Evaluation of Sleep Quality in Head and Neck Cancer Patients Throughout Treatment Course

Study Overview
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Brief Summary
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This study examines how head and neck cancer treatment affects quality of sleep over time and factors that contribute to sleep quality. Sleep plays a critical role in healing and quality of life, and recent studies investigating sleep disorders in head and neck cancer patients reveal sleep quality is a major determinant of post-treatment outcomes. Information from this study may help researchers better understand how treatment impacts sleep quality so that they can make changes that may help improve patient sleep quality.

Detailed Description
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PRIMARY OBJECTIVES: I. To describe the five (5) components of sleep quality in head and neck patients under different stages of post-op treatment and different environment. II. To evaluate the effect of surgery, treatment and environment on the five (5) components of sleep quality in head and neck cancer patients. SECONDARY OBJECTIVES: I. To evaluate the association between the five (5) components of sleep quality and comorbid obstructive sleep apnea (STOP-BANG and Epworth Sleeping Scale) and depression (Patient Health Questionnaire-2 [PHQ-2]), under different stages of post-op treatment and different environment. II. To evaluate the association between Fitbit actigraphy data (i.e. the 5th component of sleep quality) and the first 4 components of sleep quality for inpatients. III. To compare the inpatient versus the outpatient responses on sleep hygiene at different time points of measurement. EXPLORATORY OBJECTIVE: I. To assess whether survey results warrant additional counseling or patient education. OUTLINE: COHORT 1-TP1: Patients complete surveys over 20 minutes on post-op day 3 and on day of discharge (or within 1 week). COHORT 1-TP2: Patients complete surveys over 15 minutes at all regularly scheduled follow-up appointments (approximately 1 month, 3 months, 6 months, 12 months). COHORT 2: Patients complete surveys over 15 minutes once.

Official Title
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Evaluation of Sleep Quality in Head and Neck Cancer Patients Throughout Treatment Course

Conditions
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Malignant Head and Neck Neoplasm

Intervention / Treatment
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* Other: Survey Administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Males and females Adult at least 18 years old Capable of giving informed consent Diagnosed with head and neck cancer (previously untreated, any stage) Treatment plan involves surgery Willing to comply with all study procedures and be available for the duration of the study English-speaking Exclusion Criteria: Non-English speaking Pre-existing sleep disorder defined below: Obstructive sleep apnea Insomnia Narcolepsy Restless leg syndrome Rapid eye movement (REM) sleep behavior disorder

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Observational (survey)<br>COHORT 1-TP1: Patients complete surveys over 20 minutes on post-op day 3 and on day of discharge (or within 1 week). COHORT 1-TP2: Patients complete surveys over 15 minutes at all regularly scheduled follow-up appointments (approximately 1 month, 3 months, 6 months, 12 months). COHORT 2: Patients complete surveys over 15 minutes once. | Other: Survey Administration<br>* Complete survey<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time in bed | The time difference between time to get into bed and time to get up, measured in minutes | Up to study completion; approximately 12 months | 
| Sleep latency | How long it takes to sleep, measured in minutes. | Up to study completion; approximately 12 months | 
| Number of nighttime awakening |  | Up to study completion; approximately 12 months | 
| Sleep maintenance latency | How long it takes to fall back to sleep, measured in minutes. | Up to study completion; approximately 12 months | 
| Per-patient average score on Richards-Campbell Sleep Questionnaire |  | Up to study completion; approximately 12 months | 
| Sleep hygiene |  | Up to study completion; approximately 12 months | 
| Barriers to sleep quality |  | Up to study completion; approximately 12 months | 
| Per-patient sum of scores on Epworth Sleepiness Scale |  | Up to study completion; approximately 12 months | 
| Per-patient sum of positive responses on STOP-BANG |  | Up to study completion; approximately 12 months | 
| Per-patient sum of scores on Patient Health Questionnaire-2 |  | Up to study completion; approximately 12 months |