MBTCC: The Effects of an Integrated Mindfulness-based Tai Chi Chuan Program on Sleep Disturbance Among Community-dwelling Elderly People
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Integrated mindfulness-based Tai Chi Chuan MBTCC |
Behavioral: Integrated 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.
Other Names:
|
| Active Comparator: Mindfulness-based intervention MBI |
Behavioral: Mindfulness-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.
Other Names:
|
| Active Comparator: Tai Chi Chuan TCC |
Behavioral: Tai 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.
Other Names:
|
| Active Comparator: Sleep Hygiene Education SHE |
Behavioral: Sleep 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.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- the Insomnia Severity Index [at baseline (T1)]
This is a seven-item self-report questionnaire. A higher score represents greater insomnia severity.
- the Insomnia Severity Index [In the 8th week from baseline (T2)]
This is a seven-item self-report questionnaire. A higher score represents greater insomnia severity.
- the Insomnia Severity Index [six months after T2 (T3)]
This is a seven-item self-report questionnaire. A higher score represents greater insomnia severity.
- the Insomnia Severity Index [one year after T2 (T4)]
This is a seven-item self-report questionnaire. A higher score represents greater insomnia severity.
Secondary Outcome Measures
- 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.
- the Multidimensional Assessment of Interoceptive Awareness scale [In the 8th week from baseline (T2)]
The scale consists of 32 items and comprises eight subscales. A higher score indicates higher levels of interoceptive awareness.
- the Multidimensional Assessment of Interoceptive Awareness scale [six months after T2 (T3)]
The scale consists of 32 items and comprises eight subscales. A higher score indicates higher levels of interoceptive awareness.
- the Multidimensional Assessment of Interoceptive Awareness scale [one year after T2 (T4)]
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.
- Wrist ActiGraph GT9X (ActiGraph, Pensacola, USA) [In the 8th week from baseline (T2)]
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.
- Wrist ActiGraph GT9X (ActiGraph, Pensacola, USA) [six months after T2 (T3)]
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.
- Wrist ActiGraph GT9X (ActiGraph, Pensacola, USA) [one year after T2 (T4)]
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 Outcome Measures
- the Chinese (Hong Kong) Short-Form-12 [at baseline (T1)]
A higher respective summary score indicates better levels of health.
- the Chinese (Hong Kong) Short-Form-12 [In the 8th week from baseline (T2)]
A higher respective summary score indicates better levels of health.
- the Chinese (Hong Kong) Short-Form-12 [six months after T2 (T3)]
A higher respective summary score indicates better levels of health.
- the Chinese (Hong Kong) Short-Form-12 [one year after T2 (T4)]
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 rumination subscale from the Rumination-Reflection Questionnaire [In the 8th week from baseline (T2)]
A higher score suggests greater ruminative tendencies.
- the rumination subscale from the Rumination-Reflection Questionnaire [six months after T2 (T3)]
A higher score suggests greater ruminative tendencies.
- the rumination subscale from the Rumination-Reflection Questionnaire [one year after T2 (T4)]
A higher score suggests greater ruminative tendencies.
- the hyperarousal scale [at baseline (T1)]
A higher score suggests a higher arousal level.
- the hyperarousal scale [In the 8th week from baseline (T2)]
A higher score suggests a higher arousal level.
- the hyperarousal scale [six months after T2 (T3)]
A higher score suggests a higher arousal level.
- the hyperarousal scale [one year after T2 (T4)]
A higher score suggests a higher arousal level.
Eligibility Criteria
Criteria
Inclusion criteria:
-
Aged 60 years or above;
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Classified as experiencing sleep disturbances (indication of poor sleep quality through a score >5 in the Pittsburgh Sleep Quality Index);
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Primary education level or above and able to communicate in Cantonese;
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Able to give informed consent; and
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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.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Hong Kong Polytechnic University | Kowloon | Hong Kong |
Sponsors and Collaborators
- The Hong Kong Polytechnic University
- Food and Health Bureau, Hong Kong
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HSEARS20210331002-01