@文章{信息:doi/10.2196/15841，作者="Rajabi Majd, Nilofar和Brostr{\"o}m, Anders和Ulander, Martin和Lin, chun- ying和Griffiths, Mark D和Imani, Vida和Ahorsu, Daniel Kwasi和Ohayon, Maurice m和Pakpour, Amir H"，标题="基于理论的认知行为技术应用程序干预失眠患者的疗效:随机对照试验”，期刊=“J Med Internet Res”，年=“2020”，月=“四月”，日=“1”，量=“22”，数=“4”，页数=“e15841”，关键词=“应用干预;认知行为疗法，失眠;睡眠卫生;背景:睡眠卫生对保持良好睡眠和减少失眠很重要。目的:本研究考察了基于理论的应用程序(包括认知行为疗法[CBT]、计划行为理论[TPB]、健康行动过程方法[HAPA]和控制论[CT])对失眠患者睡眠卫生的长期疗效。方法:采用2臂单盲平行组随机对照试验(RCT)。失眠患者被随机分配到使用应用程序6周的治疗组(即CBT治疗失眠[CBT- i]， n=156)或仅通过应用程序接受患者教育的对照组(PE, n=156)。在基线和干预后1个月、3个月和6个月评估结果。主要结果是睡眠卫生、失眠和睡眠质量。次要结果包括对睡眠卫生行为的态度、感知的行为控制、行为意图、行动和应对计划、自我监控、行为自动性、焦虑和抑郁。 Linear mixed models were used to evaluate the magnitude of changes in outcomes between the two groups and across time. Results: Sleep hygiene was improved in the CBT-I group compared with the PE group (P=.02 at 1 month, P=.04 at 3 months, and P=.02 at 6 months) as were sleep quality and severity of insomnia. Mediation analyses suggested that perceived behavioral control on sleep hygiene as specified by TPB along with self-regulatory processes from HAPA and CT mediated the effect of the intervention on outcomes. Conclusions: Health care providers might consider using a CBT-I app to improve sleep among insomnia patients. Trial Registration: ClinicalTrials.gov NCT03605732; https://clinicaltrials.gov/ct2/show/NCT03605732 ", issn="1438-8871", doi="10.2196/15841", url="//www.mybigtv.com/2020/4/e15841/", url="https://doi.org/10.2196/15841", url="http://www.ncbi.nlm.nih.gov/pubmed/32234700" }