This is a proof-of-concept pilot nested in the RCT titled, 'Zero-time Exercise on Inactive Adults With Insomnia Disorder'. It aims to evaluate the effects of a simple WhatsApp intervention on exercise adherence and on sleep and related outcomes.
This is the second phase of another study - 'Zero-time Exercise on Inactive Adults With Insomnia Disorder'. In the first phase (baseline to week 8), 136 subjects will be randomly allocated to the ZTEx intervention or the sleep hygiene education (SHE) comparison group. They will receive two 2-hour ZTEx training or SHE lessons and practice ZTEx or follow the sleep hygiene instruction for 24 weeks. The second phase of the study (weeks 9-24)will commence after completion of the assessment of the RCT at week 8. Subjects in the Zero-time Exercise (ZTEx) group will be randomly divided into either an ZTEx with WhatsApp reminder (ZTEx+R) group or an ZTEx without WhatsApp reminder (ZTEx alone) group to evaluate the effects of WhatsApp reminders on exercise adherence and sleep and related outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
68
Zero Time Exercise encourage people to increase physical exercise by simple movements that can be done any time at any places. We offer a 2-session training course to train the subjects to do zero-time exercise. In addition, WhatsApp anti-inertia reminders will be sent daily by the research assistant to remind and encourage the participants to practice the Zero Time Exercise.
Zero Time Exercise encourage people to increase physical exercise by simple movements that can be done any time at any places. We offer a 2-session training course to train the subjects to do zero-time exercise.
School of Nursing, the Hong Kong Polytechnic University
Hong Kong, Hong Kong
Change in Insomnia Severity Index
The subjects rate the severity of insomnia, the distress, and the functional impairment associated with insomnia on a 5-point scale. The score ranges from 0 to 28. The higher the score, the worse the outcome is.
Time frame: week 8, week 16, week 24
Change in the intervention adherence
Patients will be told to record their daily physical activities or sleep health hygiene compliance onto the log.
Time frame: week 8, week 16, week 24
Sleep diary (7-day)
The standardized sleep diary records the daily bedtime and rising time, from which the total time in bed (TIB) can be calculated.
Time frame: week 8, week 16, week 24
Hospital Anxiety and Depression Scale
The Hospital Anxiety and Depression Scale is a 14-items self-administered questionnaire, which assesses the severity of depressive and anxiety symptoms. The score ranges from 0-21 for either depression or anxiety. The higher the score, the worse the outcome is.
Time frame: week 8, week 16, week 24
Multidimensional fatigue inventory-20
Multidimensional fatigue inventory-20 is a 20-items self-report instrument designed to measure severity of fatigue. The score ranges from 20 to 100. The higher the score, the worse the outcome is.
Time frame: week 8, week 16, week 24
Actigraphy (7-day)
Actigraphy measures wrist movements to assess sleep or waking state, is accomplished through an accelerometer in a wrist worn device.
Time frame: week 8, week 16, week 24
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Accelerometer (7-day)
Accelerometer measures wrist movements to assess the physical activity levels.
Time frame: week 8, week 16, week 24
Change in WAIS-IV Digit Span forward test
Change in Wechsler Adult Intelligence Scale, 4th edition (WAIS-IV) Digit Span forward test score will be used to measure the attention function.
Time frame: week 8, week 16, week 24
Change in WAIS-IV Color Trails Test
Change in Wechsler Adult Intelligence Scale, 4th edition (WAIS-IV) Color Trails Test score will be used to measure the attention function.
Time frame: week 8, week 16, week 24
Change in WAIS-IV Stroop color-word Test
Change in Wechsler Adult Intelligence Scale, 4th edition (WAIS-IV) Stroop color-word Test score will be used to measure the attention function.
Time frame: week 8, week 16, week 24
Change in the Hong Kong List Learning Test (HKLLT)
Change in HKLLT Test score will be used to measure the memory function.
Time frame: week 8, week 16, week 24
Change in Digit Span-backward and forward test
Change in Digit Span-backward and forward test score will be used to measure the memory function.
Time frame: week 8, week 16, week 24
Change in the interference index of Color Trails Test
Change in the interference index of Color Trails Test score will be used to measure the executive function
Time frame: week 8, week 16, week 24
Change in the interference index of Stroop color-word Test
Change in the interference index of Stroop color-word Test score will be used to measure the executive function
Time frame: week 8, week 16, week 24
Change in the Wisconsin Card Sorting Test
Change in the Wisconsin Card Sorting Test score will be used to measure the executive function
Time frame: week 8, week 16, week 24