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Research ArticleOriginal Research

Acceptability of Behavioral Treatments for Insomnia

Daniel Bluestein, Amanda C. Healey and Carolyn M. Rutledge
The Journal of the American Board of Family Medicine May 2011, 24 (3) 272-280; DOI: https://doi.org/10.3122/jabfm.2011.03.100246
Daniel Bluestein
MD, MS, CMD, AGSF
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Amanda C. Healey
PhD, LPC-MHSP, NCC
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Carolyn M. Rutledge
PhD, FNP-BC
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Article Figures & Data

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    Table 1.

    Demographic Information

    All SitesSite 1Site 2Site 3
    Age, years (n = 236)
        Mean45454445
        Range19–9119–8320–6822–91
    Sex (n = 236)
        Male61 (26)45 (28)16 (29)1 (6)
        Female175 (74)118 (72)40 (71)16 (94)
    Ethnicity (n = 160)
        African American119 (74)101 (73)6 (60)12 (71)
        White34 (21)26 (20)3 (30)5 (29)
        Asian2 (1)1 (1)0 (0)0 (0)
        Hispanic1 (0.5)1 (1)1 (10)0 (0)
        Other4 (2.5)4 (3)0 (0)0 (0)
    Relationship status (n = 236)
        Married84 (36)56 (34)19 (34)9 (52)
        Widowed17 (7)11 (7)5 (9)1 (6)
        Never married73 (31)52 (32)18 (32)3 (18)
        Divorced62 (26)44 (27)14 (25)4 (24)
    Level of education (n = 235)
        Some high school43 (18)34 (21)8 (14)1 (6)
        High school graduate107 (46)70 (43)27 (48)10 (58)
        College graduate40 (17)26 (16)10 (18)4 (24)
        Professional/graduate45 (19)32 (20)11 (20)2 (12)
    • Values provided as n (%), except for Age, which is presented as number of years.

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    Table 2.

    Means and Standard Deviations for Behavioral Acceptability and Psychosocial Predictors

    TotalSite 1Site 2Site 3
    ITAS-B0.65 (0.18)0.65 (0.20)0.67 (0.18)0.66 (0.16)
    ITAS-M0.63 (0.18)0.63 (0.18)0.70 (0.15)0.61 (0.19)
    SF-824 (6.8)24 (6.9)24 (6.7)23 (6.2)
    CES-D22 (11.2)22 (11.2)23 (11.6)24 (9.8)
    SE-S23 (7.2)24 (7.4)22 (6.1)22 (8.9)
    DBAS0.50 (0.15)0.51 (0.16)0.50 (0.14)0.52 (0.14)
    ISI17 (5.4)16 (5.4)20 (4.2)17 (7.2)
    • ITAS-B, Insomnia Treatment Acceptability Scale–Behavioral Subscale; ITAS-M, Insomnia Treatment Acceptability Scale–Medication Subscale; SF-8, Medical Outcomes Study SF-8 global health status measure; CES-D, Center for Epidemiologic Studies Depression Scale, SE-S, Self-Efficacy for Sleep Scale; DBAS, Dysfunctional Beliefs about Sleep Scale; ISI, Insomnia Severity Index.

    • View popup
    Table 3.

    Correlations with Insomnia Treatment Acceptability Scale–Behavioral Subscale Scores

    Predictorsr
    Demographic
        Sex−0.074
        Age−0.053
        Ethnicity0.005
        Relationship status0.034
        Education−0.027
    Psychosocial
        ITAS-M*0.259
        SF-80.017
        CES-D0.121
        SE-S0.053
        DBAS*0.234
        ISI0.099
    • ↵* P < .001.

    • ITAS-M, Insomnia Treatment Acceptability Scale–Medication Subscale; SF-8, Medical Outcomes Study SF-8 global health status measure; CES-D, Center for Epidemiologic Studies Depression Scale, SE-S, Self-Efficacy for Sleep Scale; DBAS, Dysfunctional Beliefs about Sleep Scale; ISI, Insomnia Severity Index.

    • View popup
    Table 4.

    A: Initial Regression Analysis for Behavioral Treatment Acceptability and Regression Analysis for Behavioral Treatment Acceptability Including Medication Acceptability

    R2FAdjusted R2βP
    Initial regression analysis for BTA
        Linear model0.1135.8330.093
            Dysfunction beliefs0.319<.001
            SE-S0.006<.001
            ISI0.005<.05
    Regression analysis for BTA including medication acceptability
        ITAS-M model0.08822.5960.0840.277<.001
        Final model0.13512.0740.124
            Dysfunction beliefs0.252<.002
            SE-S0.004<.01
            ITAS-M0.229<.001
    • The ISI, SF-8 and CES-D were included in the analysis but were excluded from the final model because of nonsignificant contribution to overall predictive power.

      BTA, behavioral treatment acceptability; ITAS-M, Insomnia Treatment Acceptability Scale–Medication Subscale; SE-S, Self-Efficacy for Sleep Scale; ISI, Insomnia Severity Index.

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The Journal of the American Board of Family Medicine: 24 (3)
The Journal of the American Board of Family Medicine
Vol. 24, Issue 3
May-June 2011
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Acceptability of Behavioral Treatments for Insomnia
Daniel Bluestein, Amanda C. Healey, Carolyn M. Rutledge
The Journal of the American Board of Family Medicine May 2011, 24 (3) 272-280; DOI: 10.3122/jabfm.2011.03.100246

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Acceptability of Behavioral Treatments for Insomnia
Daniel Bluestein, Amanda C. Healey, Carolyn M. Rutledge
The Journal of the American Board of Family Medicine May 2011, 24 (3) 272-280; DOI: 10.3122/jabfm.2011.03.100246
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