Relationships between personal beliefs and treatment acceptability, and preferences for behavioral treatments

Souraya Sidani, Joyal Miranda, Dana R. Epstein, Richard R. Bootzin, Jennifer Cousins, Patricia Moritz

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


Background: The literature on preferences for behavioral interventions is limited in terms of understanding treatment-related factors that underlie treatment choice. The objectives of this study were to examine the direct relationships between personal beliefs about clinical condition, perception of treatment acceptability, and preferences for behavioral interventions for insomnia. Methods: The data set used in this study was obtained from 431 persons with insomnia who participated in a partially randomized clinical trial and expressed preferences for treatment options. The data were collected at baseline. Logistic regression was used to examine the relationships between personal beliefs and treatment acceptability, and preferences. The relationships between personal beliefs and perception of treatment acceptability were explored with correlational analysis. Results: Perception of treatment acceptability was associated with preferences. Persons viewing the option as convenient tended to choose that option for managing insomnia. Personal beliefs were not related to preferences. However, beliefs about sleep promoting behaviors were correlated with perceived treatment effectiveness. Conclusions: Perception of treatment acceptability underlies expressed preferences for behavioral interventions. Personal beliefs about insomnia are not directly associated with preferences. Importance is highlighted for providing information about treatment options and exploring perception of each option's acceptability during the process of treatment selection.

Original languageEnglish (US)
Pages (from-to)823-829
Number of pages7
JournalBehaviour Research and Therapy
Issue number10
StatePublished - Oct 2009
Externally publishedYes


  • Behavioral treatment
  • Beliefs about condition
  • Chronic insomnia
  • Treatment acceptability
  • Treatment attributes
  • Treatment preference

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Psychiatry and Mental health


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