Treatment agreement, adherence, and outcome in cognitive behavioral treatments for insomnia.

ABSTRACT:

Background

Patient adherence has been identified as an important barrier to the implementation of evidence-based psychological treatments.

Objective

In cognitive behavioral treatments (CBT) for insomnia, the current study examined (a) the validity of therapist ratings of patient agreement and adherence against an established behavioral measure of adherence, and (b) the relationship between treatment agreement, adherence, and outcome.

Method

Participants were 188 adults meeting DSM-IV-TR criteria for chronic insomnia who were randomized to receive behavior therapy, cognitive therapy, or CBT for insomnia. Treatment agreement/adherence was measured by (a) weekly therapist ratings of patient agreement and homework completion, and (b) adherence to behavioral strategies (AB

SUBMITTER: Dong L 

PROVIDER: S-EPMC5837913 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature