Strategies for evaluating adherence to sleep restriction treatment for insomnia

Riedel, Brant W; Lichstein, Kenneth L

doi:10.1016/s0005-7967(00)00002-4

Cited by 99Sleep and related disordersPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Strategies for evaluating adherence to sleep restriction treatment for insomnia

Riedel, Brant W, Lichstein, Kenneth L·2001·Behaviour Research and Therapy

DOI 10.1016/s0005-7967(00)00002-4

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Abstract

The methodology of assessing adherence to sleep restriction therapy for insomnia has received little attention in the empirical literature. The present study proposes and evaluates several approaches to assessing adherence to sleep restriction. We investigated multiple methods of measuring adherence and tested their utility by determining the strength of their association with treatment outcome in a sample of 22 older adults with insomnia (16 women, six men). As a group, the measures indicated reasonably good adherence to treatment recommendations. Time spent in bed was significantly reduced at post-treatment, and the night to night consistency of time spent in bed and arising time was significantly greater at post-treatment. However, time spent in bed per night at post-treatment still exceeded therapist recommendations by a mean of 27.89 min (SD=31.72). Greater consistency of time spent in bed per night and a more consistent arising time predicted a better treatment outcome. Measures of degree of bedtime reduction did not predict treatment outcome.

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Mood symptoms such as depression and anxiety, which are related to poor attendance in CBT-I, may contribute to inconsistent wake times during behavior therapy within CBT-I.
“Specifically, mood symptoms such as depression and anxiety, which are related to poor attendance in CBT-I, may also contribute to inconsistent wake times during behavior therapy within CBT-I.6,7”
From Comparison of Acceptance and Commitment Therapy (ACT) and Cognitive Behavior Therapy (CBT) for Chronic Insomnia: A Pilot Randomized Controlled Trial (2023) · cites this paper as [6]

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Self-citation

Authors: Riedel, B. W., & Lichstein, K. L.
Affiliations: University of Memphis (US)
Corresponding author: Riedel, Brant W
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2001-02
Volume: 39
Issue: 2
Pages: 201-212
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/s0005-7967(00)00002-4
OpenAlex: W2080241247
Cited by: 99
References: 23
Citations by year: 2026: 3 · 2025: 2 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 6 · 2014: 7 · 2013: 6 · 2012: 2
FWCI: 4.97
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (AG12136, R01AG012136)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: sleep restriction therapy, insomnia, medication adherence, adherence measurement, time in bed, older adults, treatment outcome prediction
MeSH terms: Aged, Aged, 80 and over, Behavior Therapy, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Compliance, Sleep Deprivation, Geriatric Assessment, Polysomnography

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Strategies for evaluating adherence to sleep restriction treatment for insomnia

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