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Spring 2025. Vol 20. Issue 1
* Corresponding Author:
Negar Pourvakhshoori, Assistant Professor.
Address: Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Tel: +98 (13) 32555058
E-mail: nvakhshoori@gums.ac.ir
1. Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2. Department of Biostascs, Road Trauma Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
3. Medical Educaon Research Center, Educaon Development Center, Guilan University of Medical Sciences, Rasht, Iran.
Shahla Asiri
1
, Hananeh Rahimi
1
, Ehsan Kazemnezhad Leyli
2
, *Negar Pourvakhshoori
1,3
Citation Asiri Sh, Rahimi H, Kazemnezhad Leyli E, Pourvakhshoori N. [Investigating the Effects of Sleep Health Education
Based on Mobile Application on Sleep Quality of the Elderly: A Quasi-Experimental Study (Persian)]. Iranian Journal of Ageing.
2025; 20(1):136-155. http://dx.doi.org/10.32598/sija.2024.3972.1 http://dx.doi.org/10.32598/sija.2024.3972.1
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Objecves Sleep disorders are among the most prevalent issues impacng the quality of the elderly.
Sleep hygiene training, aimed at modifying beliefs and habits related to sleep, is a non-pharmacological
method for treang these disorders. This study determines the effect of sleep health educaon, delivered
via a mobile applicaon, on the sleep quality of elderly individuals covered by the naonal pension fund
in Rasht City, Iran, in 2022.
Methods & Materials This semi-experimental study was conducted in two phases. Inially, 330 elderly
individuals were included, and their sleep quality was assessed using a designated tool. Subsequently,
96 individuals with low sleep quality were randomly divided into two groups of 48 subjects, namely an
intervenon group and a control group. Data were collected using a two-part quesonnaire consisng
of socio-demographic informaon and the Pisburgh sleep quality index (PSQI). The intervenon group
received training on using the mobile-based sleep health educaonal applicaon during two face-to-face
sessions and was instructed to implement its programs daily for four weeks.
Results The results of the study indicated that the average age of the elderly parcipants was 68.98±6.52
years, with the majority being female (60.1%), married (83.3%), living in urban areas (91.5%), and having
a university educaon (52%). The mean sleep quality score for the elderly was 5.37±3.88, which was
influenced by factors such as gender, educaon level, marital status, living arrangements, underlying
health condions, and employment status (P≤0.05). Among the sleep quality components, sleep onset
delay presented the greatest challenge, while the use of sleep medicaons was the least problemac.
Mulvariate analysis of covariance analysis indicated that sleep hygiene educaon significantly improved
sleep quality across all areas, except for sleep efficiency (P≥0.05).
Conclusion Sleep health educaon ulizing accessible and praccal methods enhances the sleep quality
of the elderly. Given the high prevalence of sleep disorders and their associated complicaons in this
demographic, this model is recommended as a non-pharmacological treatment for managing sleep
disorders, targeng healthcare workers, the elderly, and their caregivers.
Keywords Sleep quality, Elderly, Health educaon, Applicaon, Mobile phone
A B S T R A C T
Arcle Info:
Received: 25 Aug 2024
Accepted: 20 Oct 2024
Available Online: 01 Apr 2025
Research Paper
Invesgang the Effects of Sleep Health Educaon Based on Mobile Applicaon
on Sleep Quality of the Elderly: A Quasi-Experimental Study
Copyright © 2025 The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC: https://creativecommons.org/licenses/by-nc/4.0/legalcode.en),
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