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Article: Weekly brief phone support in self-help cognitive behavioral therapy for insomnia disorder: relevance to adherence and efficacy

TitleWeekly brief phone support in self-help cognitive behavioral therapy for insomnia disorder: relevance to adherence and efficacy
Authors
Issue Date2014
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/brat
Citation
Behaviour Research and Therapy, 2014, v. 63, p. 147-156 How to Cite?
AbstractSelf-help cognitive-behavioral therapy for insomnia (CBT-I) is an acceptable, low-intensity treatment in a stepped care model for insomnia. We tested the application of self-help CBT-I in a Chinese population. 312 participants with self-report of insomnia associated with distress or daytime impairment 3 or more nights per week for at least 3 months were randomized to self-help CBT-I with telephone support (SHS), self-help CBT-I (SH) and waiting-list (WL). The program was Internet-based with treatment materials delivered once per week, and lasted for 6 consecutive weeks, while the telephone support was limited to 15 min weekly. Mixed-effects analyses found significant group by time interaction in sleep and sleep-related cognitions at immediate and 4-week posttreatment. Post-hoc pairwise comparison with WL revealed that both SHS and SH had significantly higher sleep efficiency at immediate (p = .004 and p = .03, respectively) and 4-week posttreatment (p = .002 and p = .02, respectively) and lower insomnia and dysfunctional beliefs scores. The SHS group had additional improvements in sleep onset latency and sleep quality. Benefits with self-help CBT-I were maintained at 12-week posttreatment, but attrition rate was about 35%. Internet-based self-help CBT-I was effective and acceptable for treating insomnia in the Chinese population. A brief telephone support further enhanced the efficacy. Copyright © 2014 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/208276
ISSN
2015 Impact Factor: 3.798
2015 SCImago Journal Rankings: 2.306

 

DC FieldValueLanguage
dc.contributor.authorHo, FYY-
dc.contributor.authorChung, KF-
dc.contributor.authorYeung, WF-
dc.contributor.authorNg, THY-
dc.contributor.authorCheng, SKW-
dc.date.accessioned2015-02-23T08:14:02Z-
dc.date.available2015-02-23T08:14:02Z-
dc.date.issued2014-
dc.identifier.citationBehaviour Research and Therapy, 2014, v. 63, p. 147-156-
dc.identifier.issn0005-7967-
dc.identifier.urihttp://hdl.handle.net/10722/208276-
dc.description.abstractSelf-help cognitive-behavioral therapy for insomnia (CBT-I) is an acceptable, low-intensity treatment in a stepped care model for insomnia. We tested the application of self-help CBT-I in a Chinese population. 312 participants with self-report of insomnia associated with distress or daytime impairment 3 or more nights per week for at least 3 months were randomized to self-help CBT-I with telephone support (SHS), self-help CBT-I (SH) and waiting-list (WL). The program was Internet-based with treatment materials delivered once per week, and lasted for 6 consecutive weeks, while the telephone support was limited to 15 min weekly. Mixed-effects analyses found significant group by time interaction in sleep and sleep-related cognitions at immediate and 4-week posttreatment. Post-hoc pairwise comparison with WL revealed that both SHS and SH had significantly higher sleep efficiency at immediate (p = .004 and p = .03, respectively) and 4-week posttreatment (p = .002 and p = .02, respectively) and lower insomnia and dysfunctional beliefs scores. The SHS group had additional improvements in sleep onset latency and sleep quality. Benefits with self-help CBT-I were maintained at 12-week posttreatment, but attrition rate was about 35%. Internet-based self-help CBT-I was effective and acceptable for treating insomnia in the Chinese population. A brief telephone support further enhanced the efficacy. Copyright © 2014 Elsevier Ltd. All rights reserved.-
dc.languageeng-
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/brat-
dc.relation.ispartofBehaviour Research and Therapy-
dc.titleWeekly brief phone support in self-help cognitive behavioral therapy for insomnia disorder: relevance to adherence and efficacy-
dc.typeArticle-
dc.identifier.emailHo, FYY: fionahyy@hku.hk-
dc.identifier.emailChung, KF: kfchung@hkucc.hku.hk-
dc.identifier.emailYeung, WF: yeungwfj@hku.hk-
dc.identifier.authorityChung, KF=rp00377-
dc.identifier.authorityYeung, WF=rp01901-
dc.identifier.doi10.1016/j.brat.2014.10.002-
dc.identifier.pmid25461790-
dc.identifier.hkuros242411-
dc.identifier.hkuros250642-
dc.identifier.volume63-
dc.identifier.spage147-
dc.identifier.epage156-
dc.publisher.placeUnited Kingdom-

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