Moderate Exercise Plus Sleep Education Improves Self-Reported Sleep Quality, Daytime Mood, and Vitality in Adults with Chronic Sleep Complaints: A Waiting List-Controlled Trial

Research indicates that physical exercise can contribute to better sleep quality. This study investigates the six-week influence of a combined intervention on self-rated sleep quality, daytime mood, and quality of life. A nonclinical sample of 114 adults with chronic initiating and the maintaining of sleep complaints participated in the study. The intervention group of 70 adults underwent moderate physical exercise, conducted weekly, plus sleep education sessions. Improvements among participants assigned to the intervention group relative to the waiting-list control group (n=44) were noted for subjective sleep quality, daytime mood, depressive symptoms and vitality. Derived from PSQI subscores, the intervention group reported increased sleep duration, shortened sleep latency, fewer awakenings after sleep onset, and overall better sleep efficiency compared to controls. The attained scores were well sustained and enhanced over a time that lasted through to the follow-up 18 weeks later. These findings have implications in treatment programs concerning healthy lifestyle approaches for adults with chronic sleep complaints.

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Guided Internet-delivered cognitive behavioural treatment for insomnia: a randomized trial

Psychological Medicine ◽

10.1017/s0033291713002249 ◽

2013 ◽

Vol 44 (7) ◽

pp. 1521-1532 ◽

Cited By ~ 54

Author(s):

A. van Straten ◽

J. Emmelkamp ◽

J. de Wit ◽

J. Lancee ◽

G. Andersson ◽

...

Keyword(s):

Controlled Trial ◽

Sleep Onset ◽

Intervention Group ◽

Sleep Diary ◽

The Internet ◽

Control Group ◽

Sleep Onset Latency ◽

Cognitive Behavioural ◽

Co Morbidity ◽

Significant Difference

BackgroundInsomnia is a prevalent problem with a high burden of disease (e.g. reduced quality of life, reduced work capacity) and a high co-morbidity with other mental and somatic disorders. Cognitive behavioural therapy (CBT) is effective in the treatment of insomnia but is seldom offered. CBT delivered through the Internet might be a more accessible alternative. In this study we examined the effectiveness of a guided Internet-delivered CBT for adults with insomnia using a randomized controlled trial (RCT).MethodA total of 118 patients, recruited from the general population, were randomized to the 6-week guided Internet intervention (n = 59) or to a wait-list control group (n = 59). Patients filled out an online questionnaire and a 7-day sleep diary before (T0) and after (T1) the 6-week period. The intervention group received a follow-up questionnaire 3 months after baseline (T2).ResultsAlmost three-quarters (72.9%) of the patients completed the whole intervention. Intention-to-treat (ITT) analysis showed that the treatment had statistically significant medium to large effects (p < 0.05; Cohen's d between 0.40 and 1.06), and resulted more often in clinically relevant changes, on all sleep and secondary outcomes with the exception of sleep onset latency (SOL) and number of awakenings (NA). There was a non-significant difference in the reduction in sleep medication between the intervention (a decrease of 6.8%) and control (an increase of 1.8%) groups (p = 0.20). Data on longer-term effects were inconclusive.ConclusionsThis study adds to the growing body of literature that indicates that guided CBT for insomnia can be delivered through the Internet. Patients accept the format and their sleep improves.

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The Effectiveness of integrating spirituality into prenatal care on Improving Sleep Quality and Insomnia Severity among Pregnant Women: A Randomized Control Trial

10.21203/rs.3.rs-1025124/v1 ◽

2021 ◽

Author(s):

azam maleki ◽

Nahid Moradi ◽

Saeedeh Zenoozian

Keyword(s):

Prenatal Care ◽

Sleep Quality ◽

Pregnant Women ◽

Controlled Trial ◽

Intervention Group ◽

Severity Index ◽

First Trimester ◽

Routine Care ◽

Control Group ◽

Insomnia Severity

Abstract Background To determine the effectiveness of integrating spirituality into prenatal care on Improving Sleep Quality and Insomnia Severity among Pregnant Women. Methods This randomized controlled trial was carried out on 40 pregnant women recruited at five health centers of zanjan, Iran, 2020. The eligible women were allocated into two intervention and control groups according to the randomized design. Group counselling with spiritual content was carried out in eight sessions, two times a week at 16 to 20 weeks of gestation. The control group only received routine care. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) questionnaires in three stages, before the intervention, at 28 and 36 weeks of gestation. Statistical analysis was performed using the SPSS 16.0 software (SPSS Inc., Chicago, IL, USA). Results The results showed that comparing the mean score of insomnia severity, sleep quality and its components in the pre-intervention phase was not statistically significant between the two groups(p>0.05). Comparison of the insomnia severity, sleep quality, and its components scores decreased statistically in the second and third trimesters compared to the first trimester in the intervention group than the control group(p<0.05). The effect of the intervention (Eta score) was 64%. Conclusion The results showed that counselling with spiritual content could effectively ameliorate sleep quality and reduce insomnia severity in pregnant women. It seems that the approach is an acceptable basis to design intervention programs in this field that can be considered by midwives.

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Feasibility of a Cognitive Training Game in Parkinson’s Disease: The Randomized Parkin’Play Study

European Neurology ◽

10.1159/000509685 ◽

2020 ◽

Vol 83 (4) ◽

pp. 426-432 ◽

Cited By ~ 1

Author(s):

Sjors C.F. van de Weijer ◽

Annelien A. Duits ◽

Bastiaan R. Bloem ◽

Nienke M. de Vries ◽

Roy P.C. Kessels ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Cognitive Training ◽

Controlled Trial ◽

Intervention Group ◽

Waiting List ◽

Control Group ◽

Positive Effects ◽

Home Based ◽

Global Cognition

Cognitive training (CT) shows modest positive effects on cognitive function in patients with Parkinson’s disease (PD). Gamification may enhance adherence to traditional CT, but this has not been studied yet. Here, we investigated the feasibility of a gamified CT. We performed a randomized controlled trial including PD patients with mild cognitive impairment. Participants were randomly allocated to a 12-week home-based gamified CT intervention or waiting-list control group. Assessments were performed at baseline and at weeks 12 and 24. Forty-one patients were included (21 intervention and 20 waiting-list controls). Sixty-three percent of the intervention group trained >50% of the recommended sessions, while 81% voluntarily continued training after 12 weeks. After 24 weeks, 87.5% graded the game to be satisfactory. Global cognition scores improved after 24 weeks. Home-based gamified CT shows acceptable feasibility in patients with PD, and we observed preliminary indications for efficacy. Larger trials are needed to establish this efficacy.

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The Effect of Zinc Supplementation on Sleep Quality of ICU Nurses: A Double Blinded Randomized Controlled Trial

Workplace Health & Safety ◽

10.1177/2165079917734880 ◽

2017 ◽

Vol 66 (4) ◽

pp. 191-200 ◽

Cited By ~ 4

Author(s):

Afshin Gholipour Baradari ◽

Abbas Alipour ◽

Ali Mahdavi ◽

Hassan Sharifi ◽

Seyed Mahmood Nouraei ◽

...

Keyword(s):

Sleep Quality ◽

Zinc Supplementation ◽

Controlled Trial ◽

Intervention Group ◽

Serum Zinc ◽

Zinc Level ◽

Control Group ◽

Serum Zinc Level ◽

Randomized Controlled

This study examined the effect of zinc supplementation on the sleep quality (SQ) of intensive care unit (ICU) nurses. In a double-blind, randomized controlled trial, 54 ICU nurses were randomly assigned to the intervention group ( n = 27) that received 220 mg zinc sulfate capsules every 72 hours for 1 month and the control group ( n = 26) that received placebo. Sleep quality of ICU nurses was measured by calculating the total quality sleep score using the Pittsburgh Sleep Quality Index (PSQI). The serum zinc level was a secondary outcome. All measurements were calculated at both baseline and 1 month after intervention. The total PSQI, subjective SQ, and sleep latency scores for the intervention group were significantly lower than the control group, which means that the SQ of ICU nurses in the intervention group improved from baseline. The serum zinc level of the intervention group at the end of the study was significantly higher than the control group, which means that zinc supplementation improved participants’ serum zinc level. Based on these findings, the researcher suggested that zinc supplementation could be associated with better SQ, subjective SQ, and sleep latency in this group of workers.

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Clinical Efficacy of Traditional Chinese Medicine, Suan Zao Ren Tang, for Sleep Disturbance during Methadone Maintenance: A Randomized, Double-Blind, Placebo-Controlled Trial

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2015/710895 ◽

2015 ◽

Vol 2015 ◽

pp. 1-9 ◽

Cited By ~ 11

Author(s):

Yuan-Yu Chan ◽

Yi-Hung Chen ◽

Szu-Nian Yang ◽

Wan-Yu Lo ◽

Jaung-Geng Lin

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Methadone Maintenance ◽

Controlled Trial ◽

Intervention Group ◽

Placebo Treatment ◽

Sleep Efficiency ◽

Opiate Dependence ◽

Double Blind ◽

Sleep Complaints

Methadone maintenance therapy is an effective treatment for opiate dependence, but more than three-quarters of persons receiving the treatment report sleep quality disturbances. In this double-blind, randomized, controlled trial, we recruited 90 individuals receiving methadone for at least one month who reported sleep disturbances and had Pittsburgh Sleep Quality Index (PSQI) scores > 5. The purpose of this study was to determine whether Suan Zao Ren Tang, one of the most commonly prescribed traditional Chinese medications for treatment of insomnia, improves subjective sleep among methadone-maintained persons with disturbed sleep quality. Ninety patients were randomly assigned to intervention group (n=45) and placebo group (n=45), and all participants were analyzed. Compared with placebo treatment, Suan Zao Ren Tang treatment for four weeks produced a statistically significant improvement in the mean total PSQI scores (P=0.007) and average sleep efficiency (P=0.017). All adverse events (e.g., lethargy, diarrhea, and dizziness) were mild in severity. Suan Zao Ren Tang is effective for improving sleep quality and sleep efficiency among methadone-maintained patients with sleep complaints.

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Efficacy of Face-to-Face Delivered Cognitive Behavioral Therapy in Improving Health Status of Patients With Insomnia: A Meta-Analysis

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.798453 ◽

2021 ◽

Vol 12 ◽

Author(s):

Dawei Xu ◽

Elizabeth Cardell ◽

Simon A. Broadley ◽

Jing Sun

Keyword(s):

Sleep Quality ◽

Behavioral Therapy ◽

Meta Analysis ◽

Sleep Onset ◽

Intervention Group ◽

Severity Index ◽

Sleep Time ◽

Control Group ◽

Sleep Onset Latency ◽

Face To Face

Background: Face-to-face cognitive behavioral therapy (CBT) is one of the most widely used non-pharmacological treatment approaches for insomnia. The aim of this study is to assess the efficacy of face-to-face delivered CBT on health outcomes and to evaluate the effect of CBT components as subgroup variables to explain the efficacy of face-to-face delivered CBT on health outcomes in adults over 18 years old with insomnia.Methods: Relevant randomized controlled trial studies published in the past 22 years were searched through the electronic databases. The Physiotherapy Evidence Database (PEDro) scale was used to assess the quality of the 31 included studies. The mean difference and standard deviation of outcome variables and subgroup variables were analyzed using random effect model, and the heterogeneity among the articles was assessed with the Q-test and I2. Egger regression analysis was used to assess publication bias.Results: The meta-analysis showed a significant reduction in Insomnia Severity Index [standardized mean difference (SMD) = −2.56, 95% CI −3.81 to −1.30, p < 0.001], Pittsburgh Sleep Quality Index (SMD = −0.96, 95% CI −1.25 to −0.68, p < 0.001), sleep onset latency (SMD = −1.31, 95% CI −2.00 to −0.63, p < 0.001), wakening after sleep onset (SMD = −1.44, 95% CI −2.14 to −0.74, p < 0.001), number of awakenings (SMD = −1.18, 95% CI −2.10 to −0.26, p < 0.05), depression (SMD = −1.14, 95% CI −1.85 to −0.42, p < 0.01), and fatigue (SMD = −2.23, 95% CI −3.87 to −0.58, p < 0.01), and a significant increase in total sleep time (SMD = 0.63, 95% CI 0.28 to 0.98, p < 0.001), sleep efficiency (SMD = 1.61, 95% CI 0.92 to 2.29, p < 0.001), and physical health (SMD = 0.42, 95% CI 0.08 to 0.76, p < 0.05), in the CBT intervention group compared with the control group. There was no significant change in anxiety (SMD = −0.62, 95% CI −1.55 to 0.32, p > 0.05) and mental health (SMD = 1.09, 95% CI −0.59 to 2.77, p > 0.05) in CBT intervention group compared with control group. Group-delivered studies with larger number of intervention sessions and longer duration of single session provided a larger improvement in sleep quality.Conclusion: Face-to-face delivered CBT is effective in increasing total sleep time, sleep efficiency, and physical health, and reducing Insomnia Severity Index scores, Pittsburgh Sleep Quality Index scores, sleep onset latency, wakening after sleep onset, number of awakenings, depression, anxiety, and fatigue in patients with insomnia. Face-to-face delivered CBT is more effective when delivered through a larger number of sessions with longer duration of each session, and when delivered in groups. Face-to-face CBT is recommended to provide treatment to patients with insomnia in clinical settings.Systematic Review Registration:www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020200091, identifier: CRD4202020009.

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Work Ability and Vitality in Coach Drivers: An RCT to Study the Effectiveness of a Self-Management Intervention during the Peak Season

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16122214 ◽

2019 ◽

Vol 16 (12) ◽

pp. 2214 ◽

Cited By ~ 1

Author(s):

Art van Schaaijk ◽

Karen Nieuwenhuijsen ◽

Monique Frings-Dresen

Keyword(s):

Work Ability ◽

Controlled Trial ◽

Intervention Group ◽

Self Management ◽

Control Group ◽

Sleep Complaints ◽

Psychosomatic Health ◽

Management Intervention ◽

Work Related ◽

Mental Exertion

Background: This randomized controlled trial (RCT) evaluates the effectiveness of a self-management toolbox designed to maintain work ability and vitality in coach drivers over their peak season. Methods: The intervention group received a self-management intervention providing advice aimed at increasing work ability and vitality. These suggestions targeted three specific domains: work–recovery–rest balance, food and drink intake, and physical activity. At the beginning (March), middle (July), and end (October) of the coach sector peak season, work ability, vitality, work-related fatigue, psychosomatic health, sleep complaints, and perceived mental exertion of coach drivers were assessed through questionnaires. Results: A total of 96 drivers participated in the study. Access to the toolbox did not result in significant differences between groups. Work ability and vitality decreased significantly in both groups, falling from 7.8 ± 1.3 to 7.3 ± 1.6 and from 63 ± 16.7 to 55 ± 18.7, respectively. Work-related fatigue increased from 35 ± 31.9 to 52 ± 35.3. Psychosomatic health complaints, sleep complaints, and perceived mental exertion also increased significantly. Conclusions: The uptake of the intervention was too low to determine if this toolbox can maintain work ability and vitality in coach drivers when compared with a control group. Overall work ability and vitality decrease significantly as the peak season progresses, while work-related fatigue accumulates. Other interventions should be explored to ensure sustainable employability in this population.

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SleepSure: a pilot randomized-controlled trial to assess the effects of eye masks and earplugs on the quality of sleep for patients in hospital

Clinical Rehabilitation ◽

10.1177/0269215518806041 ◽

2018 ◽

Vol 33 (2) ◽

pp. 253-261 ◽

Cited By ~ 6

Author(s):

Samaher Sweity ◽

Andrew Finlay ◽

Charlotte Lees ◽

Adam Monk ◽

Toshi Sherpa ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Length Of Stay ◽

Sleep Quality ◽

Controlled Trial ◽

Intervention Group ◽

Recruitment Rate ◽

Control Group ◽

Inpatient Stay ◽

Open Label ◽

Randomized Controlled

Objective: To determine the short-term effects of supplying hospital inpatients with earplugs and eye masks, preparatory to a full-scale trial. Design: A single-centre, open-label, two-arm, parallel group, randomized-controlled trial. Setting: A total of 13 medical and surgical wards in a large teaching hospital in the United Kingdom. Participants: Everyone admitted to hospital aged 18 years or older, who stayed overnight and had the mental capacity and sufficient understanding of English to give consent, the ability to complete the study questionnaire and the ability to use earplugs and eye masks unaided was considered. Interventions: The intervention group was provided with earplugs and eye masks for use the following night, and the control group received standard care. Main measures: Sleep quality assessed using the SleepSure questionnaire after the first night of using the intervention, use of earplugs and eye masks, number of falls throughout their inpatient stay, use of zopiclone during inpatient stay, length of stay and recruitment rate. Results: A total of 1600 patients were admitted; out of which, 626 (39%) were eligible and 206 (13% total, 33% eligible) recruited (intervention group, 109). The intervention group’s mean sleep quality score was 6.33 (95% confidence interval (CI): 5.89–6.77), compared with 5.09 (95% CI: 4.66–5.52) in the control group ( p < 0.001). There were no differences in use of zopiclone, falls or length of stay between the groups. Of the intervention group, 91 (86%) reported using the earplugs and/or eye masks. Conclusions: The intervention seems feasible, and effective, but trial eligibility rate and rate of recruitment into the study were limited.

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Efficacy of a web application for stress management among Iranian college students during COVID-19 outbreak: a study protocol for randomized controlled trials

Trials ◽

10.1186/s13063-020-04949-0 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Fatemeh Khademian ◽

Azam Aslani ◽

Ramin Ravangard ◽

Peivand Bastani ◽

Mohammad Nami ◽

...

Keyword(s):

Mental Health ◽

College Students ◽

Sleep Quality ◽

Stress Management ◽

Web Application ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Randomized Controlled ◽

And Control

Abstract Background The prevalence of mental health disorders is increasing globally, and the prevalence of COVID-19 has made it worse. Evidence has indicated a major mental health burden and elevated anxiety associated with the new coronavirus outbreak in the general population. This study aims to evaluate an evidence-based web application (Naranj) for stress management among Iranian college students. Methods and design This study aims to present a protocol related to a randomized controlled trial among Iranian college students. The study will be conducted on 100 students from two colleges of Shiraz University of Medical Sciences in Iran. The participants will be randomly assigned to the intervention and control groups. The intervention group participants will be provided with a web application, whereas the control group ones will be provided with an app unrelated to stress management. The primary outcome for this study will be the Perceived Stress Scale, and the two groups will be compared with respect to stress level and sleep quality. Discussion A web application will be developed according to psychological theories and will be scientifically approved for managing college students’ stress and improving their sleep quality during the COVID-19 outbreak. Trial registration Iranian Registry of Clinical Trials IRCT20160427027647N2. Registered on 14 May 2020

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The Effect of the Benson Relaxation Technique on the Quality of Sleep and Working Life of Surgical Technologists in Shiraz

Shiraz E-Medical Journal ◽

10.5812/semj.117346 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Zinat Mohebbi ◽

Maryam Shaygan ◽

Maryam Ghanavati

Keyword(s):

Sleep Quality ◽

Controlled Trial ◽

Intervention Group ◽

Working Life ◽

Relaxation Technique ◽

Control Group ◽

Quality Of Sleep ◽

Quality Of Working Life ◽

Surgical Technologists

Background: This study evaluated the effect of the Benson relaxation method on the quality of sleep and working life of surgical technologists. Methods: This randomized controlled trial was done on 180 surgical technologists who worked in 9 hospitals in Shiraz. Before the beginning of the intervention, participants were randomly assigned to either experimental or control conditions (simple randomization). The experimental group listened to an audiotape of the Benson relaxation technique twenty minutes periods, two times a day for four weeks, while the control group did not receive any intervention at all. The Pittsburgh sleep quality index and Walton quality of working life (QWL) questionnaires were used to measure the sleep quality and working life of surgical technologists, respectively. Results: Independent t-tests indicated that after the intervention, there were significant improvements regarding the total mean scores of quality of sleep (Mean (SD) Intervention = 2.88 (1.36), Mean (SD) Control = 15.1 (3.41), P < 0.001), and working life (Mean (SD) Intervention = 133.78 (9.22), Mean (SD) Control = 62.18 (19.68, P < 0.001) and their domains in the intervention group compared to the control group. Conclusions: Our findings are an important contribution to the previous research regarding the Benson relaxation technique as a non-drug, economical method. The current results can help health professionals for determine which psychological techniques are needed to be emphasized for promoting sleep quality and quality of working life in surgical technologists.

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