Sleep and Activity Patterns in Pre-menopausal Breast Cancer Patients on Tamoxifen Using a Wrist-worn Internet of Things Device

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to observe the sleep and activity patterns of pre-menopausal breast cancer patients taking tamoxifen using a wrist-worn internet of things device and questionnaires.

Detailed Description
-----------------
Breast cancer is the most common malignant tumors occurring in women worldwide. Treatments include surgery, radiation therapy, chemotherapy, hormone therapy, and target therapy. As multidisciplinary treatment improves breast cancer survival, there is a growing interest in the quality of life of breast cancer survivors. Common symptoms that patients with breast cancer continue to complain of during or after their treatment include fatigue, pain, depression, sleep disorders, weight gain and hot flashes. There are only a few studies investigating sleep problems in breast cancer patients, which mostly relied on surveys. A commonly used survey evaluation method is the Pittsburg Sleep Quality Index (PSQI). Using PSQI, one study reported that 66% of the Chinese breast cancer survivors had sleep disorders and 49% had significantly reduced sleep efficiency and time in bed. The group with sleep disorder had lower quality of life, more depression and higher overall stress than the group without sleep disorder. Another survey of breast cancer patients over 69 years old found that pain, fatigue and depression were related to sleep, and that fatigue was the strongest predictor of sleep disorders. A recent study found that postmenopausal breast cancer patients, starting hormone therapy with aromatase inhibitor, total sleep time and sleep efficiency declined without statistical significance. However, 58% of Korean breast cancer patients are pre-menopausal patients aged 49 or younger, and thus, most patients take tamoxifen and goserelin instead of aromatase inhibitors after surgery. In this reason, results of aromatase inhibitor can not be applied in this population. As previous studies on the effects of tamoxifen on sleep were conducted retrospectively, objective comparisons of before and after applying tamoxifen are difficult and the long-term effects of tamoxifen are difficult to understand. The aim of this study is to observe the sleep and activity patterns of pre-menopausal breast cancer patients taking tamoxifen using a wrist-worn internet of things device and questionnaires.

Official Title
-----------------
Analysis of Sleep and Activity Patterns in Pre-menopausal Breast Cancer Patients After Taking Tamoxifen Using a Wrist-worn Internet of Things Device

Conditions
-----------------
Sleep Disorder, Breast Cancer

Intervention / Treatment
-----------------
* Drug: Tamoxifen Oral Tablet


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: diagnosed of unilateral breast cancer (stage 0  III) underwent proper cancer treatment including surgery, chemotherapy, radiation therapy age : 18   45 scheduled for applying tamoxifen and goserelin Exclusion Criteria: need CPAP device during sleep due to sleep apnea under medication for restless leg syndrome previous history of tamoxifen irregular bedtime due to shift work diagnosed of recurrent or metastatic cancer have difficulty understanding and conducting surveys and verbal instructions due to severe cognitive, communication and perception problems refuse to participate has musculoskeletal system and neurological damage and lesions

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Tamoxifen group<br>Pre-menopausal breast cancer patients who underwent proper surgical treatment, chemotherapy, or radiation therapy, and are scheduled for application of tamoxifen and goserelin | Drug: Tamoxifen Oral Tablet<br>* Patients who are scheduled for application of tamoxifen and goserelin<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| total sleep time | mean total sleep time per day, recorded by wrist-worn IoT device | study enroll 12 months | 
| walking steps and walking time | mean walking steps and walking time per day, recorded by wrist-worn IoT device | study enroll 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pittsburg Sleep Quality Index (PSQI) | questionnaire developed to evaluate quality of sleep and sleep disorder | study enroll 12 months | 
| Insomnia Severity Index (ISI) | questionnaire developed to evaluate insomnia | study enroll 12 months | 
| Distress thermometer | well-known screening tool for psycho-social distress of cancer patients | study enroll 12 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
sleep disorder, breast cancer, pre-menopausal, tamoxifen, hormone therapy