Elderly, Mindfulness, Sleep, Tai Chi Chuan
Conditions
Brief summary
The trial aims to evaluate the effects of an integrated form of mindfulness-based Tai Chi Chuan (MBTCC) program and the underlying mechanisms of the beneficial effects on sleep disturbance over 12-month follow-up in community-dwelling elderly people.
Interventions
BEHAVIORALIntegrated mindfulness-based Tai Chi Chuan
MBTCC will integrate components from both the MBI and TCC groups. The entire intervention consists of eight weekly sessions of two-and-a-half to three hours each.
BEHAVIORALMindfulness-based intervention
The MBI group is mainly based on the basic theory and research of the foundational mindfulness-based stress reduction program. The intervention consists of eight weekly sessions of two to two-and-a-half hours each.
BEHAVIORALTai Chi Chuan
TCC is mainly based on a nine-form Yang-style form of TCC, which is a brief and modified version of 64-form Yang-style TCC. The entire intervention consists of eight weekly sessions of two to two-and-a-half hours each.
BEHAVIORALSleep Hygiene Education
SHE is based on principles used in stimulus control and sleep hygiene education, which has previously been used as the control group in sleep-related research. The entire intervention consists of eight weekly sessions of two to two-and-a-half hours each.
Sponsors
Food and Health Bureau, Hong Kong
The Hong Kong Polytechnic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 60 years or above; * Classified as experiencing sleep disturbances (indication of poor sleep quality through a score \>5 in the Pittsburgh Sleep Quality Index); * Primary education level or above and able to communicate in Cantonese; * Able to give informed consent; and * No previous experience with meditation or other mind-body techniques (e.g., tai chi or yoga).
Exclusion criteria
• Comorbid diagnoses of schizophrenia, schizoaffective disorder, substance misuse, organic brain syndrome, or intellectual disabilities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the Insomnia Severity Index | at baseline (T1) | This is a seven-item self-report questionnaire. A higher score represents greater insomnia severity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the Multidimensional Assessment of Interoceptive Awareness scale | at baseline (T1) | The scale consists of 32 items and comprises eight subscales. A higher score indicates higher levels of interoceptive awareness. |
| Wrist ActiGraph GT9X (ActiGraph, Pensacola, USA) | at baseline (T1) | Participants will be asked to put on this ActiGraph GT9X (like a watch) on the wrist of the non-dominant hand for one week. Wrist ActiGraph GT9X is used to assess the average total sleep time (hours) per night. |
Other
| Measure | Time frame | Description |
|---|---|---|
| the Chinese (Hong Kong) Short-Form-12 | at baseline (T1) | A higher respective summary score indicates better levels of health. |
| the rumination subscale from the Rumination-Reflection Questionnaire | at baseline (T1) | A higher score suggests greater ruminative tendencies. |
| the hyperarousal scale | at baseline (T1) | A higher score suggests a higher arousal level. |
Countries
Hong Kong
Contacts
Primary ContactShu-Mei Wang, PhD
Outcome results
None listed