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| Title | Predictors of dropout in university students participating in an 8-week e-mail-based cognitive-behavioral therapy for insomnia intervention |
| Creator | 楊建銘 Yang, Chien-Ming Nam, Hyojin;Chang, Jinyoung;Trockel, Mickey;Okajima, Isa;Chan, Ngan Yin;Li, Shirley;Suh, Sooyeon |
| Contributor | 心理系 |
| Key Words | Cognitive-behavioral therapy; Insomnia; Sleep; Treatment dropouts |
| Date | 2022-04 |
| Date Issued | 23-Aug-2022 15:08:24 (UTC+8) |
| Summary | Purpose: We conducted an exploratory study to identify risk factors of dropout in an 8-week e-mail-based cognitive-behavioral therapy for insomnia (REFRESH) to improve sleep among university students with insomnia symptoms. Methods: University and graduate students in Hong Kong and Korea who scored higher than 10 on the Insomnia Severity Index participated in REFRESH. Results: Of 158 participants from Hong Kong (n = 43) and Korea (n = 115), 90 (57%) did not complete all 7 sessions, while 52 of 90 (57.8%) dropped out prior to the fourth session. ROC analysis was conducted on the entire sample of 158 participants with intervention completion vs. dropout (non-completion) as the outcome variable. Predictors of dropout were wake time after sleep onset (WASO) < 7.1 min on the weekly sleep diary and expectations for sleep (a subscale of dysfunctional beliefs and attitudes about sleep; DBAS) < 18 at baseline. Conclusions: These findings indicate that shorter WASO and less expectations for sleep at baseline were associated with risk of dropout from e-mail delivered self-help CBT-I-based intervention. Our results highlight the importance of identifying and tailoring treatment formats to students based on their presenting sleep characteristics. |
| Relation | Sleep and Breathing |
| Type | article |
| DOI | https://doi.org/10.1007/s11325-022-02609-y |
| dc.contributor | 心理系 | |
| dc.creator (作者) | 楊建銘 | |
| dc.creator (作者) | Yang, Chien-Ming | |
| dc.creator (作者) | Nam, Hyojin;Chang, Jinyoung;Trockel, Mickey;Okajima, Isa;Chan, Ngan Yin;Li, Shirley;Suh, Sooyeon | |
| dc.date (日期) | 2022-04 | |
| dc.date.accessioned | 23-Aug-2022 15:08:24 (UTC+8) | - |
| dc.date.available | 23-Aug-2022 15:08:24 (UTC+8) | - |
| dc.date.issued (上傳時間) | 23-Aug-2022 15:08:24 (UTC+8) | - |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/141499 | - |
| dc.description.abstract (摘要) | Purpose: We conducted an exploratory study to identify risk factors of dropout in an 8-week e-mail-based cognitive-behavioral therapy for insomnia (REFRESH) to improve sleep among university students with insomnia symptoms. Methods: University and graduate students in Hong Kong and Korea who scored higher than 10 on the Insomnia Severity Index participated in REFRESH. Results: Of 158 participants from Hong Kong (n = 43) and Korea (n = 115), 90 (57%) did not complete all 7 sessions, while 52 of 90 (57.8%) dropped out prior to the fourth session. ROC analysis was conducted on the entire sample of 158 participants with intervention completion vs. dropout (non-completion) as the outcome variable. Predictors of dropout were wake time after sleep onset (WASO) < 7.1 min on the weekly sleep diary and expectations for sleep (a subscale of dysfunctional beliefs and attitudes about sleep; DBAS) < 18 at baseline. Conclusions: These findings indicate that shorter WASO and less expectations for sleep at baseline were associated with risk of dropout from e-mail delivered self-help CBT-I-based intervention. Our results highlight the importance of identifying and tailoring treatment formats to students based on their presenting sleep characteristics. | |
| dc.format.extent | 106 bytes | - |
| dc.format.mimetype | text/html | - |
| dc.relation (關聯) | Sleep and Breathing | |
| dc.subject (關鍵詞) | Cognitive-behavioral therapy; Insomnia; Sleep; Treatment dropouts | |
| dc.title (題名) | Predictors of dropout in university students participating in an 8-week e-mail-based cognitive-behavioral therapy for insomnia intervention | |
| dc.type (資料類型) | article | |
| dc.identifier.doi (DOI) | 10.1007/s11325-022-02609-y | |
| dc.doi.uri (DOI) | https://doi.org/10.1007/s11325-022-02609-y |