Effect of Health Promotion Model-Based Oculomotor Exercise Program on Sleep Quality in Older Adults
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Oculomotor Exercise Program.
- Who it may be relevant to
- Registry conditions: Sleep Quality, Older Adults (65 Years and Older). Basic parameters: from 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Investigation of the Effect of Health Promotion Model Based Oculomotor Exercise Program on Sleep Quality in Elderly Living in a Nursing Home: A Randomized Controlled Trial
Overview
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?
Detailed description
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.
Interventions
- Behavioral Oculomotor Exercise Program
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 motiva
Primary outcome measures
- Sleep Quality [Time frame: Baseline, 4 weeks, 2 and 3 months after the intervention]
Secondary outcome measures (1)
- Stage of Behavioral Change [Time frame: Baseline, 4 weeks, 2 and 3 months after the intervention]
Eligibility criteria
Inclusion criteria
- Aged 65 years or older
- Residing in the nursing home for at least 6 months
- Scoring 4 or above on the Mini-Cog test
- Pittsburgh Sleep Quality Index (PSQI) score ≥ 5 (indicating poor sleep quality)
- No diagnosis of psychiatric disorders such as depression, bipolar disorder, or schizophrenia
- No diagnosis of serious sleep disorders such as sleep apnea or narcolepsy
- No medical condition causing frequent nocturnal awakenings, such as nocturia
- Not using antipsychotic or other medications that may affect sleep quality
- Having chronic diseases (e.g., diabetes mellitus, hypertension, coronary artery disease) that are controlled with pharmacological treatment
- No communication problems
Exclusion criteria
- Older adults unable to perform self-care independently
- Older adults with dizziness or balance problems
- Participants who are hospitalized for any reason during the follow-up or exercise sessions will be excluded from the study
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
Turkey (Türkiye) · 1 center
- A Nursing home facility in Istanbul — Istanbul
Identifiers
NCT: NCT07261124 · IUC_LEE_HS_1