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Treatment of late-life insomnia in f...

Fowler, Margaret S.

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Treatment of late-life insomnia in female participants living in a rural community using a multi-component self-help intervention.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Treatment of late-life insomnia in female participants living in a rural community using a multi-component self-help intervention./
Author:	Fowler, Margaret S.
Description:	172 p.
Notes:	Source: Dissertation Abstracts International, Volume: 71-02, Section: B, page: 1329.
Contained By:	Dissertation Abstracts International71-02B.
Subject:	Psychology, General. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR56456
ISBN:	9780494564561

Treatment of late-life insomnia in female participants living in a rural community using a multi-component self-help intervention.
Fowler, Margaret S.

Treatment of late-life insomnia in female participants living in a rural community using a multi-component self-help intervention. - 172 p.

Source: Dissertation Abstracts International, Volume: 71-02, Section: B, page: 1329.

Thesis (Ph.D.)--Dalhousie University (Canada), 2009.

This study was conducted to evaluate the efficacy of a cognitive-behavioral treatment for late life insomnia, delivered through a self-help modality. Forty-five women recruited from primary care offices in rural Nova Scotia (Yarmouth County) with late-life insomnia were randomly assigned to either a cognitive-behavioral self-help intervention group or a standard-care (control) group. The study utilized a 2 (treatment: self-help, standard-care) x 3 (assessments: pretreatment, posttreatment, 3-month follow-up) repeated measures design. The cognitive-behavior therapy intervention was administered using four booklets and weekly telephone contact. The primary interventions included sleep restriction and stimulus control instructions. All participants completed sleep logs and questionnaires and attended two face-to-face appointments. Sleep log variables, the main outcome variables, included sleep-onset latency, wake-after-sleep-onset, sleep efficiency and total sleep time. Secondary variables included questionnaires that measured sleep, mood, fatigue, dysfunctional beliefs and attitudes about sleeplessness, health care utilization, and quality of life. Data analyses indicated that the cognitive-behavioral self-help treatment with telephone support significantly improved the main sleep outcome variables at post-treatment. Secondary variables were also improved for the self-help group. Treatment gains were maintained at the 3-month follow-up, indicating treatment durability. The standard-care participants did not demonstrate any significant improvement on the outcome variables. The findings indicate that the subjective complaint of late-life insomnia and the resulting daytime difficulties can be improved with a non-pharmacological intervention delivered in a self-help format with minimal professional support. Results from the repeated measures design provide both statistical and clinical evidence that late-life insomnia can be managed even in challenging populations with comorbid illnesses living in rural areas where access to services are either limited or nonexistent. Study limitations and implications ofthe findings are discussed in relation to future research protocols and the involvement of clinical psychologists in the field of sleep medicine.

ISBN: 9780494564561Subjects--Topical Terms:

1018034
Psychology, General.

Treatment of late-life insomnia in female participants living in a rural community using a multi-component self-help intervention.
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502 $a Thesis (Ph.D.)--Dalhousie University (Canada), 2009.
520 $a This study was conducted to evaluate the efficacy of a cognitive-behavioral treatment for late life insomnia, delivered through a self-help modality. Forty-five women recruited from primary care offices in rural Nova Scotia (Yarmouth County) with late-life insomnia were randomly assigned to either a cognitive-behavioral self-help intervention group or a standard-care (control) group. The study utilized a 2 (treatment: self-help, standard-care) x 3 (assessments: pretreatment, posttreatment, 3-month follow-up) repeated measures design. The cognitive-behavior therapy intervention was administered using four booklets and weekly telephone contact. The primary interventions included sleep restriction and stimulus control instructions. All participants completed sleep logs and questionnaires and attended two face-to-face appointments. Sleep log variables, the main outcome variables, included sleep-onset latency, wake-after-sleep-onset, sleep efficiency and total sleep time. Secondary variables included questionnaires that measured sleep, mood, fatigue, dysfunctional beliefs and attitudes about sleeplessness, health care utilization, and quality of life. Data analyses indicated that the cognitive-behavioral self-help treatment with telephone support significantly improved the main sleep outcome variables at post-treatment. Secondary variables were also improved for the self-help group. Treatment gains were maintained at the 3-month follow-up, indicating treatment durability. The standard-care participants did not demonstrate any significant improvement on the outcome variables. The findings indicate that the subjective complaint of late-life insomnia and the resulting daytime difficulties can be improved with a non-pharmacological intervention delivered in a self-help format with minimal professional support. Results from the repeated measures design provide both statistical and clinical evidence that late-life insomnia can be managed even in challenging populations with comorbid illnesses living in rural areas where access to services are either limited or nonexistent. Study limitations and implications ofthe findings are discussed in relation to future research protocols and the involvement of clinical psychologists in the field of sleep medicine.
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