The Effect of Gamified Sleep Hygiene Education on Sleep Quality and Fatigue Levels in Chemotherapy Patients

NCT07809386 | Not Yet Recruiting

• 2 other identifiers: 20253271919B012551162
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

Sleep disturbances and fatigue are common problems among patients receiving chemotherapy and may negatively affect their quality of life. This randomized controlled trial aims to evaluate the effect of gamified sleep hygiene education on sleep quality and cancer-related fatigue in patients receiving chemotherapy. A total of 56 patients will be randomly assigned to two groups, with 28 participants in each group. The intervention group will receive gamified sleep hygiene education through the web-based "Sleep Hunter" program, while the active comparator group will receive standard sleep hygiene education through verbal instruction and educational brochures. The intervention will be delivered in two sessions over a two-week period. Sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire, and cancer-related fatigue will be assessed using the Hirai Cancer Fatigue Scale. Outcomes will be assessed at baseline and after completion of the two-week intervention.

Conditions

Cancer

Keywords

Chemotherapy; Gamification; Sleep Hygiene; Sleep Quality; Cancer-Related Fatigue

Outcome Measures

Primary Outcomes (1)

• Change in Richards-Campbell Sleep Questionnaire Total Score

  Sleep quality will be measured using the Richards-Campbell Sleep Questionnaire (RCSQ). The RCSQ yields a total score ranging from 0 to 100, with higher scores indicating better perceived sleep quality. The outcome will be the change in the RCSQ total score from baseline to the end of the 2-week intervention.

  Baseline and immediately after completion of the 2-week intervention

Secondary Outcomes (1)

• Change in Hirai Cancer Fatigue Scale Total Score

  Baseline and immediately after completion of the 2-week intervention

Study Arms (2)

Standard Sleep Hygiene Education Group

ACTIVE COMPARATOR

Participants in the control group will receive standard sleep hygiene education through verbal instruction and educational brochures in two sessions. Post-intervention assessments will be performed following completion of the education.

Behavioral: Standard Sleep Hygiene Education

Gamified Sleep Hygiene Education Group

EXPERIMENTAL

Participants in the intervention group will receive gamified sleep hygiene education using the web-based "Sleep Hunter" educational material. The intervention will be delivered over a two-week period. The gamified education includes sleep hygiene content presented through an online escape-room format incorporating educational videos, audio narrations, visuals, animations, matching activities, fill-in-the-blank activities, and true/false questions

Behavioral: Gamified Sleep Hygiene Education

Interventions

Standard Sleep Hygiene Education BEHAVIORAL

Standard sleep hygiene education will be provided through verbal instruction and educational brochures in two sessions.

Standard Sleep Hygiene Education Group

Gamified Sleep Hygiene Education BEHAVIORAL

Gamified sleep hygiene education will be delivered using the web-based "Sleep Hunter" educational material developed in an online escape-room format. The educational content includes sleep hygiene, stimulus control, caffeine use, screen light exposure, regulation of the sleep environment, relaxation exercises, breathing techniques, and establishment of a sleep routine. The program incorporates gamification elements including badges, levels, rewards, educational videos, audio narrations, visuals, animations, matching activities, fill-in-the-blank activities, and true/false questions. The intervention will be delivered using smartphones or tablets in two sessions over a two-week period. Each session will last no longer than 10 minutes, with a total education duration of approximately 20 minutes.

Gamified Sleep Hygiene Education Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 18 years or older
• Currently receiving chemotherapy
• Able to read and write in Turkish
• Able to communicate effectively
• Able to use a smartphone or tablet and access the web-based educational intervention
• No previous diagnosis of a sleep disorder
• No previous treatment for a sleep disorder
• Voluntary participation in the study

You may not qualify if:

• Presence of a major mental disorder that may interfere with participation in the study
• Presence of a major visual, hearing, or communication impairment that may interfere with participation in the study
• Unable to read or write in Turkish
• Unable to use a smartphone or tablet or access the web-based educational intervention
• Previous diagnosis of a sleep disorder
• Previous treatment for a sleep disorder
• Unwilling to participate in the study

Sponsors & Collaborators

• Lokman Hekim University: lead
• The Scientific and Technological Research Council of Turkey: collaborator

Study Sites (1)

Lokman Hekim University Ankara Hospital

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neoplasms; Sleep Hygiene; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Health Behavior; Behavior; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Central Study Contacts

Esra Türker, Assoc. Prof.

CONTACT

+905074521224; esra.turker@lokmanhekim.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: May 29, 2026
• First Posted: September 9, 2026
• Study Start: September 30, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): November 30, 2026
• Last Updated: September 9, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)