Volume 31, Issue 3 (Avicenna Journal of Clinical Medicine-Autumn 2024)                   Avicenna J Clin Med 2024, 31(3): 170-177 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mirzaei-Alavijeh M, Khazaie H, Taherpour M, Jalilian F. Efficacy of the Theory-Based Program for Improvement of Sleep Hygiene Behaviors of the Elderly. Avicenna J Clin Med 2024; 31 (3) :170-177
URL: http://sjh.umsha.ac.ir/article-1-3084-en.html
1- Social Development and Health Promotion Research Center, Health Policy and Promotion Research Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
2- Sleep Disorders Research Center, Health Policy and Promotion Research Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
3- Social Development and Health Promotion Research Center, Health Policy and Promotion Research Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran , f_jalilian@yahoo.com
Abstract:   (1046 Views)
Background and Objective: Disorders related to the quality and quantity of sleep are among the most important issues of old age. In this regard, the present study aimed to determine the efficacy of an educational program based on the theory of planned behavior for the improvement of sleep hygiene behaviors in the elderly.
Materials and Methods: This semi-experimental study with efficacy intervention was performed on 60 elderly people in Hamadan City, Iran who were divided into the intervention (n=30) and control (n=30) groups. Development, implementation, and evaluation of the intervention program were carried out based on needs assessment by using the theory of planned behavior and intervention mapping approach. The data collected before and two months after the implementation of the program were analyzed in SPSS software (version 16).
Results: The average scores for attitude, perceived behavior control, and intention significantly increased in the intervention group after the implementation of the program (P<0.05). The estimated effect sizes, based on Cohen's d index, were moderate for attitude (0.7) and perceived behavioral control (0.6), and very large for intention (0.83). However, the estimated effect sizes for subjective norms (0.16) and sleep hygiene behaviors (0.06) were low.
Conclusion: The results were promising in terms of enhancing the intention to engage in sleep hygiene behaviors following the implementation of the program. This suggests that the theory of planned behavior can serve as a useful framework for the development, implementation, and evaluation of programs aimed at the improvement of sleep hygiene behaviors among older adults.
 
Keywords: Aging, Efficacy, Sleep
Full-Text [PDF 1026 kb]   (360 Downloads)    
Type of Study: Original | Subject: Social Medicine

References
1. Sayadi A, Abedini S, Abedini S, Kamal Zadeh H. Self-care and Health Literacy in Iranian Elderly: A Review. JMIS. 2023; 9 (1):80-9. DOI: 10.32598/JMIS.9.1.3
2. Canever JB, Zurman G, Vogel F, Sutil DV, Diz JB, Danielewicz AL, de Souza Moreira B, Cimarosti HI, de Avelar NC. Worldwide prevalence of sleep problems in community-dwelling older adults: A systematic review and meta-analysis. Sleep Med. 2024; 119: 118-34. DOI: 10.1016/j.sleep.2024.03.040
3. Herawati N, Syahrum S. Factors Affecting the Quality of Sleep Quality in the Elderly. Indonesian Journal of Global Health Research. 2024; 6(5):2853-62. DOI: 10.37287/ijghr.v6i5.3423
4. Zeller CJ, Wunderlin M, Wicki K, Teunissen CE, Nissen C, Züst MA, Klöppel S. Multi-night acoustic stimulation is associated with better sleep, amyloid dynamics, and memory in older adults with cognitive impairment. Geroscience. 2024;46(6):6157-72. PMID: 38744792 DOI: 10.1007/s11357-024-01195-z
5. Gong M, Sun M, Sun Y, Jin L, Li S. Effects of Acute Sleep Deprivation on Sporting Performance in Athletes: A Comprehensive Systematic Review and Meta-Analysis. Nature and Science of Sleep. 2024: 935-48. DOI: 10.3390/app14156701
6. Migliaccio GM, Di Filippo G, Sancassiani F, Padulo J, Russo L. Boost Your Brainpower: 24 Daily Sleep Hacks for Active Lifestyles. Appl Sci . 2024; 14(15):6701. DOI: 10.3390/app14156701
7. Carvalho KM, Figueiredo MD, Galindo NM, Sá GG. Construction and validation of a sleep hygiene booklet for the elderly. Rev Bras Enferm. 2019; 72(suppl 2):214-20. DOI: 10.1590/0034-7167-2018-0603
8. Richter K, Myllymaeki J, Scharold-Schaefer S, Tomova I, Mayrer R, Niklewski G. Treating comorbid insomnia in older adults via cognitive-behavioural treatment, bright light and exercise. Health. 2014; 6(10): 960-68. DOI:10.4236/health.2014.610121
9. Ravyts SG, Dzierzewski JM. Sleep and healthy aging: a systematic review and path forward. Clin Gerontol. 2024; 47(3):367-79. PMID: 35445642 DOI: 10.1080/07317115.2022.2064789
10. Crestani F, Williams G, Breheny M, Tupara H, Cunningham C, Gander P, Gibson R. Sleep health in later life: interviews exploring experiences, attitudes and behaviours of older people. Ageing & Society. 2024; 44(3):681-703.
11. Torabi A, Ilali ES, Emadian SO, Mousavinasab N. Comparison of the effect of sleep hygiene education with the cognitive and behavioral method on the quality of sleep in elderly. joge . 2019; 4(2):9-17. DOI: ‎ 10.29252/joge.4.2.9
12. Kamrani AA, Shams A, Dehkordi PS, Mohajeri R. The effect of low and moderate intensity aerobic exercises on sleep quality in men older adults. Pak J Med Sci. 2014;30(2):417-21. PMID: 24772155 DOI: 10.12669/pjms.302.4386
13. Friedrich A, Schlarb AA. Let's talk about sleep: a systematic review of psychological interventions to improve sleep in college students. J Sleep Res. 2018;27(1):4-22. PMID: 28618185 DOI: 10.1111/jsr.12568
14. Brown FC, BuboltzJr WC, Soper B. Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med. 2002;28(1):33-8. PMID: 12244643 DOI: 10.1080/08964280209596396
15. Kok G, Gottlieb NH, Peters GJ, Mullen PD, Parcel GS, Ruiter RA, Fernández ME, Markham C, Bartholomew LK. A taxonomy of behaviour change methods: an intervention mapping approach. Health Psychol Rev. 2016; 10(3):297-312. PMID: 26262912 DOI: 10.1080/17437199.2015.1077155
16. Strong C, Lin CY, Jalilolghadr S, Updegraff JA, Broström A, Pakpour AH. Sleep hygiene behaviours in Iranian adolescents: an application of the Theory of Planned Behavior. J Sleep Res. 2018;27(1):23-31. PMID: 28593637 DOI: 10.1111/jsr.12566
17. Taherpour M, Mirzaei-Alavijeh M, Khazaie H, Hosseini SN, Fatahi M, Karimi N, Jalilian F. Socio-cognitive Determinants of Healthy Sleep Behaviors Among Iranian Elderly: Application of the Theory of Planned Behavior. J Educ Community Health.2022; 9(2):80-5. DOI: 10.34172/jech.2022.12
18. Lin CY, Strong C, Scott AJ, Broström A, Pakpour AH, Webb TL. A cluster randomized controlled trial of a theory-based sleep hygiene intervention for adolescents. Sleep. 2018; 41(11). PMID: 30423178 DOI: 10.1093/sleep/zsy170
19. Knowlden AP, Sharma M, Bernard AL. A Theory of Planned Behavior research model for predicting the sleep intentions and behaviors of undergraduate college students. J Prim Prev. 2012; 33(1):19-31. PMID: 22293980 DOI: 10.1007/s10935-012-0263-2
20. Eldredge LK, Markham CM, Ruiter RA, Fernández ME, Kok G, Parcel GS. Planning health promotion programs: an intervention mapping approach. John Wiley & Sons.2016. Link
21. Goulet Pelletier JC, Cousineau D. A review of effect sizes and their confidence intervals, Part I: the cohen’sd family. Quant Meth Psych. 2018; 14(4):1-24. DOI: 10.20982/tqmp.14.4.p242
22. Tagler MJ, Stanko KA, Forbey JD. Predicting sleep hygiene: A reasoned action approach. J Appl Soc Psychol. 2017; 47(1):312. DOI: 10.1111/jasp.12411
23. Ajzen, I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50: 179-211. DOI: 10.1016/0749-5978(91)90020-T
24. Gipson CS, Chilton JM, Dickerson SS, Alfred D, Haas BK. Effects of a sleep hygiene text message intervention on sleep in college students. J Am Coll Health. 2019; 67(1):32-41. PMID: 29652630 DOI: 10.1080/07448481.2018.1462816
25. Tan E, Healey D, Gray AR, Galland BC. Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep: a before-after pilot study. BMC Pediatr. 2012;12:189. PMID: 23216856 DOI: 10.1186/1471-2431-12-189
26. Salimi F, Garmaroudi G, Hosseini M, Batebi A. Effect of Self–Care Educational Program to Improving Quality of Life among Elderly Referred to Health Centers in Zanjan. J Educ Community Health. 2015; 2(2):28-37. Link

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Avicenna Journal of Clinical Medicine

Designed & Developed by : Yektaweb