Vinsamlegast notið þetta auðkenni þegar þið vitnið til verksins eða tengið í það: http://hdl.handle.net/1946/33567
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 investigate various demographic and clinical factors and look at whether they were predictive of dropout risk in online CBT-I. 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, relationship status, children in care, employment status, income, number of psychiatric diagnoses, number of physical diagnoses and medication use. Of 170 who were invited, 68 (40%) answered the questionnaire and 61 ended up in the final sample. Of those, 26 participants (42.6%) did not begin treatment, 14 (23%) dropped out of treatment and 21 (34.4%) completed treatment. Chi-square and independent samples t-tests were performed on all measures followed by entering measures simultaneously into logistic regression. Lower age and higher income were predictive of dropout risk. Since dropout in online CBT-I in primary care is rather high it is important to study risk factors for non-adherence more thoroughly since treatment is still effective for those who finish it.
Keywords: insomnia, cognitive behavioural therapy, sleep, online, dropout, risk factors, logistic regression.