Supportive Care in Cancer· 2026Q1
Understanding the patient-experienced trajectory of sleep across the hematopoietic cell transplantation process
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- Q1SCImago
- 2026year
Short summary
A qualitative study identified three distinct periods of sleep disturbance for HCT recipients: hospitalization, post-hospitalization isolation, and home after isolation (around day +90), with patients retaining poor sleep habits from hospitalization.
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Key points
- Sleep disturbances in HCT recipients follow a trajectory across three distinct periods: hospitalization, isolation, and post-isolation home recovery.
- Patients frequently carry poor sleep habits learned during hospitalization into their post-discharge life.
- The study gathered insights from HCT survivors, caregivers, and clinicians to provide a multi-perspective view of sleep issues.
- Identified time points can inform targeted interventions to improve sleep and quality of life for HCT patients.
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Abstract
Abstract Purpose Sleep disturbance is strongly associated with reduced quality of life and increased anxiety and depression. However, research on what contributes to these negative biobehavioral symptoms among hematopoietic cell transplantation (HCT) recipients remains limited. This study sought to understand sleep disturbances experienced by allogeneic HCT survivors from the perspectives of patients, clinicians, and caregivers, to identify key contributors to sleep disturbances across the HCT trajectory. Methods This cross-sectional qualitative study included semi-structured interviews with a purposive sample of HCT survivors, caregivers, and clinicians. Interview data were analyzed using an applied thematic approach. Results Participants ( N = 29) were mostly female (69%), White (90%), and non-Hispanic (86%). Clinically relevant time periods emerged in patients’ journeys that mark changes in their sleep patterns: during hospitalization, the isolation period after hospitalization, and at home after isolation (i.e., around day +90). In each period, cross-cutting themes emerged that present the trajectory of patients’ sleep disturbance throughout the HCT process. Patients continued with poor maladaptive sleep habits acquired during hospitalization after returning home. Conclusion This study expands research on biobehavioral symptoms among HCT recipients, providing context for quantitative findings in the literature and helping to map the sleep trajectory of allogeneic HCT recipients from multiple perspectives. Future research should consider using the patient, clinician, and caregiver perspectives presented in this work to identify points for targeted interventions that improve patients’ sleep and overall quality of life and to advocate for “sleep-friendly” hospital procedures before chronic sleep issues become entrenched.
The authors' abstract, as published at the source. Supportive Care in Cancer, 2026 · DOI ↗
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Field: Experimental and Cognitive Psychology
Experimental and Cognitive PsychologyPsychology