The Effect of Gamified Sleep Hygiene Education on Sleep Quality and Fatigue Levels in Chemotherapy Patients

Sleep disturbances and fatigue are common problems among patients receiving chemotherapy and may negatively affect their quality of life. This randomized controlled trial aims to evaluate the effect of gamified sleep hygiene education on sleep quality and cancer-related fatigue in patients receiving chemotherapy. A total of 56 patients will be randomly assigned to two groups, with 28 participants in each group. The intervention group will receive gamified sleep hygiene education through the web-based "Sleep Hunter" program, while the active comparator group will receive standard sleep hygiene education through verbal instruction and educational brochures. The intervention will be delivered in two sessions over a two-week period. Sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire, and cancer-related fatigue will be assessed using the Hirai Cancer Fatigue Scale. Outcomes will be assessed at baseline and after completion of the two-week intervention.

Inclusion Criteria: * Aged 18 years or older * Currently receiving chemotherapy * Able to read and write in Turkish * Able to communicate effectively * Able to use a smartphone or tablet and access the web-based educational intervention * No previous diagnosis of a sleep disorder * No previous treatment for a sleep disorder * Voluntary participation in the study Exclusion Criteria: * Presence of a major mental disorder that may interfere with participation in the study * Presence of a major visual, hearing, or communication impairment that may interfere with participation in the study * Unable to read or write in Turkish * Unable to use a smartphone or tablet or access the web-based educational intervention * Previous diagnosis of a sleep disorder * Previous treatment for a sleep disorder * Unwilling to participate in the study