Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this clinical trial is to investigate the effect of a Health Promotion Model-based oculomotor exercise program on sleep quality among older adults living in a nursing home.
The main questions it aims to answer are:
Does the Health Promotion Model-based oculomotor exercise program improve sleep quality in older adults living in a nursing home? Does participation in the program enhance self-efficacy and promote better health behaviors related to sleep?
This randomized controlled trial aims to evaluate the effect of a Health Promotion Model-based oculomotor exercise program on sleep quality among older adults living in a nursing home. Participants in the experimental group will receive an approximately 3-month structured intervention integrating oculomotor exercises and motivational interviewing techniques, while the control group will receive no intervention and continue with their usual daily routines.
The intervention is designed according to the components of the Health Promotion Model, targeting self-efficacy and behavior change processes. During the first meeting, participants complete baseline assessments, including the Personal Information Form, Sleep Beliefs Scale, Stages of Change Inventory, DSM-5 Sleep Disorder Scale, and Pittsburgh Sleep Quality Index (PSQI). Over four weeks, participants in the experimental group perform oculomotor exercises three times a week (Monday, Wednesday, Friday) and attend weekly motivational interviewing sessions focusing on awareness, perceived benefits, self-efficacy, decision balance, empowerment, and commitment to behavior. Weekly DSM-5 Sleep Disorder assessments are also conducted.
Follow-up sessions continue during the second and third months to support maintenance of behavior change, with monthly evaluations using the PSQI and Stages of Change Inventory. Sleep diaries are used throughout to monitor participants' sleep patterns. The primary outcome is sleep quality, and secondary outcomes include self-efficacy and behavioral stage of change.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise Group | Experimental | Participants in this group will receive a structured oculomotor exercise program designed according to the Health Promotion Model. The program includes oculomotor exercises performed three times a week and weekly motivational interviewing sessions to enhance self-efficacy and adherence. Sleep quality and behavioral change outcomes will be assessed at baseline and post-intervention. |
|
| Control Group | No Intervention | Participants in this group will not receive any intervention. They will continue their usual daily activities and will be evaluated using the same measurement tools and time points as the experimental group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oculomotor Exercise Program | Behavioral | This intervention is a structured oculomotor exercise program based on the Health Promotion Model, developed to improve sleep quality among older adults living in a nursing home. The program focuses on enhancing visual-motor coordination and relaxation through systematic eye movement exercises. Participants in the experimental group perform oculomotor exercises three times per week for four consecutive weeks under researcher supervision. The program includes educational support and brief motivational guidance to encourage adherence and consistency. Follow-up sessions are conducted during the following two months to monitor sleep patterns and maintain behavioral improvement. This intervention differs from traditional exercise programs by targeting the oculomotor system and incorporating health promotion principles to support better sleep and overall well-being in older adults. |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep Quality | Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI), which evaluates subjective sleep quality, sleep latency, duration, and disturbances over the previous month. Higher scores indicate poorer sleep quality. | Baseline, 4 weeks, 2 and 3 months after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Stage of Behavioral Change | Behavioral change related to sleep habits will be assessed using the Stages of Change Inventory. The scale evaluates participants' progression through different stages of adopting and maintaining healthy sleep behaviors. | Baseline, 4 weeks, 2 and 3 months after the intervention |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hande Sabandüzen, PhD Candidate | Contact | +905455693484 | handesabanduzen@ogr.iuc.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Hande sabandüzen, PhD Candidate | İstanbul University-Cerrahpaşa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| A Nursing home facility in Istanbul | Istanbul | Istanbul | Turkey (Türkiye) |
Not provided
| Label | URL |
|---|---|
| Related Info | View source |
Not provided
Due to privacy and ethical restrictions
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
Not provided
Not provided
Participants will be randomly assigned to either the experimental or control group using a parallel design. The experimental group will receive a Health Promotion Model-based oculomotor exercise program while the control group will receive no tervention and continue their usual daily activities. Both groups will be evaluated simultaneously at baseline and after the intervention using standardized scales for sleep quality and behavioral change.
Not provided
Not provided
Not provided
Not provided
|
| D001523 |
| Mental Disorders |