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dc.contributor.authorAhorsu, DK
dc.contributor.authorLin, CY
dc.contributor.authorImani, V
dc.contributor.authorCarlbring, P
dc.contributor.authorNygårdh, A
dc.contributor.authorBroström, A
dc.contributor.authorHamilton, K
dc.contributor.authorPakpour, AH
dc.date.accessioned2020-09-15T04:00:20Z
dc.date.available2020-09-15T04:00:20Z
dc.date.issued2020
dc.identifier.issn1525-5050
dc.identifier.doi10.1016/j.yebeh.2020.107371
dc.identifier.urihttp://hdl.handle.net/10072/397513
dc.description.abstractPurpose: Insomnia has adverse effects on people with epilepsy. We aimed to test a novel cognitive behavioral therapy for insomnia (CBT-I) app-based intervention on insomnia symptoms and social psychological factors in people with epilepsy and to examine the possible mechanisms among the factors. Methods: Participants were recruited from neurology clinics in Iran and comprised individuals diagnosed with epilepsy and having moderate to severe insomnia. A two-arm randomized controlled trial design was used, consisting of a treatment group (CBT-I; n = 160) and control group (patient education; n = 160). Primary outcomes were self-reported sleep quality, insomnia severity, and sleep hygiene behavior and objective sleep characteristics measured by actigraphy. Secondary outcomes were attitude, perceived behavioral control, intention, action planning, coping planning, behavioral automaticity, self-monitoring, anxiety, depression, and quality of life (QoL). All outcomes were measured at baseline, and at one, three, and six months postintervention, except objective sleep, which was assessed at baseline, and one and six months postintervention. Data were analyzed using linear mixed models. Results: Current findings showed that sleep quality, insomnia severity, sleep hygiene behavior, and sleep onset latency were significantly improved in the CBT-I group compared with the patient education group at all measurement points. Also, the CBT-I group had significantly improved anxiety, depression, and QoL compared with the patient education group. Mediation analyses showed that attitude, intention, coping planning, self-monitoring, and behavioral automaticity significantly mediated the effect of the intervention on sleep outcomes. Conclusion: Results support the use of the CBT-I app to improve sleep outcomes among people with epilepsy.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom107371
dc.relation.ispartofjournalEpilepsy and Behavior
dc.relation.ispartofvolume112
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.subject.keywordsCBT
dc.subject.keywordsEpilepsy
dc.subject.keywordsInsomnia
dc.subject.keywordsSleep
dc.titleTesting an app-based intervention to improve insomnia in patients with epilepsy: A randomized controlled trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationAhorsu, DK; Lin, CY; Imani, V; Carlbring, P; Nygårdh, A; Broström, A; Hamilton, K; Pakpour, AH, Testing an app-based intervention to improve insomnia in patients with epilepsy: A randomized controlled trial, Epilepsy and Behavior, 2020, 112, pp. 107371
dcterms.dateAccepted2020-07-22
dc.date.updated2020-09-15T03:48:34Z
gro.hasfulltextNo Full Text
gro.griffith.authorHamilton, Kyra


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