Alannah Stoneley, Judith Anderson, Clare Sutton
The Influence of Health Literacy and Self-Management on Emergency Healthcare Access for Rural Asthmatics: A Patient's Perspective
Cureus
considering persistent nature higher prevalence insomnia cancer patients survivors compared general population need effective management strategies systematic review metaanalysis aimed comprehensively evaluate available evidence efficacy pharmacological nonpharmacological interventions insomnia adult cancer patients survivors following prisma guidelines analyzed data 61 randomized controlled trials involving 6528 participants interventions included pharmacological physical psychological treatments focus insomnia severity secondary sleep nonsleep outcomes frequentist bayesian analytical strategies employed data synthesis interpretation cognitivebehavioral therapy insomnia cbti emerged efficacious intervention reducing insomnia severity cancer survivors demonstrated significant improvements fatigue depressive symptoms anxiety cbti showed large postintervention effect g 086 95ci 057115 medium effect followup g 055 018092 interventions like bwl therapy sleep medication melatonin exercise mindbody therapies mindfulnessbased therapies showed benefits evidence efficacy less convincing compared cbti brief behavioral therapy insomnia showed promise less burdensome alternative patients active cancer treatment cbti supported firstline treatment insomnia cancer survivors significant benefits observed across sleep nonsleep outcomes findings also highlight potential less intensive alternatives research contributes valuable insights clinical practice underscores need exploration complexities sleep disturbances cancer patients survivors