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Efficacy of a Theor...
Efficacy of a Theory-Based Cognitive Behavioral Technique App-Based Intervention for Patients With Insomnia : Randomized Controlled Trial
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- Rajabi Majd, N. (författare)
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran,Qazvin Univ Med Sci, Iran
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- Broström, Anders (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Department of Clinical Neurophysiology, Linköping University Hospital, Linköping, Sweden,Region Östergötland, Neurofysiologiska kliniken US,Jonkoping Univ, Sweden
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- Ulander, Martin, 1980- (författare)
- Linköpings universitet,Avdelningen för neurobiologi,Medicinska fakulteten,Region Östergötland, Neurofysiologiska kliniken US
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- Lin, C. -Y (författare)
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, China,Hong Kong Polytech Univ, Peoples R China
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- Griffiths, M. D. (författare)
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom,Nottingham Trent Univ, England
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- Imani, V. (författare)
- Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran,Tabriz Univ Med Sci, Iran
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- Ahorsu, D. K. (författare)
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, China,Hong Kong Polytech Univ, Peoples R China
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- Ohayon, M. M. (författare)
- Division of Public Mental Health and Population Sciences, Stanford Sleep Epidemiology Research Center, Stanford University, Palo Alto, CA, United States,Stanford Univ, CA 94304 USA
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- Pakpour, Amir H. (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran,Qazvin Univ Med Sci, Iran; Jonkoping Univ, Sweden
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(creator_code:org_t)
- 2020-04-01
- 2020
- Engelska.
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Ingår i: Journal of Medical Internet Research. - Toronto, ON, Canada : JMIR publications. - 1438-8871. ; 22:4
- Relaterad länk:
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https://doi.org/10.2...
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https://www.jmir.org...
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.2...
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https://urn.kb.se/re...
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Abstract
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. TRIAL REGISTRATION: ClinicalTrials.gov NCT03605732; https://clinicaltrials.gov/ct2/show/NCT03605732.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- app-based intervention
- cognitive behavioral therapy
- insomnia
- sleep hygiene
- theory of planned behavior
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Rajabi Majd, N.
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Broström, Anders
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Ulander, Martin, ...
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Lin, C. -Y
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Griffiths, M. D.
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Imani, V.
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Ahorsu, D. K.
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Ohayon, M. M.
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Pakpour, Amir H.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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- Av lärosätet
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Jönköping University
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Linköpings universitet