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題名 Predictors of dropout in university students participating in an 8-week e-mail-based cognitive-behavioral therapy for insomnia intervention
作者 楊建銘
Yang, Chien-Ming
Nam, Hyojin;Chang, Jinyoung;Trockel, Mickey;Okajima, Isa;Chan, Ngan Yin;Li, Shirley;Suh, Sooyeon
貢獻者 心理系
關鍵詞 Cognitive-behavioral therapy; Insomnia; Sleep; Treatment dropouts
日期 2022-04
上傳時間 23-Aug-2022 15:08:24 (UTC+8)
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.
關聯 Sleep and Breathing
資料類型 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