Effectiveness of multi-modal home-based videoconference interventions on sleep in older adults

Study protocol for a randomized controlled trial

Bibliographic Data

ID22072809
AuthorsEmma Milot (0009-0004-0699-893X, Inserm), Stéphane Rehel (Inserm), Antoine Langeard (0000-0001-5284-2435, Inserm), Lucile Bigot (École nationale des ponts et chaussées), Florane Pasquier (0000-0001-5603-4419, Inserm), Laura Matveeff (Inserm), Antoine Gauthier (0000-0001-6131-7093, Inserm), Nicolas Bessot (0000-0002-0587-2022, Inserm), Gaëlle Quarck (0000-0002-1710-2252, Inserm, corresponding author)
Year2024
Volume12
Pages1326412-1326412
Publication date2024-04-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1326412
PMID38686035
OpenAlexW4394809661
LanguageEN
References cited73

Aging is characterized by substantial changes in sleep architecture that negatively impact fitness, quality of life, mood, and cognitive functioning. Older adults often fail to reach the recommended level of physical activity to prevent the age-related decline in sleep function, partly because of geographical barriers. Implementing home-based interventions could surmount these obstacles, thereby encouraging older adults to stay active, with videoconference administration emerging as a promising solution. Increasing the availability of biological rhythms synchronizers, such as physical activity, light exposure, or vestibular stimulation, represents a viable non-pharmacological strategy for entraining circadian rhythms and potentially fortifying the sleep–wake cycle, thereby enhancing sleep in aging. This study aims to (1) assess the impact of remote physical exercise training and its combination with bright light exposure, and (2) investigate the specific contribution of galvanic vestibular stimulation, to sleep quality among healthy older adults with sleep complaints. One hundred healthy older adults aged 60–70 years with sleep complaints will be randomly allocated to one of four groups: a physical exercise training group ( n = 25), a physical exercise training combined with bright light exposure group ( n = 25), a galvanic vestibular stimulation group ( n = 25) or a control group (i.e., health education) ( n = 25). While physical exercise training and health education will be supervised via videoconference at home, bright light exposure (for the physical exercise training combined with bright light exposure group) and vestibular stimulation will be self-administered at home. Pre-and post-tests will be conducted to evaluate various parameters, including sleep (polysomnography, subjective questionnaires), circadian rhythms (actigraphy, temperature), fitness (physical: VO 2 peak, muscular function; and motor: balance, and functional mobility), cognition (executive function, long-term memory), quality of life and mood (anxiety and depression). The findings will be anticipated to inform the development of recommendations and non-pharmaceutical preventive strategies for enhancing sleep quality in older adults, potentially leading to improvements in fitness, cognition, quality of life, and mood throughout aging

Audiology · Galvanic vestibular stimulation · Mood · Physical medicine and rehabilitation · Physical therapy · Psychiatry · Psychological intervention · Randomized controlled trial · Vestibular system · Circadian rhythm and melatonin · Clinical Psychology · Medicine · Psychology · Sleep and related disorders · Sleep and Wakefulness Research · Gerontology · Internal Medicine

Tools

Open DOIOpen Access