Effect of Health Promotion Model-Based Oculomotor Exercise Program on Sleep Quality in Older Adults

NCT07261124 | Not Yet Recruiting

• 1 other identifier: IUC_LEE_HS_1
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to investigate the effect of a Health Promotion Model-based oculomotor exercise program on sleep quality among older adults living in a nursing home. 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?

Conditions

Sleep Quality; Older Adults (65 Years and Older)

Keywords

sleep quality; health promotion; Eye Movements; nursing; aged

Outcome Measures

Primary Outcomes (1)

• Sleep Quality

  Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI), which evaluates subjective sleep quality, sleep latency, duration, and disturbances over the previous month. Higher scores indicate poorer sleep quality.

  Baseline, 4 weeks, 2 and 3 months after the intervention

Secondary Outcomes (1)

• Stage of Behavioral Change

  Baseline, 4 weeks, 2 and 3 months after the intervention

Study Arms (2)

Exercise Group

EXPERIMENTAL

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.

Behavioral: Oculomotor Exercise Program

Control Group

NO INTERVENTION

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.

Interventions

Oculomotor Exercise Program BEHAVIORAL

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.

Exercise Group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 years or older
• 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

You may not qualify if:

• Older adults unable to perform self-care independently
• 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

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

A Nursing home facility in Istanbul

Istanbul, Istanbul, Turkey (Türkiye)

Location

Related Links

• Related Info

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

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

Study Officials

• Hande sabandüzen, PhD Candidate

  İstanbul University-Cerrahpaşa

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hande Sabandüzen, PhD Candidate

CONTACT

+905455693484; handesabanduzen@ogr.iuc.edu.tr

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: PhD Candidate

Model Details: Participants will be randomly assigned to either the experimental or control group using a parallel design. The experimental group will receive a Health Promotion Model-based oculomotor exercise program while the control group will receive no tervention and continue their usual daily activities. Both groups will be evaluated simultaneously at baseline and after the intervention using standardized scales for sleep quality and behavioral change.

Study Record Dates

• First Submitted: November 23, 2025
• First Posted: December 3, 2025
• Study Start: January 5, 2026
• Primary Completion (Estimated): December 15, 2026
• Study Completion (Estimated): December 30, 2026
• Last Updated: December 3, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)