Web-based Insomnia Treatment for Adolescent and Young Adult Cancer Survivors

The purpose of this study is to learn whether an adapted version of SHUTi (Sleep Healthy
Using the Internet), a six-session online program which has been found to be effective in
other groups of people, will be useful in treating insomnia in adolescent and young adult
cancer survivors.

Inclusion Criteria:

- 14-25 years of age

- History of a cancer diagnosis

- No active cancer therapy (excluding chemoprevention) in the past three months, and no
cancer therapy currently planned in the next 6 months

- No surgery planned in the next 6 months

- Significant insomnia as evidenced by an Insomnia Severity Index score ≥12

- Able to read and write in English

- Has internet access at home

- Motivated and able to follow the demands of the SHUTi program, to keep sleep records,
complete self-report symptom reports and make changes in their sleep schedule,
including restricting their sleep

Exclusion Criteria:

- Prior attempt(s) to treat insomnia using cognitive-behavioral treatment for insomnia

- History of Bipolar Disorder diagnosis

- History of a Seizure Disorder diagnosis or have experienced a seizure in the past 12
months

- Intention to adjust (decrease or increase) use of sedative, hypnotic, or
over-the-counter (e.g., Benadryl, Unisom) medications that can affect sleep during the
study period

- Diagnosed, untreated sleep apnea or sleep apnea suspected by a physician but which has
not been unevaluated, or other sleep disorder

- Employment that involves irregular sleep patterns, such as shift-work or frequent
long-distance travel that involves adjusting to different time zones, or employment in
a position that could impact public safety (such as operating heavy machinery)

- Refusal to modify or reduce excessive alcohol use that is likely to interfere with an
individual's sleep