00000nam a22000004a 4500 UP-8027295163992805208 Buklod 20240820174754.0 m |o d | ta 240820s2023 xxu r |||| u|eng d PHARM rda eng LG 993.5 2023 P5 T36 Tan, Jarvin Enosh T. author A pilot randomized controlled trial of an unguided self help CBTi intervention for insomnia in young Filipino students Jarvin Enosh T. Tan; Rosalito De Guzman, adviser . Manila: University of Santo Tomas 2023 x, 220 leaves ; 29 cm. text rdacontent unmediated rdamedia volume rdacarrier Poor sleep risks adverse health outcomes. Guidelines recommend cognitive behavioral therapy for insomnia (CBTi) as first line over medications for insomnia based on randomized controlled trials (RCTs) evaluating efficacy in multiple formats, though only few studied adverse events. Standard formats require therapists and have not been trialed locally, which make access difficult for Filipinos due to its cost. This study aimed to determine the efficacy and tolerability of REFRESH, an unguided self-help CBTi intervention consisting of eight weekly self-administered pdf modules covering basic principles of sleep and CBTi techniques for insomnia to young Filipino students. This was pilot-tested through an 8- week RCT comparing email delivery of REFRESH modules to an active control group of self-monitoring via sleep diary. Sleep diary outcomes and the Insomnia Severity Index were used to assess primary and secondary efficacy outcomes for insomnia and an adverse effects checklist was used for tolerability. Descriptive statistics and linear mixed models were used to analyze efficacy outcomes and descriptive statistics was used for side effect data. After six months of recruitment and screening, 143 of 325 were eligible and 6 were randomized - 3 each to REFRESH and sleep self-monitoring. One REFRESH group participant was lost to follow-up in Week 2. There were no significant differences between groups on any outcomes and no apparent differences in adverse effects. There is insufficient evidence to conclude that REFRESH was more efficacious and tolerable compared to sleep self-monitoring for insomnia to young Filipino students. Documented recruitment difficulties may be used to inform future trials. Cognitive behavioral therapy Self-help techniques Insomnia Philippines. Students Mental health Sleep disorders Philippines. Randomized controlled trials Behavioral therapy Philippines. CBTi,. insomnia. pilot RCT. unguided self-help. sleep. Guzman, Rosalito De adviser . FI UPMNL PHARM LG 993.5 2023 P5 T36 Thesis