Efficacy of a Theory-Based Cognitive Behavioral Technique App-Based Intervention for Patients With Insomnia [Elektronisk resurs] Randomized Controlled Trial
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Majd, Nilofar Rajabi (författare)
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Broström, Anders (författare)
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Ulander, Martin, 1980- (författare)
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Lin, Chung-Ying (författare)
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Griffiths, Mark D. (författare)
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Imani, Vida (författare)
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Ahorsu, Daniel Kwasi (författare)
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Ohayon, Maurice M. (författare)
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Pakpour, Amir H. (författare)
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Region Östergötland Sinnescentrum (utgivare)
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Linköpings universitet Institutionen för biomedicinska och kliniska vetenskaper (utgivare)
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Linköpings universitet Medicinska fakulteten (utgivare)
- Publicerad: Toronto, ON, Canada : JMIR PUBLICATIONS, INC, 2020
- Engelska.
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Ingår i: Journal of Medical Internet Research. - 1438-8871. ; 22:4
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http://www.liu.se (Värdpublikation)
Sammanfattning
Ämnesord
Stäng
- Background: Sleep hygiene is important for maintaining good sleep and reducing insomnia. Objective: This study examined the long-term efficacy of a theory-based app (including cognitive behavioral therapy [CBT], theory of planned behavior [TPB], health action process approach [HAPA], and control theory [CT]) on sleep hygiene among insomnia patients. Methods: The study was a 2-arm single-blind parallel-group randomized controlled trial (RCT). Insomnia patients were randomly assigned to a treatment group that used an app for 6 weeks (ie, CBT for insomnia [CBT-I], n=156) or a control group that received only patient education (PE, n=156) through the app. Outcomes were assessed at baseline and 1 month, 3 months, and 6 months postintervention. Primary outcomes were sleep hygiene, insomnia, and sleep quality. Secondary outcomes included attitudes toward sleep hygiene behavior, perceived behavioral control, behavioral intention, action and coping planning, self-monitoring, behavioral automaticity, and anxiety and depression. Linear mixed models were used to evaluate the magnitude of changes in outcomes between the two groups and across time. Results: Sleep hygiene was improved in the CBT-I group compared with the PE group (P=.02 at 1 month, P=.04 at 3 months, and P=.02 at 6 months) as were sleep quality and severity of insomnia. Mediation analyses suggested that perceived behavioral control on sleep hygiene as specified by TPB along with self-regulatory processes from HAPA and CT mediated the effect of the intervention on outcomes. Conclusions: Health care providers might consider using a CBT-I app to improve sleep among insomnia patients.
Ämnesord
- Medical and Health Sciences (hsv)
- Health Sciences (hsv)
- Health Care Service and Management, Health Policy and Services and Health Economy (hsv)
- Medicin och hälsovetenskap (hsv)
- Hälsovetenskaper (hsv)
- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv)
Genre
- government publication (marcgt)
Indexterm och SAB-rubrik
- app-based intervention; cognitive behavioral therapy
- insomnia; sleep hygiene; theory of planned behavior
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Journal of Medical Internet Research