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Analyses of secondary outcomes indicated significant time effects (ps.001) and no significant group-by-time interactions (ps from .07 to .91) on other sleep diary parameters, sleep medication use, depression, anxiety, fatigue and quality of life scores. The efficacy of stepped care CBT-I is not inferior to that of a standard face-to-face intervention and is a valuable approach to making this treatment more widely accessible to cancer patients. The efficacy of stepped care CBT-I is not inferior to that of a standard face-to-face inte