Abstract
Objectives
Although a number of empirically supported sleep interventions exist, sleep-related
beliefs remain largely unexplored as clinical tools for enhancing existing interventions.
The present study aimed to determine the differential associations between general
and sleep self-efficacy with sleep health among a sample of adults
Participants
Participants were 3284 adults (Mean Age = 43 years, 48.5% female, 6.4% other-identifying,
80.8% white).
Measurements
Participants completed measures of self-efficacy (general and sleep self-efficacy)
and sleep health as part of their involvement in a larger online study. General self-efficacy
and sleep self-efficacy were measured with the General Self-Efficacy and Sleep Self-Efficacy
scales respectively. Sleep was assessed with the RegUlarity, Satisfaction, Alertness,
Timing, Efficiency, Duration scale. A structural equation model was conducted to determine
the associations between measures of general and sleep self-efficacy and sleep health,
represented by 2-factors derived from the RegUlarity, Satisfaction, Alertness, Timing,
Efficiency, Duration measure.
Results
The structural model evidenced adequate to good fit to the data and indicated that
both general and sleep self-efficacies were directly associated with the latent sleep
quality/quantity and circadian rhythm outcomes. Higher general and sleep self-efficacies
were positively associated with sleep regularity, timing, and alertness. Higher sleep
self-efficacy and lower general self-efficacy were associated with higher sleep satisfaction,
duration, and efficiency.
Conclusions
Findings highlight the importance of domain specificity in the association between
self-efficacy and sleep health outcomes. There is a need for more research into and
application of interventions targeted toward increasing sleep self-efficacy as a potential
avenue to improve sleep health.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Sleep Health: Journal of the National Sleep FoundationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Prevalenceof insufficient, borderline, and optimal hours of sleep among high school students-United States, 2007.J Adol Health. 2009; 46: 399-401https://doi.org/10.1016/j.jadohealth.2009.10.011
- Prevalence of healthy sleep duration among adults-United States, 2014.Morbidity Mortality Weekly Rep. 2014; 65: 137-141https://doi.org/10.15585/mmwr.mm6506a1
- Age and sleep disturbances among American men and women: data from the U.S. behavioral risk factor surveillance system.Sleep. 2012; 35: 395-406Bhttps://doi.org/10.5665/sleep.1704
- Past, present, and future: trends in sleep duration and implications for public health.Sleep Health. 2017; 3: 317-323https://doi.org/10.1016/j.sleh.2017.07.006
- Sleep deprivation impairs recognition of specific emotions.Neurobiol Sleep Circ Rhythms. 2017; 3: 10-16https://doi.org/10.1016/j.nbser.2017.01.001
- Sleep and cognition in older adults.Sleep Med Clin. 2018; 13: 93-106https://doi.org/10.1016/j.jsmc.2017.09.009
- Insomnia and cognitive performance: a systematic review and meta-analysis.Sleep Med Rev. 2019; 48: 1-9https://doi.org/10.1016/j.smrv.2019.07.008
- Sleep health: can we define it? Does it matter?.Sleep. 2014; 37: 9-17https://doi.org/10.5665/sleep.3298
- Behavioral treatments for insomnia.in: Hersen M Eisler RM Miller PM Progress in Behavior Modification. 6th vol. Academic Press, 1978https://doi.org/10.1016/B978-0-12-535606-0.50007-9
- Cognitive behavioral treatment of insomnia.Chest. 2013; 143: 554-565https://doi.org/10.1378/chest.12-0731
- Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia?.Behav Res Ther. 2002; 40: 741-752https://doi.org/10.1016/s0005-7967(01)0005-9
- The association of dysfunctional beliefs about sleep with vulnerability to stress-related sleep disturbance in young adults.Behav Sleep Med. 2011; 9: 86-91https://doi.org/10.1080/15402002.2011.557990
- From intention to actions: a theory of planned behavior.in: Kuhl J Beckman J Action Control: SSP Springer Series in Social Psychology. Springer, Berlin, Germany1985: 11-39https://doi.org/10.1007/978-3-642-69746-3_2
- The transtheoretical model of health behavior change.Am J Health Prom. 1997; 12: 38-48https://doi.org/10.4278/0890-1171-12.1.38
- The health belief model and sick role behavior.Health Edu Mon. 1974; 2: 324-473https://doi.org/10.1177/109019817400200407
- A theory of planned behavior research model for Predicting the sleep intentions and behaviors of undergraduate college students.J Primary Prev. 2012; 33: 19-31https://doi.org/10.1007/s10935-012-0263-2
- Determinants of nasal CPAP compliance.Sleep Med. 2002; 3: 239-247https://doi.org/10.1016/S1389-9457(01)00162-9
- Health belief model predicts adherence to CPAP before experience with CPAP.Eur Resp J. 2008; 32: 710-717https://doi.org/10.1183/09031936.00127507
- Self-efficacy and health status in patients with coronary heart disease: findings from the Heart and Soul study.Psychosom Med. 2007; 69: 306-312https://doi.org/10.1019/PSY.0b13e3180514d57
- The roles of self-efficacy, outcome expectancies and social support in the self-care behaviours of diabetics.Psych, Health, Med. 2002; 7: 127-141https://doi.org/10.1080/13548500120116076
- Self-efficacy and the maintenance of exercise participation in older adults.J Behav Med. 1993; 16: 103-113https://doi.org/10.1007/BF00844757
- Psychosocial correlates of insomnia severity in primary care.J Am Board Fam Med. 2010; 23: 204-211https://doi.org/10.3122/jabfm.2010.02.090179
- Predictors of self-efficacy for sleep in primary care.J Clin Nurs. 2012; 22: 1254-1261https://doi.org/10.1111/jcon.12005
- Self-efficacy: toward a unifying theory of behavioral change.Psych Rev. 1977; 84: 191-215https://doi.org/10.1037/0033-295X.84.2.191
- Reflections on self-efficacy.Adv Behav Res Ther. 1978; 1: 237-269https://doi.org/10.1016/0146-6402(78)900012-7
- Association of health literacy and medication self-efficacy with medication adherence and diabetes control.Patient Pref Adher. 2018; 12: 793-802https://doi.org/10.2147/PPA.S153312
- Using self-efficacy to predict weight loss among young adults.J Am Diet Assoc. 2003; 103: 1357-1359https://doi.org/10.1016/S0002-8223(03)01072-1
- Application of health behaviour theory to sleep health improvement.J Sleep Res. 2019; 29: e12950https://doi.org/10.1111/jsr.12950
- Perceived self-efficacy in health behaviour research: conceptualization, measurement, and correlates.Psych Health. 2000; 15: 51-69https://doi.org/10.1080/08870440008400288
- Disease severity and domain-specific arthritis self-efficacy: relationships to pain and functioning in patients with rheumatoid arthritis.Arthr Care Res. 2010; 62https://doi.org/10.1002/acr.20127
- Domain specific self-efficacy mediates the impact of pain catastrophizing on pain and disability in overweight and obese osteoarthritis patients.J Pain. 2008; 9: 912-919https://doi.org/10.1016/j.jpain.2008.05.008
- General and realm-specific self-efficacy: connections to life functioning.Curr Psych. 2016; 35 (-269): 361https://doi.org/10.1007/s12144-014-9301-y
- Amazon's mechanical turk: a new source of inexpensive, yet high-quality, data?.Pers Psych Sci. 2011; 6: 3-5https://doi.org/10.1177/1745691610393980
- Generalized self-efficacy scale.in: Weinman J Wright S Johnston M Measures in Health Psychology: A User’s Portfolio. Causal and Control Beliefs. Nfer-Nelson Publishing Co Ltd, Windsor1995: 35-37
- Behavioral Treatment for Persistent Insomnia.Pergamon Press, 1987
- Sleep health as measured by RU SATED: a psychometric evaluation.Behav Sleep Med. 2019; https://doi.org/10.1080/15402002.2019.1701474
- Amos [computer software].IBM SPSS, Chicago, IL2020 (Version 27)
- Using Multivariate Statistics.5th ed. Pearson Education Inc, Boston, MA2007
- The impact of a self-efficacy intervention on short-term breast-feeding outcomes.Health Educ Behav. 2009; 36: 250-259https://doi.org/10.1177/1090198107303362
Article info
Publication history
Published online: November 01, 2022
Accepted:
September 18,
2022
Received in revised form:
September 6,
2022
Received:
July 7,
2021
Identification
Copyright
© 2022 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
