TY - JOUR
T1 - The effects of an integrated mindfulness-based tai chi chuan programme on sleep disturbance among community-dwelling elderly people
T2 - protocol for a randomized controlled trial
AU - Chan, Sunny Ho Wan
AU - Ng, Siu Man
AU - Yu, Chong Ho
AU - Chan, Ching Man
AU - Wang, Shu Mei
AU - Chan, Wai Chi
N1 - Funding Information:
This research project is supported by the Health and Medical Research Fund from the Government of the Hong Kong Special Administrative Region (Project Number: 18191411). The funding body has peer-reviewed the manuscript. The funder is independent of the design of the study and collection, analysis, and interpretation of the data. The authors are solely responsible for the content of the manuscript and the decision to submit it for publication.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: Many elderly individuals who experience sleep disturbances would consider complementary and alternative medicine as an alternative therapeutic option in light of the limitations of traditional treatments. Mindfulness-based interventions (MBIs) and Tai Chi Chuan (TCC) are two alternative forms of complementary and alternative medicine. They both share the common feature of a focus on breathing but represent distinct approaches with different mechanisms and philosophical orientations. The trial described in this protocol aims to evaluate the effects of an integrated form of mindfulness-based Tai Chi Chuan (MBTCC) programme and the underlying mechanisms of the beneficial effects over a 12-month follow-up. Methods: The planned study is a four-armed randomized controlled trial with repeated measures. A total of 256 community-dwelling older adults with sleep problems will be recruited and randomized into four groups: (1) an MBTCC group, (2) an MBI group, (3) a TCC group, and (4) a sleep hygiene education (SHE) control group. The outcome measures in terms of insomnia severity, interoception, sleep-wake pattern, health status, rumination, and hyperarousal level will be collected at four time points: at baseline (T1), after the 8-week intervention (T2), 6 months after the intervention (T3), and 1 year after the intervention (T4). In addition, qualitative evaluation through focus group interviews will be conducted at the end of the 12-month assessment period (T4). Discussion: This trial will illuminate the synergetic effect of combining both MBIs and TCC on optimizing improvements in sleep disturbance. The findings from this study can provide empirical support for this integrated treatment, which provides an alternative for healthcare professionals in elderly service to select appropriate practices to treat elderly people with sleep disturbance. It can further help to lessen the growing public health burden of sleep disturbances among the elderly living in the community. Trial registration: ClinicalTrials.gov. NCT05396092.
AB - Background: Many elderly individuals who experience sleep disturbances would consider complementary and alternative medicine as an alternative therapeutic option in light of the limitations of traditional treatments. Mindfulness-based interventions (MBIs) and Tai Chi Chuan (TCC) are two alternative forms of complementary and alternative medicine. They both share the common feature of a focus on breathing but represent distinct approaches with different mechanisms and philosophical orientations. The trial described in this protocol aims to evaluate the effects of an integrated form of mindfulness-based Tai Chi Chuan (MBTCC) programme and the underlying mechanisms of the beneficial effects over a 12-month follow-up. Methods: The planned study is a four-armed randomized controlled trial with repeated measures. A total of 256 community-dwelling older adults with sleep problems will be recruited and randomized into four groups: (1) an MBTCC group, (2) an MBI group, (3) a TCC group, and (4) a sleep hygiene education (SHE) control group. The outcome measures in terms of insomnia severity, interoception, sleep-wake pattern, health status, rumination, and hyperarousal level will be collected at four time points: at baseline (T1), after the 8-week intervention (T2), 6 months after the intervention (T3), and 1 year after the intervention (T4). In addition, qualitative evaluation through focus group interviews will be conducted at the end of the 12-month assessment period (T4). Discussion: This trial will illuminate the synergetic effect of combining both MBIs and TCC on optimizing improvements in sleep disturbance. The findings from this study can provide empirical support for this integrated treatment, which provides an alternative for healthcare professionals in elderly service to select appropriate practices to treat elderly people with sleep disturbance. It can further help to lessen the growing public health burden of sleep disturbances among the elderly living in the community. Trial registration: ClinicalTrials.gov. NCT05396092.
KW - Community-dwelling elderly
KW - Mind-body interventions
KW - Mindfulness-based tai chi chuan
KW - Randomized controlled trial
KW - Sleep disturbance
UR - http://www.scopus.com/inward/record.url?scp=85138458197&partnerID=8YFLogxK
U2 - 10.1186/s13063-022-06737-4
DO - 10.1186/s13063-022-06737-4
M3 - Journal article
C2 - 36153623
AN - SCOPUS:85138458197
VL - 23
JO - Trials
JF - Trials
SN - 1745-6215
IS - 1
M1 - 808
ER -
