Readiness to change and commitment as predictors of therapy compliance in adolescents with Delayed Sleep-Wake Phase Disorder

Micic, Gorica; Richardson, Cele; Cain, Neralie; Reynolds, C.; Bartel, Kate; Maddock, B.; Gradisar, Michael

doi:10.1016/j.sleep.2018.12.002

Cited by 20 publications

(12 citation statements)

References 55 publications

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“…At the end of the session, three motivational interviewing questions based on the themes of desire, ability, and commitment (e.g., “ how confident are you about improving your sleep? ”) were used to enhance motivation and treatment compliance [ 44 ]. Finally, a sleep and performance manual that summarized the content covered in the group education and individual 1:1 session was provided as a reference.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a Brief Sleep Intervention Designed to Improve the Sleep, Mood, and Cognitive Performance of Esports Athletes

Bonnar

Lee

Roane

et al. 2022

IJERPH

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This study evaluated a brief sleep intervention designed to improve the sleep, mood, and cognitive performance of professional electronic sports (esports) athletes from three major esports regions (i.e., Asia, North America, and Oceania). Fifty-six esports athletes from South Korea (N = 34), the United States (N = 7), and Australia (N = 15) completed the study. Participants completed an initial 2-week pre-intervention phase to establish a baseline, followed by a 2-week intervention phase that involved a group sleep education class, 1:1 session with a trained clinical psychologist, and daily biofeedback. A wrist activity monitor and daily sleep diary were used to monitor sleep during both phases, while at pre- and post-intervention, participants completed a battery of sleep and mood questionnaires and underwent cognitive performance testing. Sleep knowledge increased from pre- to post-intervention (d = 0.83 [95% CI −1.21, −0.43], p =< 0.001), while there were modest improvements in sleep diary estimates (i.e., sleep onset latency (Mdiff = −2.9 min, p = 0.02), sleep onset time (Mdiff = −12 min, p = 0.03), and sleep efficiency (Mdiff = 1.1%, p = 0.004)) and wrist activity monitor estimates (i.e., sleep onset time (Mdiff = −18 min, p = 0.01)). Insomnia severity scores decreased significantly (d = 0.47 [95% CI 0.08, 0.84], p = 0.001), while sleepiness scores increased but not meaningfully (d = 0.23 [95% CI −0.61, 0.14], p = 0.025). However, there was no significant change in mood (i.e., depression and anxiety) or cognitive performance scores (i.e., mean reaction time or lapses). Sleep interventions for esports athletes require further investigation. Future research should examine whether a stepped-care model, whereby increasing therapeutic input is provided as needed, can optimize sleep, mood, and cognitive performance outcomes.

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Section: Methodsmentioning

confidence: 99%

Evaluation of a Brief Sleep Intervention Designed to Improve the Sleep, Mood, and Cognitive Performance of Esports Athletes

Bonnar

Lee

Roane

et al. 2022

IJERPH

Self Cite

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“…The young person's motivation to improve their sleep is an important factor that will affect their willingness to engage with sleep programs and to secure long-term sleep change [28,29]. Motivation was assessed by three items relating to problem severity ("At present, sleep is a big problem for me"), desire to change ("I want to change my sleep"), and self-efficacy ("I feel I can change my sleep").…”

Section: Screeningmentioning

confidence: 99%

Digital Cognitive Behavioral Therapy for Insomnia for Adolescents With Mental Health Problems: Feasibility Open Trial

et al. 2020

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Background Insomnia in adolescents is common, persistent, and associated with poor mental health including anxiety and depression. Insomnia in adolescents attending child mental health services is seldom directly treated, and the effects of digital cognitive behavioral therapy (CBT) for insomnia (CBTi) on the mental health of adolescents with significant mental health problems are unknown. Objective This open study aimed to assess the feasibility of adding supported Web-based CBT for insomnia to the usual care of young people aged 14 to 17 years attending specialist child and adolescent mental health services (CAMHS). Methods A total of 39 adolescents with insomnia aged 14 to 17 years attending specialist CAMHS were assessed and offered digital CBTi. The digital intervention was Sleepio, an evidence-based, self-directed, fully automated CBTi that has proven effective in multiple randomized controlled trials with adults. Self-report assessments of sleep (Sleep Condition Indicator [SCI], Insomnia Severity Scale, and Web- or app-based sleep diaries), anxiety (Revised Child Anxiety and Depression Scale [RCADS]), and depression (Mood and Feelings Questionnaire [MFQ]) were completed at baseline and post intervention. Postuse interviews assessed satisfaction with digital CBTi. Results Average baseline sleep efficiency was very poor (53%), with participants spending an average of 9.6 hours in bed but only 5.1 hours asleep. All participants scored less than 17 on the SCI, with 92% (36/39) participants scoring 15 or greater on the Insomnia Severity Scale, suggesting clinical insomnia. Of the 39 participants, 36 (92%) scored 27 or greater on the MFQ for major depression and 20 (51%) had clinically elevated symptoms of anxiety. The majority of participants (38/49, 78%) were not having any treatment for their insomnia, with the remaining 25% (12/49) receiving medication. Sleepio was acceptable, with 77% (30/39) of the participants activating their account and 54% (21/39) completing the program. Satisfaction was high, with 84% (16/19) of the participants finding Sleepio helpful, 95% (18/19) indicating that they would recommend it to a friend, and 37% (7/19) expressing a definite preference for a digital intervention. Statistically significant pre-post improvements were found in weekly diaries of sleep efficiency (P=.005) and sleep quality (P=.001) and on measures of sleep (SCI: P=.001 and Insomnia Severity Index: P=.001), low mood (MFQ: P=.03), and anxiety (RCADS: P=.005). Conclusions Our study has a number of methodological limitations, particularly the small sample size, absence of a comparison group and no follow-up assessment. Nonetheless, our findings are encouraging and suggest that digital CBTi for young people with mental health problems might offer an acceptable and an effective way to improve both sleep and mental health. International Registered Report Identifier (IRRID) RR2-10.2196/11324

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“…These factors can be continually reviewed by professionals involved in an MHTR, probation and an MHTR service user when evaluating engagement. Readiness to change has been found to be an indicator for treatment engagement and behavioural change (Krampe et al , 2017; Helder et al , 2017; Micic et al , 2018). MHTR professionals may include treatment preparedness scales within their assessment, as this may help predict treatment completion (Mitchell et al , 2017).…”

Section: Discussionmentioning

confidence: 99%

Community sentence with Mental Health Treatment Requirement (MHTR); an exploration into offenders’ experience of psychological therapy

Butler¹,

Ledwith²

2021

JCP

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Purpose This study aims to explore service users’ experience of psychological therapy as part of a community sentence with a Mental Health Treatment Requirement (MHTR) in Birmingham Courts between January and December 2018. Design/methodology/approach All service users that had therapy in this period were telephoned a month after ending and offered a semi-structured telephone interview. Seven service users agreed to be recorded. This data was then transcribed and analysed using thematic analysis to gain a richer understanding of their lived experience. Findings Themes identified were: Is the MHTR for me? Opening up, enlightening connections and personal change. Service users initially questioned the relevance and burden of the order for them; the experience of therapy allowed them to trust and talk about things unsaid in the past; this helped them to review and reconsider their understanding of themselves and their life choices and what further support they might need. Research limitations/implications Interviews were not completed by an independent interviewer. Experience of working with offender manager supervision additionally available throughout the sentence was not explored. Practical implications What is included in the MHTR information and support needs to be informed by the service user’s perspective, including this can improve engagement. Social implications Therapy was seen as a “a cog in the machine” and wider social inequalities may need to be addressed within the sentence. Originality/value This report focusses on experience of a therapeutic intervention – a key part of a community sentence with an MHTR.

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Readiness to change and commitment as predictors of therapy compliance in adolescents with Delayed Sleep-Wake Phase Disorder

Cited by 20 publications

References 55 publications

Evaluation of a Brief Sleep Intervention Designed to Improve the Sleep, Mood, and Cognitive Performance of Esports Athletes

Evaluation of a Brief Sleep Intervention Designed to Improve the Sleep, Mood, and Cognitive Performance of Esports Athletes

Digital Cognitive Behavioral Therapy for Insomnia for Adolescents With Mental Health Problems: Feasibility Open Trial

Community sentence with Mental Health Treatment Requirement (MHTR); an exploration into offenders’ experience of psychological therapy

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