Adherence
Higher degrees of personal clinical support and longer treatment duration in eCBT-I are associated with larger effect sizes, while higher dropout rates are associated with smaller effect sizes.
To get the best results from eCBT-I, choose a program that offers some level of personal support, even if it's just the option to contact staff. Be prepared to commit to the full duration of the program, as longer programs tend to be more effective. Staying engaged and avoiding dropout is crucial for success.
Moderator analyses showed that longer treatment duration and higher degree of personal clinical support were associated with larger effect sizes, and that larger study dropout in the intervention group was associated with smaller effect sizes.
Why this rating
Based on moderator analyses within a meta-analysis of 11 RCTs.
Source
Efficacy of internet-delivered cognitive-behavioral therapy for insomnia – A systematic review and meta-analysis of randomized controlled trials
Robert Zachariae et al. · Sleep Medicine Reviews · 2015
DOI 10.1016/j.smrv.2015.10.004
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