Table 2.
Evaluation and treatment of insomnia in cancer survivorship programs
| Question | Number of programs | Percent |
|---|---|---|
| 1. As part of routine clinical care, what percentages of survivors are routinely screened for sleep disorders? (n = 23) | ||
| Less than 10 % | 7 | 30.4 |
| 10–25 % | 6 | 26.1 |
| 26–50 % | 0 | 0.0 line up numbers |
| 51–75 % | 0 | 0.0 line up numbers |
| More than 75 % | 10 | 43.5 |
| 2. When a survivor reports insomnia symptoms, how prepared would the typical medical provider at your cancer center feel to: (n = 25) | ||
| To conduct sleep evaluation | ||
| Not at all prepared | 12 | 48.0 |
| A little prepared | 3 | 12.0 |
| Somewhat prepared | 8 | 32.0 |
| Very prepared | 2 | 8.0 |
| To treat insomnia | ||
| Not at all prepared | 2 | 8.0 |
| A little prepared | 11 | 44.0 |
| Somewhat prepared | 8 | 32.0 |
| Very prepared | 4 | 16.0 |
| 3. When a survivor reports insomnia symptoms during a visit, what proportion of these patients will receive: | ||
| Prescription sleep medication (n = 23) | ||
| Less than 10 % | 4 | 17.4 |
| 10–25 % | 3 | 13.0 |
| 26–50 % | 6 | 26.1 |
| 51–75 % | 7 | 30.4 |
| More than 75 % | 3 | 13.0 |
| Sleep hygiene discussion | (n = 24) | |
| Less than 10 % | 5 | 20.8 |
| 10–25 % | 4 | 16.7 |
| 26–50 % | 4 | 16.7 |
| 51–75 % | 5 | 20.8 |
| More than 75 % | 6 | 25.0 |
| Referral to cognitive-behavioral treatment for insomnia (n = 24) | ||
| Less than 10 % | 7 | 29.2 |
| 10–25 % | 11 | 45.8 |
| 26–50 % | 3 | 12.5 |
| 51–75 % | 2 | 8.3 |
| More than 75 % | 1 | 4.2 |
| Referral to a psychiatrist (n = 22) | ||
| Less than 10 % | 14 | 63.6 |
| 10–25 % | 6 | 27.3 |
| 26–50 % | 1 | 4.5 |
| 51–75 % | 1 | 4.5 |
| More than 75 % | 0 | 0.0 |
| Referral to a primary care provider (n = 24) | ||
| Less than 10 % | 4 | 16.7 |
| 10–25 % | 8 | 33.3 |
| 26–50 % | 3 | 12.5 |
| 51–75 % | 6 | 25.0 |
| More than 75 % | 3 | 12.5 |
| Referral for a sleep study (n = 22) | ||
| Less than 10 % | 12 | 54.5 |
| 10–25 % | 5 | 22.7 |
| 26–50 % | 4 | 18.2 |
| 51–75 % | 1 | 4.5 |
| More than 75 % | 0 | 0.0 |
| 4. Do medical providers at your cancer center have access to a provider that specializes in: | ||
| Treatment of sleep disorders (n = 25) | ||
| Cancer center | 8 | 32.0 |
| Affiliated hospital | 11 | 44.0 |
| Community referral | 4 | 16.0 |
| Not available | 3 | 12.0 |
| Cognitive-behavioral treatment for insomnia (n = 22) | ||
| Cancer center | 14 | 63.6 |
| Affiliated hospital | 3 | 13.6 |
| Community referral | 2 | 9.1 |
| Not available | 3 | 13.6 |
| 5. What percentages of survivors at your cancer center are receiving what you consider to be optimal treatment for their insomnia? (n = 22) | ||
| Less than 10 % | 3 | 13.6 |
| 10–25 % | 11 | 50.0 |
| 26–50 % | 8 | 36.4 |
| 51–75 % | 0 | 0.0 |
| More than 75 % | 0 | 0.0 |
| 6. To improve your medical team’s confidence in discussing sleep-related issues with cancer survivors, how helpful would___ be? (n = 25) | ||
| Patient education materials | ||
| Not helpful | 1 | 4.0 |
| A little helpful | 4 | 16.0 |
| Somewhat helpful | 8 | 32.0 |
| Very helpful | 12 | 48.0 |
| Informational web page | ||
| Not helpful | 1 | 4.0 |
| A little helpful | 5 | 20.0 |
| Somewhat helpful | 8 | 32.0 |
| Very helpful | 11 | 44.0 |
| In-service/grand rounds | ||
| Not helpful | 3 | 12.0 |
| A little helpful | 4 | 16.0 |
| Somewhat helpful | 8 | 32.0 |
| Very helpful | 10 | 40.0 |
| On-site pharmacotherapy consult service | ||
| Not helpful | 3 | 12.0 |
| A little helpful | 5 | 20.0 |
| Somewhat helpful | 8 | 32.0 |
| Very helpful | 9 | 36.0 |
| On-site cognitive-behavioral treatment consult service | ||
| Not helpful | 1 | 4.0 |
| A little helpful | 2 | 8.0 |
| Somewhat helpful | 11 | 44.0 |
| Very helpful | 11 | 44.0 |
| Online intervention | ||
| Not helpful | 2 | 8.0 |
| A little helpful | 3 | 12.0 |
| Somewhat helpful | 12 | 48.0 |
| Very helpful | 8 | 32.0 |