Developing and Testing of Behavioral Intervention Programs for Hispanic Cancer Survivors With Insomnia

Aim 1 (Cultural Adaptation):

Inclusion Criteria:

* Be 18 years of age or older
* Be at least 18 years old when received their cancer diagnosis
* Self-identify as Hispanic and/or Latino(a)
* Have/had a confirmed diagnosis of a solid tumor or hematologic malignancy
* Completion of primary cancer treatment in the past 3 months - 5 years (may be on hormonal therapy and/or immunotherapy or other long-term therapies)
* Have sleep disturbance (indicated by a response of 3 or more on the MDASI sleep question by using an 11-point scale anchored by 0 \[no sleep disturbance\] and 10 \[worst possible sleep disturbance\]
* Be able to read and understand English and/or Spanish

Exclusion Criteria:

* Inability to speak and read English or Spanish proficiently
* Life expectancy \<12 months

Aims 2-3 (RCT):

Inclusion Criteria:

* Be 18 years of age or older
* Self-identify as Hispanic and/or Latino(a)
* Have/had a confirmed diagnosis of a solid tumor or hematologic malignancy
* Completion of primary cancer treatment in the past 3 months - 5years (may be on hormonal therapy and/or immunotherapy or other long-term therapies) Report sleep difficulties ≥3 times per week for ≥3 months consistentwith DSM-5 insomnia criteria4,
* Must have a score of ≥10 on the Insomnia Severity Index
* Must have a personal mobile device (i.e., mobile smart phone, laptop, desktop computer, tablet) with active internet
* Be able to read and understand English and/or Spanish
* Physically Inactive (\<150 minutes of vigorous exercise/week within the past 3 months)

Exclusion Criteria:

* Current or last year practice of TCQ or similar practices;
* Current or past CBT-I treatment,
* Shift worker,
* Life expectancy \<12 months,
* Health conditions that may interfere with the intervention: respiratory, cardiovascular, or neurological problems.
* Participants with a history of diagnosed sleep apnea or restless leg syndrome (RLS) will be excluded from the study, as both increase the risk for insomnia. All other participants will complete the STOP-Bang Sleep Apnea Screening Tool and a single RLS screening question during screening, as both are underdiagnosed in Hispanics. Those scoring ≥ 5 on the STOP-Bang, indicating high risk for moderate-to-severe sleep apnea, or who respond with 'Yes' on the RLS risk tool, will also be excluded and referred to a sleep medicine specialist for evaluation.