TY - JOUR
T1 - Predictors of adherence to a brief behavioral insomnia intervention
T2 - Daily process analysis
AU - Petrov, Megan
AU - Lichstein, Kenneth L.
AU - Huisingh, Carrie E.
AU - Bradley, Laurence A.
PY - 2014/5
Y1 - 2014/5
N2 - Behavioral interventions for insomnia are effective in improving sleep, yet adherence is variable, and predictors of adherence have not been consistently replicated. The relationships between daily variations in state factors at the initiation of treatment and adherence have not been investigated. Using 2-week, self-report online logs, this study determined, among 53 college students with probable insomnia, the associations of pretreatment factors and daily factors during treatment on daily variations in adherence to one session of behavioral treatments for insomnia. These treatments included stimulus control therapy (SCT), sleep restriction therapy (SRT), and sleep hygiene (SH). Low self-efficacy was associated with poorer SCT and SH adherence. Participants with a "bed partner or pet" at least some of the time had better SCT adherence. Greater total sleep time and poorer sleep quality were associated with poor SCT and SRT adherence the following night. Greater sleep efficiency was related to greater next night SCT and SRT adherence. Alcohol consumption was related to poorer SRT and SH adherence the following night. Future studies should test the replicability of these findings. Adherence trials may want to test whether discouraging alcohol intake, enhancing treatment-related self-efficacy, and monitoring and providing feedback on sleep, early in treatment, affects adherence.
AB - Behavioral interventions for insomnia are effective in improving sleep, yet adherence is variable, and predictors of adherence have not been consistently replicated. The relationships between daily variations in state factors at the initiation of treatment and adherence have not been investigated. Using 2-week, self-report online logs, this study determined, among 53 college students with probable insomnia, the associations of pretreatment factors and daily factors during treatment on daily variations in adherence to one session of behavioral treatments for insomnia. These treatments included stimulus control therapy (SCT), sleep restriction therapy (SRT), and sleep hygiene (SH). Low self-efficacy was associated with poorer SCT and SH adherence. Participants with a "bed partner or pet" at least some of the time had better SCT adherence. Greater total sleep time and poorer sleep quality were associated with poor SCT and SRT adherence the following night. Greater sleep efficiency was related to greater next night SCT and SRT adherence. Alcohol consumption was related to poorer SRT and SH adherence the following night. Future studies should test the replicability of these findings. Adherence trials may want to test whether discouraging alcohol intake, enhancing treatment-related self-efficacy, and monitoring and providing feedback on sleep, early in treatment, affects adherence.
KW - Adherence
KW - Alcohol
KW - Behavior therapy
KW - Insomnia
KW - Self-efficacy
UR - http://www.scopus.com/inward/record.url?scp=84897101389&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84897101389&partnerID=8YFLogxK
U2 - 10.1016/j.beth.2014.01.005
DO - 10.1016/j.beth.2014.01.005
M3 - Article
C2 - 24680236
AN - SCOPUS:84897101389
SN - 0005-7894
VL - 45
SP - 430
EP - 442
JO - Behavior Therapy
JF - Behavior Therapy
IS - 3
ER -