Projects
Trials
SleepCare | 2020 - current |
The Sleep, Cancer and Rest (SleepCaRe) Trial is as a parallel group, randomised controled efficacy trial to evaluate individual and combined interventions for sleep and fatigue during chemotherapy. Individuals undergoing chemotherapy are placed at an increased risk of sleep-related disturbance and daytime fatigue. Despite this, sleep concerns among individuals with cancer are often unrecognised and inadequately managed. The SleepCare Trial aims to evaluate interventions to address this gap. Project findings will inform the feasibility and utility of cost-effective interventions for sustainable integration within routine oncology care. The SleepCaRe Trial is a being conducted as part of a collaboration between Monash University, the Peter MacCallum Cancer Centre, Monash Health, Bendigo Health, Ballarat Health, and the Mater Hospital Sydney.
Find out more at the study website.
For questions or other information, email: psych.sleepcare@monash.edu.
This clinical trial is registered ACTRN12620001133921 with ethics approved by the Peter MacCallum Cancer Centre.
CanCope | 2020 - 2022 |
The CanCope Study is an online trial aiming to help people who have had cancer cope with difficult emotions they may experience and improve mental health outcomes. Many people affected by cancer continue to experience distressing emotions after treatment has finished. The CanCope Trial is an emotion-focused, transdiagnostic intervention which explores the mechanisms underlying changes in emotion regulation, and symptoms of anxiety and depression. The CanCope Study has been develped and each module individually piloted. We are now preparing for a randomised, controlled efficacy trial.
CanCope is currently recruiting and taking expressions of interest.
Find out more at the study website.
For questions or other information, email: psych.cancope@monash.edu or call/text: +61 404353956.
This clinical trial is registered ACTRN12620000943943p with ethics approved by Monash University.
SleepWell | 2018 - 2020 |
The SleepWell Trial is a randomized controlled trial designed to test interventions we hope may be effective at improving sleep and reducing fatigue in women with breast cancer while being feasible for wide spread dissemination. Women with breast cancer commonly report sleep disruptions and fatigue, particularly during chemotherapy. SleepWell represents a first step in addressing this need. SleepWell was conducted as a collaboration between Monash University and the Victorian Comprehensive Cancer Centre with recruitment and intervention occurring at the Peter MacCallum Caner Centre. SleepWell was led and conducted by Ms. Helena Bean as part of her doctorate. SleepWell was completed in 2020.
For more info, read the Explanatory Statement.
This clinical trial is registered ACTRN12618001255279.
For questions or other information, email: joshua.wiley@monash.edu.
Observational Studies
DistressManagement | 2022 - current |
Exploring Psychological Distress Management in Australian Chemotherapy Day Unit Patients: an Explanatory Sequential Mixed Methods Study The DistressManagement study aims to document current psychological distress management strategies for patients being treated in chemotherapy day units. The study will incorporate both the patient and healthcare professional perspectives to explore satisfaction with current practice and how an ideal strategy may differ. Distress levels and preferences for distress management will also be compared across high vs low distress patients and across different demographics. Surveys, focus group and one-on-one interviewing will all be used to explore the aims of the study.
TCSupport | 2021 - 2023 |
TCSupport is a mixed-method project aiming to understand the relationship between testicular cancer (TC) and masculinity in men in Australia. Despite high survival rate (~98%) research has indicated TC is associated with psychological distress including fear of cancer recurrence, depression and anxiety. TCSupport aims to understand whether self-perception of masculinity is associated with these types of distress and guide future interventions for supporting men with TC. TCSupport is being conducted as part of a collaboration between Monash University & Peter MacCallum Cancer Centre.
Daily Life Studies
SHS | 2019 - 2020 |
Many young adults move states or countries to start their university or college studies. During this time, they face many changes: new independence from family, moving and living in a new city, and new courses and studies. All these changes can cause stress. The purpose of this study is to understand how young adults respond to stress during these transitions and what helps people manage stress. The Stress and Health Study focused on how family experiences, resilience, behaviours (diet, exercise, sleep), and coping strategies relate to stress and how people feel. The findings of this study will help us better understand stress and responses to stress, which we hope can help us develop interventions to help people manage stress effectively. SHS completed in 2020.
For more info, read the Explanatory Statement.
For questions or other information, email: joshua.wiley@monash.edu.
DESTRESS | 2018 - 2018 |
The Diet, Exercise, Stress, Emotions, Speech, and Sleep study (DESTRESS) was a 7-day, daily diary study in 135 adults using ecological momentary assessment to examine behavioural (diet, sleep, physical activity) and psychological (stress, emotions, psychosocial vulnerabilities) factors. DESTRESS replicated findings from our previous ACES study and extended it by examining the daily dynamics of sleep and psychological factors with diet. A unique feature of DESTRESS was the collection of qualitative data on stress experiences through brief recorded speech throughout the day. DESTRESS was completed in 2018. Analyses from these data are still underway.
For more info, read the Explanatory Statement.
To learn about the results, read the Participant Report.
ACES | 2017 - 2017 |
The Activity, Coping, Emotions, Stress and Sleep (ACES) study was a 12-day, daily diary study in 191 adults using ecological momentary assessment to examine behavioural (sleep, physical activity) and psychological (stress, emotions, psychosocial vulnerabilities) factors. ACES was able to break ground and shed light on the daily dynamics between stress and sleep and sleep and emotions using high quality, objective data. ACES was completed in 2017. Analyses from these data are still underway.
For more info, read the Explanatory Statement.
To learn about the results, read the Participant Report.
Other Studies
NHMRC Investigator Grant | 2019 - current |
NHMRC Investigator Grant: Optimising treatment to reduce sleep and depression symptoms in cancer: A personalised medicine approach
Diagnosis and treatment of cancer place an enormous strain on individuals, with particularly deleterious effects on sleep and depression. Although multiple evidence-based interventions exist for both sleep and depression, up to 50% of people do not respond to first line treatments. Symptom burden can be reduced by optimising treatment selection, yet traditional, theoretically-driven efforts at determining who will benefit most from a given treatment have yielded few results.
My research proposes to use machine learning on existing treatment trials to build algorithms that use individuals’ characteristics to generate personalised predictions for which of multiple evidence-based treatments is most likely to result in the largest symptom reductions. Where gaps emerge in existing trials for building treatment selection algorithms, over the next five years, my group also will conduct new, brief sleep and depression trials in cancer to fill these gaps and enhance and validate algorithms developed on existing datasets. My dual background in behavioural medicine and advanced quantitative methods along, a team of five PhD students, and research positions at the Peter MacCallum Cancer Centre make me ideally positioned to conduct this research.
Optimal matching of individuals to treatments can improve outcomes by reducing the time it takes to find a treatment that works for an individual. This is particularly significant in the context of cancer where patients have limited energy to engage in treatments and the growing number of cancer patients and survivors tax limited health care resources. Models and algorithms developed during this fellowship will be disseminated to stakeholders by deploying them through freely available, easy to use online web applications.
Projects We Collaborate On
REPAT | 2019 - 2022 |
Approximately one-third of women coping with breast cancer experience persistent symptoms of depression, pain and fatigue, which are not normative and are difficult to treat. Emotional approach coping and expression of emotion is related to fewer and faster recovery from depression symptoms. However, expression of emotion is inconsistent with social norms in some cultures. Using visual art-making as a form of expression and communication within a safe and supportive relationship may be an effective way for women from cultures where emotion expression is not normative to approach, process and express their emotions. The Role of Emotional Processing in Art Therapy (REPAT) for breast cancer palliative care patients study is a randomized controlled trial being lead by the University of Haifa in Israel. REPAT evaluates the impact of art making in women who have completed primary treatment for breast cancer. REPAT also has a focus on mechanisms including detailed assessments of emotion-regulation and physiological (e.g., cholinergic, anti-inflammatory processes) mechanisms that may underpin the link between art making and improvements in outcomes. REPAT also is unique in explicitly recruiting both Jewish and Arab women allowing a comparison of cultural differences and comparison of more traditional and collectivist ethno-cultures.
For more info, visit http://repat.haifa.ac.il/en/.
COPE | 2020 - current |
The mission of The COVID-19 Outbreak Public Evaluation (COPE) Initiative is to assess public attitudes, behaviors, and beliefs related to the coronavirus disease 2019 (COVID-19) pandemic, and to evaluate the mental and behavioral health consequences of the pandemic.
The goal is to provide the public a voice through the collection and dissemination of findings that help shape the design and delivery of targeted communication and intervention strategies to improve public health efforts and save lives.
The Behavioral Medicine Lab is a collaborator on some of the COPE projects.
Find out more at the study website.
CLASS | 2019 - current |
Over 70% of adolescents in Australia experience insufficient sleep. Yet, the extent to which the biological clock in the brain plays a role in cognitive function and academic functioning is currently not understood. The Circadian, Light, Adolescence, Sleep, and School (CLASS) study is a longitudinal, cohort study lead by Monash University and PI A/Prof. Bei. CLASS uses state-of-the-art measures of the biological clock, rigorous assessment of light exposure and sophisticated analytical approaches. CLASS will demonstrate longitudinal relationships between environmental light exposure, multiple facets of sleep-wakefulness, and ecologically relevant measures of academic achievement and depression. The proposed study will identify specific sleep and circadian markers that are linked to academic performance, and generate innovative algorithms that predict these associations. Findings from CLASS can help drive prevention and early intervention programs that use sleep-wake and light exposure information to improve sleep quality. CLASS has been funded by the ARC and NHMRC to allow further longitudinal follow-up.
For more info, see the CLASS Website.
For questions or other information, email: base.class@monash.edu.
STEPS | 2017 - 2019 |
Adolescents experience naturalistic, recurring sleep restriction during school terms and periods of unrestricted sleep during school holidays. However, relatively little is known about the daily dynamics of sleep and other psychosocial factors, such as affect or cognitive performance, during these periods. The Study of Teenage Emotions, Performance and Sleep (STEPS) aimed to address this gap by measuring daily sleep, performance, and affect across two weeks of school term and two weeks of school holidays in Australian adolescents in Years 11 or 12. STEPS was lead by Lin Shen as part of her PhD.
Can-Sleep | 2017 - current |
Can-Sleep is a series of projects covering adults after cancer, adolescents and young adults after cancer, and more, including work to bring Can-Sleep to Vietnamese speaking people after cancer and to ovarian cancer. Can-Sleep is led by the Psyhosocial Oncology Program at the Peter MacCallum Cancer Centre and more information can be found here.
MYA | 2014 - 2020 |
The My Year After (MYA) study is a longitudinal, cohort study of 460 women recently diagnosed with breast cancer. Women in the study were followed from shortly after breast cancer diagnosis (on average 2.1 months after diagnosis) for 12 months. The study was focused on identifying changes in depression symptoms over time and predictors of these different responses. While we continue work to identify risk and protective factors, we are actively leveraging what we have learned to build new interventions designed to reduce and prevent depression.