Effect of Health Promotion Model-Based Oculomotor Exercise Program on Sleep Quality in Older Adults
NCT ID: NCT07261124
Last Updated: 2025-12-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
68 participants
INTERVENTIONAL
2026-01-05
2026-12-30
Brief Summary
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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?
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Detailed Description
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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.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Exercise Group
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.
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 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.
Control Group
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.
No interventions assigned to this group
Interventions
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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 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.
Eligibility Criteria
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Inclusion Criteria
* 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 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
65 Years
ALL
Yes
Sponsors
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Istanbul University - Cerrahpasa
OTHER
Responsible Party
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Hande Sabandüzen
PhD Candidate
Principal Investigators
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Hande sabandüzen, PhD Candidate
Role: PRINCIPAL_INVESTIGATOR
İstanbul University-Cerrahpaşa
Locations
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A Nursing home facility in Istanbul
Istanbul, Istanbul, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Related Links
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Related Info
Other Identifiers
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IUC_LEE_HS_1
Identifier Type: -
Identifier Source: org_study_id
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