Evaluation of Smartphone Wellness Apps for the Management of Sleep Disturbances in Patients with a Hematological Cancer

Inclusion Criteria

• Self-declared diagnosis of hematological cancer on stable maintenance management by treating physician (i.e., on stable medical therapy) or observation (i.e., no changes in disease targeted medications for the past two weeks) * Chronic hematological cancer sub-types include chronic lymphocytic leukemia, follicular lymphoma, smoldering myeloma, myeloma, myeloproliferative neoplasm sub-types (polycythemia vera, essential thrombocythemia, myelofibrosis), systemic mastocytosis, chronic myelomonocytic leukemia, myelodysplastic syndrome
• Not currently participating in a therapeutic pharmacologic clinical trial
• Not planning to receive an allogenic stem cell transplantation during the study time frame (i.e., 20 weeks)
• Score of > 5 on PSQI (Pittsburgh Sleep Quality Index)
• Own a mobile smartphone (iPhone with iPhone operating system [iOS] 14 or later or an Android 6 or later) with an active data or WiFi connection
• Willing to download two mobile apps
• Able to read/understand English
• >= 18 years of age
• Willing to be randomized
• Willing to drive to a nearby lab for blood draws 3x during the study over the course of 21 weeks (8-week intervention period followed by 12-week follow-up period)
• Taking prescribed sleep medications and/or over-the-counter sleep drugs/supplements (if any) on fewer than 3 nights per week and one of the following: 1) willing to maintain the same intake without change throughout the study time frame (i.e., 20 weeks) or 2) willing to discontinue if intake is prescribed “as needed” (PRN) by a physician throughout the study time frame (i.e., 20 weeks)

Exclusion Criteria

• Self-report meditation practice or meditative movement practice (i.e., yoga, tai chi, qi gong) of >= 60 min/week in past 2 months
• Reside outside of the United States of America
• Any planned change to a new pharmacologic therapy (i.e., new drug) for the treatment of their cancer diagnosis (excluding dose changes)
• Diagnosed with a sleep disorder except insomnia (>= 2 positive categories on Berlin Questionnaire using modified scoring)
• Taking prescribed sleep medications and/or over-the-counter drugs/supplements on ≥ 3 nights per week (including drugs like NyQuil, Benadryl, and other antihistamine-based drugs)
• Any other diagnosed and uncontrolled medical or psychiatric condition
• Has a pacemaker
• Shift work schedule