| Author: | Ho, Ching Man |
| Title: | The effectiveness of an occupation-based sleep program for people with insomnia |
| Advisors: | Siu, Andrew (RS) |
| Degree: | DHSc |
| Year: | 2020 |
| Subject: | Sleep disorders -- Treatment Insomnia -- Treatment Occupational therapy Hong Kong Polytechnic University -- Dissertations |
| Department: | Faculty of Health and Social Sciences |
| Pages: | xv, 151 pages : color illustrations |
| Language: | English |
| Abstract: | Sleep problems are a health issue worldwide, with an average prevalence rate of between 10% and 30% in developed countries. In Hong Kong, there is clearly a growing need to address sleep problems among patients seen by occupational therapists in primary care clinics like the Integrated Mental Health Program (IMHP). A review of the last decade's scholarly literature on this subject shows that the use of assistive devices or equipment, relaxation activities, and cognitive behavioral therapy for insomnia are the most common strategies employed in occupational therapy. Lifestyle intervention also plays a part in occupational therapy sleep management, although there is as yet only limited evidence for its efficacy. Based on the Person-Environment-Occupation-Performance model and the theory of occupational balance, a conceptual framework was developed for guiding the design of the occupation-based sleep program for patients with insomnia in mental health clinics. In summary, occupation-based sleep interventions aim to 1) minimize the influence of bodily function on sleep; 2) promote an environment conductive to sleep; and 3) restructure daytime activity with a focus on occupational balance through psychoeducation and lifestyle coaching. This thesis aims to evaluate the effectiveness of an occupation-based sleep intervention on sleep pattern, mood, and occupational balance among community-dwelling adults with insomnia when compared with other, more usual, forms of treatment, typically focused on education, sleep hygiene, and relaxation. A total of 42 subjects were recruited: 22 for the intervention group and 20 for the treatment as usual group. There was no significant difference in baseline demographic characteristics and outcomes between the two groups. When compared with the treatment as usual group, the intervention group displayed significant improvement in sleep, occupational balance, and mood symptoms at both post treatment and 1-month follow up. Occupational balance was correlated with sleep and mood symptoms but not with any demographic characteristics. The results demonstrate that an occupation-based program is an effective treatment for handling insomnia disorder. Furthermore, these results have advanced the development of sleep management from an occupational therapy perspective, and have also demonstrated the greater role which occupational therapy might play in primary care service. |
| Rights: | All rights reserved |
| Access: | restricted access |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 5061.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 5.99 MB | Adobe PDF | View/Open |
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