# Consumer-based meditation app, Calm, for treatment of sleep disturbance in hematological cancer patients

> **NIH NIH R01** · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · 2024 · $324,702

## Abstract

1 Hematological cancers, a group of cancer sub-types that include blood- and lymph-related disorders (i.e.,
 2 leukemia, lymphoma, myeloma, myeloproliferative neoplasms (MPNs) and myelodysplastic syndromes (MDS),
 3 account for 11% of all cancer diagnoses in the US. Chronic hematological cancer (CHC) patients (i.e., chronic
 4 leukemias, low grade lymphomas, myeloma, myelodysplastic syndrome, and myeloproliferative neoplasms
 5 [MPNs]) have extended disease courses that are often different from solid tumor cancers, facing chronic sleep
 6 disturbances often associated with inflammation, fatigue, and emotional distress (anxiety and depression), which
 7 often persist into survivorship. Medications are most commonly prescribed for cancer patients with sleep
 8 disturbance; however, they often come with side effects and risk for long-term dependence. Cognitive behavioral
 9 therapy for insomnia (CBT-I) is the most studied and first line of therapy for treating sleep disturbances in cancer
10 patients, but CBT-I is time-consuming, resource-intensive, and not easily accessible for all cancer patients. There
11 is a need for long-term, accessible, non-pharmacologic interventions targeting sleep in CHC patients.
12 Meditation is a safe and effective non-pharmacologic approach for improving a range of cancer-related
13 symptoms. However, meditation interventions have typically been delivered in-person, limiting uptake and
14 widespread dissemination due to patient-reported barriers. Smartphone applications (apps) are a novel
15 intervention approach for delivering meditation and address cancer patients’ barriers to participating in in-person
16 interventions (i.e., fatigue, pain, transportation, and scheduling difficulties) without the time and expertise
17 limitations of CBT-I and side effect risks from medication. Calm is a popular and highly reviewed consumer-
18 based smartphone app that provides an innovative, accessible and scalable platform through which to deliver
19 meditation to CHC patients.
20 We propose a double-blind RCT to determine the effectiveness of an eight-week “app-based wellness”
21 intervention (i.e., active daily meditation intervention [Calm] or the placebo health education podcast control
22 group [POD]) to reduce sleep disturbance (primary outcome), markers of inflammation (TNF-a, IL-6, IL-8, and
23 CRP) fatigue, and emotional distress (anxiety, depression) (secondary outcomes) in CHC patients.
24 Assessments will occur at baseline, post-intervention (eight weeks from baseline), and follow-up (20 weeks from
25 baseline). Participants (N=276) will be randomized to an intervention (10 min/day Calm meditation) (n=138) or
26 control (10 min/day health education podcast) group (n=138). We will remotely collect blood samples for
27 biomarker measurement. This study will fill a knowledge and rigor gap regarding the delivery of smartphone-
28 based meditation as an intervention for sleep and provide new data on sustained effects in CH...

## Key facts

- **NIH application ID:** 10819128
- **Project number:** 5R01CA262041-04
- **Recipient organization:** UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
- **Principal Investigator:** Jennifer Lynne Huberty
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $324,702
- **Award type:** 5
- **Project period:** 2022-04-01 → 2027-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10819128

## Citation

> US National Institutes of Health, RePORTER application 10819128, Consumer-based meditation app, Calm, for treatment of sleep disturbance in hematological cancer patients (5R01CA262041-04). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10819128. Licensed CC0.

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