Risk factors for dropout from online cognitive behavioural therapy for insomnia
Cognitive behavioural therapy for insomnia (CBT-I) is an effective treatment option for symptoms of insomnia with the majority of patients showing reduction in symptoms after treatment. Despite this, a relatively consistent number of patients drop out and thus mitigate the treatment‘s effectiveness. The current study aimed to explore various demographic and clinical factors and their relationship with progression of treatment in online CBT-I, specifically dropout from treatment. An online questionnaire was e-mailed to 170 patients having previously been registered to online CBT-I via Betri Svefn‘s web treatment. The questionnaire included questions pertaining to gender, age, education, marital status, children in care, occupational status, employment ratio, work hours, total income, psychiatric diagnoses, physical diagnoses and medication use. 61 participants responded, resulting in a response rate of 35.88%. No relationship was found between demographic or clinical factors and progression of treatment. Implications are discussed but further research into these factors, especially with a greater sample size and a more direct assessment, could improve our understanding of treatment adherence for online CBT-I and yield valuable insight into the specific mechanisms at stake. Keywords: insomnia, cognitive behavioural therapy, sleep, online, dropout, risk factors
Klínisk sálfræði, Meistaraprófsritgerðir, Svefnleysi, Hugræn atferlismeðferð, Brottfall úr skóla, Clinical psychology, Sleep disorders, Cognitive therapy, Dropout
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