Mood States - Short Form (Total Mood Disturbance)
23.37 Units on a scale
STANDARD_DEVIATION 15.64 • n=24 Participants
34.14 Units on a scale
STANDARD_DEVIATION 21.31 • n=20 Participants
28.85 Units on a scale
STANDARD_DEVIATION 19.35 • n=40 Participants

PRIMARY outcome

Timeframe: Baseline to 8-weeks post-intervention session

Population: One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.

The Insomnia Severity Index (ISI) is a 7-item measure used to evaluate insomnia severity (e.g. dissatisfaction with sleep and worry about sleep problems). Item response values are totaled to calculate a total ISI score ranging from 0-28, with higher scores indicating more insomnia symptom burden.

Outcome measures

Outcome measures
Measure
COACHING CONDITION STEP-YA
n=28 Participants
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
NON-COACHING CONDITION STEP-YA
n=27 Participants
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Insomnia Severity Change at 8 Weeks
5.67 Units on a scale
Standard Deviation 3.26
7.25 Units on a scale
Standard Deviation 3.47

SECONDARY outcome

Timeframe: Baseline to 8-weeks post-intervention session

Population: One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.

The Profile of Mood States-Short Form (POMS-SF) is a 35-item measure of mood. Items responses are totaled to calculate scores on 7 subscales: Anger-Hostility, Confusion-Bewilderment, Depression-Dejection, Fatigue-Inertia, Tension-Anxiety, Vigor-Activity, and Friendliness. The Total Mood Disturbance (TMD) score used in the study is calculated by adding together the scores of 5 subscales, Anger-Hostility, Confusion-Bewilderment, Depression-Dejection, Fatigue-Inertia, Tension-Anxiety, then subtracting the score from the Vigor-Activity subscale. TMD scores range from -20 to 100 with higher scores indicating greater impairment.

Outcome measures

Outcome measures
Measure
COACHING CONDITION STEP-YA
n=28 Participants
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
NON-COACHING CONDITION STEP-YA
n=27 Participants
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Profile of Mood States Change at 8 Weeks
7.75 Units on a scale
Standard Deviation 13.40
4.07 Units on a scale
Standard Deviation 13.37

SECONDARY outcome

Timeframe: Baseline to 4-weeks post-intervention session

Population: One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.

The Profile of Mood States-Short Form (POMS-SF) is a 35-item measure of mood. Items responses are totaled to calculate scores on 7 subscales: Anger-Hostility, Confusion-Bewilderment, Depression-Dejection, Fatigue-Inertia, Tension-Anxiety, Vigor-Activity, and Friendliness. The Total Mood Disturbance (TMD) score used in the study is calculated by adding together the scores of 5 subscales, Anger-Hostility, Confusion-Bewilderment, Depression-Dejection, Fatigue-Inertia, Tension-Anxiety, then subtracting the score from the Vigor-Activity subscale. TMD scores range from -20 to 100 with higher scores indicating greater impairment.

Outcome measures

Outcome measures
Measure
COACHING CONDITION STEP-YA
n=28 Participants
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
NON-COACHING CONDITION STEP-YA
n=27 Participants
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Profile of Mood States Change at 4 Weeks
12.00 Units on a scale
Standard Deviation 17.07
9.48 Units on a scale
Standard Deviation 14.32

SECONDARY outcome

Timeframe: Baseline to 4-weeks post-intervention session

Population: One participant (Coaching Condition STEP-YA) withdrew following the education session. That participant was not included in the analyzed sample.

The Insomnia Severity Index (ISI) is a 7-item measure used to evaluate insomnia severity (e.g. dissatisfaction with sleep and worry about sleep problems). Item response values are totaled to calculate a total ISI score ranging from 0-28, with higher scores indicating more insomnia symptom burden.

Outcome measures

Outcome measures
Measure
COACHING CONDITION STEP-YA
n=28 Participants
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
NON-COACHING CONDITION STEP-YA
n=27 Participants
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Insomnia Severity Change at 4 Weeks
8.28 Units on a scale
Standard Deviation 3.92
9.51 Units on a scale
Standard Deviation 4.59

OTHER_PRE_SPECIFIED outcome

Timeframe: 16 weeks post-intervention session

The Insomnia Severity Index (ISI) is a 7-item measure used to evaluate insomnia severity (e.g. dissatisfaction with sleep and worry about sleep problems). Item response values are totaled to calculate a total ISI score ranging from 0-28, with higher scores indicating more insomnia symptom burden.

Outcome measures

Outcome measures
Measure
COACHING CONDITION STEP-YA
n=19 Participants
Participants will receive a single online education session and complete online questionnaire then be randomized to receive 2 individualized remote coaching sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
NON-COACHING CONDITION STEP-YA
n=18 Participants
Participants will receive a single online education session and complete online questionnaires then be randomized to not receive additional coaching support sessions. Participates will also complete follow up questionaires at 4 and 8 weeks post baseline.
Insomnia Severity at 16 Weeks (Optional)
5.47 Units on a scale
Standard Deviation 2.50
7.00 Units on a scale
Standard Deviation 4.36

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 4 weeks post-intervention

Study specific questionnaire assessing intervention acceptability, credibility and participant satisfaction

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 4 weeks post-intervention

Study specific questionnaire describing satisfaction with coaching sessions

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 8 Weeks post-intervention session

Study specific questionnaire asking about participant satisfaction with the intervention

Outcome measures

Outcome data not reported

Adverse Events

NON-COACHING CONDITION STEP-YA

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

COACHING CONDITION STEP-YA

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Christopher Recklitis

Dana-Farber Cancer Institute

Phone: 617-632-5124

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place