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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: 2022-08-23 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 連結: https://doi.org/10.1007/s11325-022-02609-y
    DOI: 10.1007/s11325-022-02609-y
    顯示於類別:[心理學系] 期刊論文

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