Effects of Sleep Hygiene Education on Sleep Health in Community-Dwelling Older Adults

Study Overview
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Brief Summary
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This will be a study looking at trying to change community-dwelling older adults' behavior in regard to good sleep hygiene practices. Investigators will assess the efficacy through subjective outcome measures and objective physiological markers of good sleep through data collected with wearable technology devices.

Detailed Description
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Community-dwelling older adults will be recruited and placed into one of two groups. Group one will watch a one-time educational video on sleep hygiene and group two will watch the video plus be sent daily automated text messages to reinforce the education learned in the video. The participants will receive the text messages for a total of 4 weeks. The control group will not receive any intervention during this time frame. Following the initial meeting, all participants will wear the sleep tracker on their wrists during the day and night for 4 weeks. The sleep tracker will monitor the physiological markers of sleep provided by wearable technology on sleep efficiency, time in bed, time actually sleeping, and time spent at each stage of sleep. At the end of the 4-week study period, the researchers will once again meet with each participant. The participant will complete the following questionnaires once again.

Official Title
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Effects of Sleep Hygiene Education on Sleep Health in Community-Dwelling Older Adults

Conditions
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Sleep Habit, Good, Sleep Hygiene, Health Behavior

Intervention / Treatment
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* Behavioral: One-time educational video
* Behavioral: One-time educational video plus automated text messaging


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Any adult between the ages of 50 and 80 will be recruited for the study Exclusion Criteria: Anyone with a diagnosed sleep disorder such as insomnia or obstructive sleep apnea, and the inability to wear any sleep tracking device on their wrist.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: There will be two arms of the study including intervention and a control group.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: One-time educational video<br>A one-time educational video on best practices for good sleep hygiene | Behavioral: One-time educational video<br>* One-time educational video<br>|
| Experimental: One-time educational video plus automated text messaging<br>A one-time educational video on best practices for sleep hygiene plus daily automated text messages to reinforce habit. | Behavioral: One-time educational video plus automated text messaging<br>* Educational video plus automated text messaging<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change score from baseline to 4-week follow up on the Pittsburgh Sleep Quality Index | Outcome measure for quality of sleep. Score ranges 0-21 with higher score equaling poor sleep quality | 4-week follow up | 
| Change score from baseline to 4-week follow up on the Sleep Hygiene Index | Outcome measure for good sleep hygiene. Scores range from 0-52. Higher scores equate to worse sleep hygiene. | 4-week follow up | 
| Change score from baseline to 4-week follow up on the Numeric Pain Rating Scale | Outcome measure for average pain levels. Scores range from 0-10. Higher scores equate to higher pain levels. | 4-week follow up | 
| Change score from baseline to 4-week follow up on the Epworth Sleepiness Scale | Outcome measure for average daytime sleepiness. Scores range from 0-24. Higher scores equate to worse daytime sleepiness. | 4-week follow up | 
| Nightly monitoring for 4 weeks for participants' sleep efficiency using wearable technology. | Sleep efficiency scores will be calculated using a sleep tracker device and are defined as time spent in bed versus time spent actually sleeping. 85% or higher is considered normal sleep efficiency. | through study completion, an average of 4 weeks. | 
| Nightly monitoring for 4 weeks for participants' sleep midpoint using wearable technology. | Sleep midpoint is the middle time between bedtime and wake-up time. Normal values range between 2:24 a.m. and 4:15 a.m. | through study completion, an average of 4 weeks. | 
| Nightly monitoring for 4 weeks for participants time spent at each stage of sleep. | There are 4 stages of sleep that your body experiences each night (usually spanning 3-5 sleep cycles). Stage 1's normal length is 1-5 minutes, stage 2 is 10-60 minutes, Stage 3 is 20-40 minutes, and stage 4 is 10-60 minutes. | through study completion, an average of 4 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change score from baseline to 4-week follow up on the Perceived Stress Scale | Outcome measure for average stress levels. Scores range from 0-40. The higher the score the worse the stress levels. | 4-week follow up | 
| Change score from baseline to 4-week follow up on the Patient Specific Functional Scale | Outcome measure for overall function. Participant chooses three activities and rates those activities from 0-10 on ease or difficulty of completing. The higher the score the better the function. | 4-week follow up | 
| Change scores from baseline to 4-week follow up for participant's body mass index | Body mass index is measured by body weight [kg]/ height [m]2) from weight and height measurements to determine healthy body anthropometrics. Normal value is 18.5 to 24.9. Above these values is considered overweight and obese, under this is considered underweight. | 4-week follow up |