The Effect of Sleep Hygiene Education Given in Line With the Health Promotion Model on Sleep Quality and Menopause Symptoms

NCT06991660 | Completed DMC

• 1 other identifier: 2023/4984
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Health promotion is defined as the behaviors that a person exhibits for a long-term and high-standard life. Health promotion creates a sense of health in the individual, which makes the person feel more energetic and happy. The health promotion model primarily aims to treat the disease in the person. If the individual does not have a disease, their health is further improved. Sleep is one of the basic needs required for a person to continue their life in a healthy way. Some behaviors of people affect the quality and order of sleep. Sleep hygiene is the daily activities performed to improve the quality of sleep during sleep. Sleep hygiene education aims to avoid personal behaviors that affect a healthy sleep order and to exhibit behaviors that will positively affect sleep. Menopause is defined as the permanent cessation of the menstrual cycle as a result of the ovaries losing their activity. Menopause is one of the important stages of a woman's life. Some physical and psychological changes begin to occur in women who lose their fertility and enter menopause. These changes are generally called menopausal symptoms. These symptoms are; menstrual irregularity, hot flashes, sleep disorders, tension and depression, etc. The research was planned as an experimental pre-test and post-test, and the data will be collected before and after the face-to-face training given by the researcher. The effects of sleep hygiene training given in line with the health promotion model on sleep have been investigated in the literature, but no study has been found examining the effects of sleep hygiene training given in line with the health promotion model on sleep hygiene and menopausal symptoms of women in menopause. Therefore, it is thought that the research will contribute to the literature. The results obtained as a result of the study regarding the effects of sleep hygiene training given on sleep hygiene and menopausal symptoms will be taken into consideration by midwives.

Conditions

Absence of Menstrual Bleeding for at Least 12 Consecutive Months; No Communication Difficulties; Using a Mobile Phone; Becoming Literate; Not Using Sleeping Pills; Not Taking Any Supplements to Sleep

Keywords

menopause symptoms; midwife; sleep hygiene education; sleep quality; health promotion model

Outcome Measures

Primary Outcomes (2)

• Pittsburgh Sleep Quality Index

  It was developed by Buysse et al. (1989) to assess sleep quality. It was adapted to Turkish by Ağargün et al. in 1996. The PSQI assesses the quality of an individual's sleep in the last month. While the individual answers 19 of the 24 questions in the PSQI, 5 questions are expected to be answered by the spouse or a roommate. The last 5 questions are directed only to the individual's relative in terms of clinical aspects and are not included in the scoring. The last of the questions asked as self-report questions is whether the individual has a roommate or spouse; this question is not used in the evaluation of the PSQI. There are different factors related to sleep quality in the self-report questions. The 18 items included in the scoring are divided into groups as 7 component scores. Some of the components are shown with only one item, while the other results in the classification of several items. Each component in the questions is worth 0-3 points.

  first day encountered

• Menopausal Symptoms Assessment Scale

  MSDÖ, developed by Schneider and colleagues in German to determine the level of menopause experienced by women, was translated and adapted into Turkish by Gürkan in 2005. The Likert-type scale consists of a total of 11 items covering menopausal complaints. Each item has three sub-dimensions, with the options 0: none at all, 1: mild, 2: moderate, 3: severe and 4: very severe. These are; 1. Somatic symptoms sub-dimension: items 1, 2, 3, 11 2. Psychological symptoms sub-dimension: items 4, 5, 6, 7 3. Urogenital symptoms sub-dimension: items 8, 9, 10. The total score of the scale is calculated according to the scores given to each item. The lowest score on the scale is 0, and the highest score is 44. A high total score calculated at the end of the scale indicates that the participant has many complaints and that their standard of living is negatively affected.

  first day encountered

Secondary Outcomes (2)

• pittsburg sleep index

  up to 4 weeks after registration

• Menopausal Symptoms Assessment Scale

  up to 4 weeks after registration

Study Arms (2)

training group

EXPERIMENTAL

First interview: This interview, which was held at the ASM, included meeting the women in the intervention group, applying the pre-test data, explaining the purpose of the training, and determining the training location (ASM, the participant's home, etc.). Second interview: One week after the first interview, at the appointed location (ASM and the participant's home), the "Sleep Hygiene Training" prepared according to the individual characteristics - experiences and behavior-specific cognitive processes and behavioral outputs that are the components of the SGM was carried out, the "Sleep Diary" was introduced, the "Sleep Hygiene Training Booklet" and the "Sleep Diary" were distributed. Third interview: One week after the second interview, the repeat training, which constitutes the second session of the training, was carried out. Fourth interview: Obtaining the post-test data 4 weeks after the second interview. The researcher reminded the participants about the sleep diary via text

Behavioral: sleep hygiene education

control group

NO INTERVENTION

A total of two interviews were conducted with women in the control group who were not given any intervention. In the first interview, pre-test data were obtained using the Personal Introduction Form, MSDS and PSQI. In the interview held 6 weeks after the first interview, post-test data were obtained using MSDS and PSQI. Each interview lasted an average of 15-20 minutes.

Interventions

sleep hygiene education BEHAVIORAL

This study will be conducted to examine the effects of sleep hygiene training, which is given to women in menopause to eliminate sleep problems and menopause symptoms that they often experience, on sleep and menopause symptoms experienced by women.

training group

Eligibility Criteria

• Age: 45 Years - 59 Years
• Gender Eligibility Details: Women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Not having menstrual bleeding for at least 12 consecutive months
• Not having difficulty communicating
• Using a mobile phone
• Being literate
• Not using sleeping pills
• Not taking any supplements to sleep.

You may not qualify if:

• Menstrual bleeding during the research period
• The participant wants to talk about his/her research.

Sponsors & Collaborators

• Inonu University: lead

Study Sites (1)

Inonu University

Malatya, Malatya, 44000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: First interview: This interview, which was held at the ASM, included meeting the women in the intervention group, applying the pre-test data, explaining the purpose of the training, and determining the training location (ASM, the participant's home, etc.). Second interview: One week after the first interview, at the appointed location (ASM and the participant's home), the "Sleep Hygiene Training" prepared according to the individual characteristics - experiences and behavior-specific cognitive processes and behavioral outputs that are the components of the SGM was carried out, the "Sleep Diary" was introduced, the "Sleep Hygiene Training Booklet" and the "Sleep Diary" were distributed. Third interview: One week after the second interview, the repeat training, which constitutes the second session of the training, was carried out. Fourth interview: Obtaining the post-test data 4 weeks after the second interview. The researcher reminded the participants about the sleep diary via text m

Study Record Dates

• First Submitted: May 2, 2025
• First Posted: May 28, 2025
• Study Start: February 1, 2024
• Primary Completion: March 31, 2024
• Study Completion: January 30, 2025
• Last Updated: April 1, 2026

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR

Locations

TU (1)