Evidence map›Paper›PMID 29265834›Full record

Trial reportJournal of consulting and clinical psychology2018

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

Lu Dong, Adriane M Soehner, Lynda Bélanger, Charles M Morin, Allison G Harvey

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Development and preliminary validation of the treatment adherence rating scale.Journal of behavior therapy and experimental psychiatry · 2023
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Lu DongDepartment of Psychology, University of California, Berkeley.ORCID 0000-0002-1075-9374
Adriane M SoehnerDepartment of Psychiatry, University of Pittsburgh School of Medicine.
Lynda BélangerDepartment of Psychology, Université Laval.
Charles M MorinDepartment of Psychology, Université Laval.
Allison G HarveyDepartment of Psychology, University of California, Berkeley.
Université Laval · CAUniversity of California, Berkeley · USUniversity of Pittsburgh · US

Funding

Cognitive-Behavior Therapy for Insomnia: Component Analysis & Treatment MechanismR01MH079188 · NIMH · LAVAL UNIVERSITY · PI MORIN, CHARLES M. · 2007 to 2011
$2.5M
Vulnerability to Bipolar Disorder in Adolescence: Interactions Among Sleep Variability, Familial Risk, and Reward-Control ProcessesK01MH111953 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SOEHNER, ADRIANE M. · 2016 to 2020
$803k
NIMH NIH HHS K01 MH111953NIMH NIH HHS R01 MH079188Novartis
6 · The paper itself

Abstract

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

objectiveIn 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.

methodParticipants 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 (ABS) derived from patient-reported sleep diary. Outcome measures were Insomnia Severity Index and insomnia remission (Insomnia Severity Index <8).

resultsTherapist ratings of patient agreement as well as homework completion were significantly associated with sleep diary-derived global ABS. Therapist-rated patient agreement and homework completion as well as global ABS predicted greater insomnia symptoms reduction from pretreatment to posttreatment. Patient agreement also predicted insomnia symptoms reduction from pretreatment to 6-month follow-up. Patient agreement, adherence, and ABS measures during treatment significantly predicted insomnia remission at posttreatment, and all but therapist rating of homework completion predicted remission at 6-month follow-up.

conclusionsGreater patient agreement and adherence (therapist ratings and ABS) during treatment predicted better treatment outcome. Therapist-rated treatment agreement and adherence correspond well with patient-reported sleep diary-derived adherence measure. These simple, deployable therapist-rated patient agreement and adherence can potentially be useful for treatments for other disorders. (PsycINFO Database Record

Indexed as

Cognitive Behavioral TherapyPatient ComplianceAdultFemaleHumansMaleMiddle AgedSleepSleep Initiation and Maintenance DisordersTreatment Outcome

Identifiers

PMID29265834
PMCPMC5837913
OpenAlexW2779568357

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.