A Municipality Implemented Behavioural Intervention to Improve Quality of Life Among Older Adults: Protocol for a Mixed-Methods Pilot Case Study
Led by Lund University · Updated on 2025-02-04
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What this Trial Is About
Researchers are evaluating a behavioural intervention called 'Light, activity and sleep in my daily life' (LAS) aimed at improving quality of life for community-dwelling older adults aged 70 and over. The study focuses on addressing challenges related to circadian rhythm sleep disorders, poor sleep, reduced physical activity, and time spent indoors, which affect wellbeing in this population. The intervention targets light-related behaviour, outdoor walking, and sleep routines to promote active ageing and independence.
The LAS intervention is delivered as a 9-week web-based course with nine modules covering electric lighting, daylight, outdoor physical activity, and sleep. Participants also receive a test kit with items like light bulbs, a sleep mask, and a sleep diary to support engagement and experimentation. The course includes one introductory physical meeting and three additional meetings held at a senior citizen meeting point. All participants receive the same noninvasive behavioural education and support.
Participants complete questionnaires, interviews, and wear accelerometers to track activity and rest patterns before and after the course, with follow-ups at 3, 6, and 10 months after baseline. Outcomes measured include usability of the intervention, mood, sleep quality, behavioural skills, quality of life, physical activity, sedentary behaviour, and step counts. The study also explores factors that help or hinder daytime outdoor walking. Results will guide improvements for future delivery within municipal health promotion services.
CONDITIONS
Brief Title
A Municipality Implemented Behavioural Intervention to Improve Quality of Life Among Older Adults
Who Can Participate
Age: 70Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Aged 70 years or older, ambulatory and sighted
Swedish speaking
Living independently in one-person households in ordinary apartments
Receiving no or limited home care services
You will not qualify if you...
Any condition that makes it difficult to participate in the study
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - Approximately 3 months
Participants complete the 'Light, activity and sleep in my daily life' web-based course including nine modules on electric lighting, daylight, physical activity outdoors and sleep. The intervention also includes a test kit to encourage experimentation and assignments. The course involves one introductory physical meeting and three additional physical meetings held at the municipality's senior citizen meeting point.
4 physical meetings and online course participation over the intervention period
Follow-up
Duration - Up to 10 months after intervention
Participants are followed for up to 13 months after baseline to assess usability, mood, sleep quality, behavioural skills, quality of life, and physical activity patterns.
Assessments at 3, 6, and 13 months after baseline, including activity and rest pattern monitoring for 7 to 8 days at each timepoint
Usability and feasibility of an online intervention for older adults to support changes to routines and the home ('Light, activity and sleep in my daily life').
Kiran M Gerhardsson, Mariam Hassan, Åsa B Tornberg...