Attrition and Adherence in the Online Treatment of Chronic Insomnia

被引：54

作者：

Hebert, Elizabeth A. ^{[1
]}

Vincent, Norah ^{[1
]}

Lewycky, Samantha ^{[1
]}

Walsh, Kaitlyn ^{[1
]}

机构：

[1] Univ Manitoba, Dept Clin Hlth Psychol, Winnipeg, MB R3E 3N4, Canada

来源：

BEHAVIORAL SLEEP MEDICINE | 2010年 / 8卷 / 03期

关键词：

COGNITIVE-BEHAVIOR THERAPY; CHANGE QUESTIONNAIRE; PLANNED BEHAVIOR; CHRONIC PAIN; READINESS; EFFICACY; EXERCISE; ADULTS; MODEL;

D O I：

10.1080/15402002.2010.487457

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This study examined the ability of the Theory of Planned Behavior (TPB; Ajzen, 1985) and the Transtheoretical Model of Behavior Change (TTM; Prochaska DiClemente, 1983) to explain adherence and attrition in an online treatment program for chronic insomnia. Responses to questionnaire measures of the TPB and TTM were used to predict adherence and dropout over the subsequent 5 weeks of treatment. Results showed that there was a 17% dropout rate and that perceived behavioral control, social support, and intention to complete the program were significantly associated with adherence to sleep hygiene homework. Attrition was predicted only by symptom severity and psychiatric comorbidity. Implications are that these models should be considered to maximize adherence.

引用

页码：141 / 150

页数：10

共 28 条

[1] THE THEORY OF PLANNED BEHAVIOR [J].

AJZEN, I .

ORGANIZATIONAL BEHAVIOR AND HUMAN DECISION PROCESSES, 1991, 50 (02) :179-211

[2]

Ajzen I., 1980, UNDERSTANDING ATTITU, DOI [DOI 10.1007/978-3-642-69746-3_2, DOI 10.1007/978-3-642-69746-32]

[3]

[Anonymous], 2003, Insomnia: a clinical guide to assessment and treatment

[4] Efficacy of the theory of planned behaviour: A meta-analytic review [J].

Armitage, CJ ;

Conner, M .

BRITISH JOURNAL OF SOCIAL PSYCHOLOGY, 2001, 40 :471-499

[5] THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].

BARON, RM ;

KENNY, DA .

JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182

[6] Hypnotic discontinuation in chronic insomnia: Impact of psychological distress, readiness to change, and self-efficacy [J].

Belleville, Genevieve ;

Morin, Charles M. .

HEALTH PSYCHOLOGY, 2008, 27 (02) :239-248

[7] Predicting completion of a cognitive-behavioral pain management program by initial measures of a chronic pain patient's readiness for change [J].

Biller, N ;

Arnstein, P ;

Caudill, MA ;

Federman, CW ;

Guberman, C .

CLINICAL JOURNAL OF PAIN, 2000, 16 (04) :352-359

[8]

Cardinal BJ, 1996, J SPORT MED PHYS FIT, V36, P100

[9] Free range users and one hit wonders: community users of an Internet-based cognitive behaviour therapy program [J].

Christensen, H ;

Griffiths, K ;

Groves, C ;

Korten, A .

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2006, 40 (01) :59-62

[10] Older women and exercise: Theory of planned behavior beliefs [J].

Conn, VS ;

Tripp-Reimer, T ;

Maas, ML .

PUBLIC HEALTH NURSING, 2003, 20 (02) :153-163

← 1 2 3 →