Abstract:
BACKGROUND:Sleep hygiene is important for maintaining good sleep and reducing insomnia. OBJECTIVE:This study examined the long-term efficacy of a theory-based app (including cognitive behavioral therapy [CBT], theory of planned behavior [TPB], health action process approach [HAPA], and control theory [CT]) on sleep hygiene among insomnia patients. METHODS:The study was a 2-arm single-blind parallel-group randomized controlled trial (RCT). Insomnia patients were randomly assigned to a treatment group that used an app for 6 weeks (ie, CBT for insomnia [CBT-I], n=156) or a control group that received only patient education (PE, n=156) through the app. Outcomes were assessed at baseline and 1 month, 3 months, and 6 months postintervention. Primary outcomes were sleep hygiene, insomnia, and sleep quality. Secondary outcomes included attitudes toward sleep hygiene behavior, perceived behavioral control, behavioral intention, action and coping planning, self-monitoring, behavioral automaticity, and anxiety and depression. Linear mixed models were used to evaluate the magnitude of changes in outcomes between the two groups and across time. RESULTS:Sleep hygiene was improved in the CBT-I group compared with the PE group (P=.02 at 1 month, P=.04 at 3 months, and P=.02 at 6 months) as were sleep quality and severity of insomnia. Mediation analyses suggested that perceived behavioral control on sleep hygiene as specified by TPB along with self-regulatory processes from HAPA and CT mediated the effect of the intervention on outcomes. CONCLUSIONS:Health care providers might consider using a CBT-I app to improve sleep among insomnia patients. TRIAL REGISTRATION:ClinicalTrials.gov NCT03605732; https://clinicaltrials.gov/ct2/show/NCT03605732.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Rajabi Majd N,Broström A,Ulander M,Lin CY,Griffiths MD,Imani V,Ahorsu DK,Ohayon MM,Pakpour AHdoi
10.2196/15841subject
Has Abstractpub_date
2020-04-01 00:00:00pages
e15841issue
4eissn
1439-4456issn
1438-8871pii
v22i4e15841journal_volume
22pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Patients suffering from depression have a high risk of relapse and readmission in the weeks following discharge from inpatient wards. Electronic self-monitoring systems that offer patient-communication features are now available to offer daily support to patients, but the usability, acceptability, and adhere...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6673
更新日期:2017-04-21 00:00:00
abstract::[This corrects the article DOI: 10.2196/17595.]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
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更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Lesbians and gay men have disproportionately high rates of depression and anxiety, and report lower satisfaction with treatments. In part, this may be because many health care options marginalize them by assuming heterosexuality, or misunderstand and fail to respond to the challenges specifically faced by th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2014-07-03 00:00:00
abstract:BACKGROUND:Use of mobile technology has made a huge impact on communication, access, and information/resource delivery to adolescents. Mobile technology is frequently used by adolescents. OBJECTIVE:The purpose of this study was to understand the health information needs of adolescents in the context of their everyday ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2395
更新日期:2013-03-06 00:00:00
abstract:BACKGROUND:Digital health social networks (DHSNs) are widespread, and the consensus is that they contribute to wellness by offering social support and knowledge sharing. The success of a DHSN is based on the number of participants and their consistent creation of externalities through the generation of new content. To ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
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abstract:BACKGROUND:Attempts in current health care practice to make health care more accessible, effective, and efficient through the use of information technology could include implementation of computer-based dietary menu generation. While several of such systems already exist, their focus is mainly to assist healthy individ...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-04-08 00:00:00
abstract:BACKGROUND:The ability to identify, screen, and enroll potential research participants in an efficient and timely manner is crucial to the success of clinical trials. In the age of the internet, researchers can be confronted with large numbers of people contacting the program, overwhelming study staff and frustrating p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
abstract::Wearable sensor technology could have an important role for clinical research and in delivering health care. Accordingly, such technology should undergo rigorous evaluation prior to market launch, and its performance should be supported by evidence-based marketing claims. Many studies have been published attempting to...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2018-07-02 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2017-02-22 00:00:00
abstract:BACKGROUND:The Internet is widely available and commonly used for health information; therefore, Web-based weight loss programs could provide support to large parts of the population in self-guided weight loss. Previous studies showed that Web-based weight loss interventions can be effective, depending on the quality o...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:Participants in medical forums often reveal personal health information about themselves in their online postings. To feel comfortable revealing sensitive personal health information, some participants may hide their identity by posting anonymously. They can do this by using fake identities, nicknames, or ps...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2013-10-03 00:00:00
abstract:BACKGROUND:A substantial proportion of parents of children on cancer treatment report psychological distress such as symptoms of post-traumatic stress (PTSS), depression, and anxiety. During their child's treatment many parents also experience an economic burden. OBJECTIVE:The aim of this study was to evaluate the lon...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6852
更新日期:2017-07-27 00:00:00
abstract:BACKGROUND:The current COVID-19 pandemic is showing negative effects on human health as well as on social and economic life. It is a critical and challenging task to revive public life while minimizing the risk of infection. Reducing interactions between people by social distancing is an effective and prevalent measure...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21613
更新日期:2020-08-27 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-11-24 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2014-05-23 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2016-01-20 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-05-12 00:00:00
abstract:BACKGROUND:In the context of the Affordable Care Act, there is extensive emphasis on making provider quality transparent and publicly available. Online public reports of quality exist, but little is known about how visitors find reports or about their purpose in visiting. OBJECTIVE:To address this gap, we gathered web...
journal_title:Journal of medical Internet research
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更新日期:2015-05-01 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
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更新日期:2016-08-24 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
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更新日期:2019-05-06 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2005-05-24 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
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更新日期:2019-07-17 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-10-24 00:00:00