Development of a sleep promoting program using combination of non-pharmacological interventions for community dwelling older people
Keywords:
non-pharmacological management, complementary and alternative therapy, sleep, community, older peopleAbstract
This article is part of a study on the effect of a sleep promoting program using combination of non-pharmacological interventions for community dwelling older people with sleep problems. It presented the process of developing the sleep promoting program. The program development consisted of two steps. Step 1 preparation step. The researcher reviewed the relevant literature for the development of the program. Step 2 evaluating the quality/feasibility and acceptability of the program. Quality of the program was examined in term of content validity index (CVI) verifying by five experts. Program feasibility and acceptability were evaluated based on retention in the program. (Proportion of participants who completed the program compared to those who recruited into the program) and comparing the three outcomes among 20 program participants before and after participating in the program, using pair t test and Wilcoxon Signed Ranks Test.
The results of the study revealed that 1) the program was a four-week intervention program. Week 1: Experience exchanges, knowledge giving, demonstration, and practice. Week 2: Knowledge/practice review and motivation enhancement. Week 3: Phone call follow-up Week 4: Evaluation. Materials for program implementation were the program manual (‘not secret tips help senior sleep well’) and the senior sleep hygiene promotion manual (‘What should senior do to sleep well?’) 2) CVI of the program, the program manual, and the senior sleep hygiene promotion manual were 0.95, 0.96 and 1, respectively. 3) The feasibility assessment revealed that the program was feasible with a program retention rate of 100%. Program participants showed improvements in all three outcomes: sleep hygiene knowledge scores (Z=2.80, p=.005) sleep hygiene behavior scores (t=6.12, p<.001) and sleep quality scores (t=10.51, p<.001).
The developed program had adequate quality, feasibility, and acceptability. Therefore, it should be applied to promote sleep for community dwelling older people with sleep problems in similar contexts. Further studies using larger sample sizes and objective measured outcomes should also be undertaken.
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