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Despite the strong links between sleep and AD, a sleep health enhancement has yet to be targeted in mid-life adults (45-64 years old) to delay or prevent AD. An intervention aimed at enhancing sleep health is a critical opportunity for primary prevention to potentially delay the onset of AD. The objective of the proposed study is to develop and assess the feasibility, acceptability, and treatment effect of a comprehensive sleep health intervention (SHI) on improving sleep health in mid-life adults
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sleep Health Enhancement Intervention | Experimental | 4 weekly visits using Zoom video conferencing consisting of education and strategies to enhance sleep health with each visit lasting about 60 minutes. |
|
| Wait-List Control Group | No Intervention | People in the wait-list group will continue with their usual activities for 4 weeks and then start the sleep health enhancement intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sleep health enhancement intervention | Behavioral | 4 weekly visits of education and strategies to enhance sleep health |
|
| Measure | Description | Time Frame |
|---|---|---|
| 6-item Acceptability Scale | 5-point Likert scales on ease of use, understandability, enjoyment, perceived helpfulness, time commitment, and overall satisfaction | immediately post-intervention |
| Qualitative interview | semi-structured interview to assess acceptability | immediately post-intervention |
| Ru-SATED Composite score | Comprised of 6 subscores (regularity, timing, efficiency, and duration from actigraphy, satisfaction from sleep diary, and alertness from Epworth Sleepiness Scale) | baseline, Week 6, Week 12 |
| Sleep Self-Efficacy Scale | 9 item self-report Likert-scale questionnaire use to identify sleep self-efficacy. | baseline, Week 6, Week 12 |
| Pittsburgh Sleep Quality Index | used to assess quality of sleep | baseline, Week 6, Week 12 |
| Epworth Sleepiness Scale | used to assess daytime sleepiness | baseline, Week 6, Week 12 |
| Dysfunctional Beliefs About Sleep (DBAS-10) consists of 10 statements reflecting beliefs and attitudes about sleep. Each statement is rated from 1 = strongly disagree to 10 = strongly agree | The DBAS-10 used to identify dysfunctional beliefs about sleep | baseline, Week 6, Week 12 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Kansas Medical Center | Kansas City | Kansas | 66160 | United States |
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| Positive Affect and Negative Affect Schedule | 20-item self-report questionnaire used to measure positive and negative emotions | baseline, Week 6, Week 12 |
| Continuous Performance Test | requires participants to respond as quickly and accurately as possible to a series of stimuli that are delivered via computer. The participants will be instructed to tap the space bar for every letter except "X." | baseline, Week 6, Week 12 |
| Stroop Test | requires participants to inhibit the natural response (reading a word) and replace it with another response (saying a color) | baseline, Week 6, Week 12 |
| Cognitive Failures Questionnaire | assesses perception of cognitive abilities over the past 6 months | baseline, Week 6, Week 12 |
| Actigraphy | Participants will wear an actigraph on their non-dominant wrist for 7 nights to assess sleep/wake cycle. Mains variables of interest are sleep regularity, timing, efficiency, and duration. | baseline, Week 6, Week 12 |