Aim: The purpose of the present study was to investigate the impact of web-based mindfulness yoga on elderly caregivers’ level of insomnia, sleep quality, and beliefs in ideal care using a repeated measure analysis. Web-based interventions are highly beneficial for many individuals of all ages since they are accessible, convenient, private, cost-effective, and can impact on a large scale. Since there is no study examining the impact of web-based mindfulness yoga programs on insomnia, sleep quality, and beliefs in their ideal care, this study is worthy of investigation. Methods: A total of 27 care workers who met all criteria from care service centers for the elderly in the Kyushu area, Japan, completed the Insomnia Severity Index, Sleep Quality Scale extracted from the Oguri-Shirakawa-Azumi Sleep Inventory, and Caregivers’ Belief in Ideal Care before and after practicing a web-based mindfulness yoga program. We employed a within-subject design to investigate the effect of mindfulness yoga on those measured surveys. Results: Repeated-measures ANOVAs were performed by comparing the ISI-J, CBIC, and Sleep Quality Scale before and after the intervention. The results revealed that participants significantly improved their insomnia, sleep quality, and beliefs in ideal care, which were assessed after the intervention compared to before the intervention. Conclusion: Web-based interventions are extremely beneficial for many individuals of all ages since they are accessible, convenient, private, cost-effective, and can impact on a large scale. Furthermore, given that alleviating poor work environment may be associated with mitigating high turnover rates and prevention of maltreatment of their elderly clients, this study has added to current literature the crucial roles of web-based intervention programs. We hope that our findings will encourage the provision of web-based intervention programs where caregivers can practice them during their break or at home.
References
[1]
National Institute of Population and Security Research (2018) Detailed Result Table for Japan’s Future Estimated Population (Estimated in 2017). (In Japanese) http://www.ipss.go.jp/syoushika/tohkei/Mainmenu.asp
[2]
Ministry of Health, Labour and Welfare (2018) Kaigo jinzaino shogu kaizen ni tsuite [About Treatment Improvement of Professional Caregivers]. (In Japanese) https://www.mhlw.go.jp/content/12601000/000376603.pdf
[3]
Costello, H., Walsh, S., Cooper, C. and Livingston, G. (2018) A Systematic Review and Meta-Analysis of the Prevalence and Associations of Stress and Burnout among Staff in Long-Term Care Facilities for People with Dementia. International Psychogeriatrics, 31, 1203-1216. https://doi.org/10.1017/s1041610218001606
[4]
Czuba, K.J., Kayes, N.M. and McPherson, K.M. (2019) Support Workers’ Experiences of Work Stress in Long-Term Care Settings: A Qualitative Study. International Journal of Qualitative Studies on Health and Well-being, 14, Article ID: 1622356. https://doi.org/10.1080/17482631.2019.1622356
[5]
Jain, O. (2024) Quality of Life and Burnout: A Study on Caregivers of Elderly. Inter-national Journal of Interdisciplinary Approaches in Psychology, 2, 1368-1399.
[6]
Kukihara, H., Ando, M., Koga, K., Nishio, M., Nakashima, F. and Yamawaki, N. (2024) The Mediating Roles of Psychological Resilience and Psychological Well-Being of Caregivers for the Older Adults. Journal of Rural Medicine, 19, 241-249. https://doi.org/10.2185/jrm.2023-037
[7]
Kukihara, H., Ando, M. and Yamawaki, N. (2022) The Effects of Yoga and Mindful Meditation on Elderly Care Worker’s Burnout: A Consort-Compliant Randomized Controlled Trial. Journal of Rural Medicine, 17, 14-20. https://doi.org/10.2185/jrm.2021-021
[8]
Meiklejohn, J., Phillips, C., Freedman, M.L., Griffin, M.L., Biegel, G., Roach, A., et al. (2012) Integrating Mindfulness Training into K-12 Education: Fostering the Resilience of Teachers and Students. Mindfulness, 3, 291-307. https://doi.org/10.1007/s12671-012-0094-5
[9]
Hartfiel, N., Havenhand, J., Khalsa, S.B., Clarke, G. and Krayer, A. (2010) The Effectiveness of Yoga for the Improvement of Well-Being and Resilience to Stress in the Workplace. Scandinavian Journal of Work, Environment & Health, 37, 70-76. https://doi.org/10.5271/sjweh.2916
[10]
Renton, T., Tang, H., Ennis, N., Cusimano, M.D., Bhalerao, S., Schweizer, T.A., et al. (2014) Web-Based Intervention Programs for Depression: A Scoping Review and Evaluation. Journal of Medical Internet Research, 16, e209. https://doi.org/10.2196/jmir.3147
[11]
Heber, E., Ebert, D.D., Lehr, D., Cuijpers, P., Berking, M., Nobis, S., et al. (2017) The Benefit of Web-and Computer-Based Interventions for Stress: A Systematic Review and Meta-Analysis. Journal of Medical Internet Research, 19, e32. https://doi.org/10.2196/jmir.5774
[12]
Palmer, M., Sutherland, J., Barnard, S., Wynne, A., Rezel, E., Doel, A., et al. (2018) The Effectiveness of Smoking Cessation, Physical Activity/diet and Alcohol Reduction Interventions Delivered by Mobile Phones for the Prevention of Non-Communicable Diseases: A Systematic Review of Randomised Controlled Trials. PLOS ONE, 13, e0189801. https://doi.org/10.1371/journal.pone.0189801
[13]
Afshin, A., Babalola, D., Mclean, M., Yu, Z., Ma, W., Chen, C., et al. (2016) Information Technology and Lifestyle: A Systematic Evaluation of Internet and Mobile Interventions for Improving Diet, Physical Activity, Obesity, Tobacco, and Alcohol Use. Journal of the American Heart Association, 5, e003058. https://doi.org/10.1161/jaha.115.003058
[14]
Schoeppe, S., Alley, S., Van Lippevelde, W., Bray, N.A., Williams, S.L., Duncan, M.J., et al. (2016) Efficacy of Interventions That Use Apps to Improve Diet, Physical Activity and Sedentary Behaviour: A Systematic Review. International Journal of Behavioral Nutrition and Physical Activity, 13, Article No. 127. https://doi.org/10.1186/s12966-016-0454-y
[15]
Murray, A., Marenus, M., Cahuas, A., Friedman, K., Ottensoser, H., Kumaravel, V., et al. (2022) The Impact of Web-Based Physical Activity Interventions on Depression and Anxiety among College Students: Randomized Experimental Trial. JMIR Formative Research, 6, e31839. https://doi.org/10.2196/31839
[16]
Elliot, A.J., McGregor, H.A. and Gable, S. (1999) Achievement Goals, Study Strategies, and Exam Performance: A Mediational Analysis. Journal of Educational Psychology, 91, 549-563. https://doi.org/10.1037/0022-0663.91.3.549
[17]
Bastien, C. (2001) Validation of the Insomnia Severity Index as an Outcome Measure for Insomnia Research. Sleep Medicine, 2, 297-307. https://doi.org/10.1016/s1389-9457(00)00065-4
[18]
Munazawa, T., Morin, C.M., Inoue, Y., et al. (2009) Development of the Japanese version of Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-J). Japanese Journal of Sleep Medicine, 3, 396-403.
[19]
Oguri, M., Shirakawa, S. and Azumi, K. (1985) A Development of OSA Sleep Questionnaire. SeishinIgaku, 27, 791-799. (In Japanese)
[20]
Durak, A. and Catikkas, N.M. (2024) Is Caregiver Sleep Quality an Important Clinical Issue? Sleep and Biological Rhythms, 22, 403-410. https://doi.org/10.1007/s41105-024-00523-2
[21]
Peng, H., Lorenz, R.A. and Chang, Y. (2018) Factors Associated with Sleep in Family Caregivers of Individuals with Dementia. Perspectives in Psychiatric Care, 55, 95-102. https://doi.org/10.1111/ppc.12307
[22]
Gao, C., Chapagain, N.Y. and Scullin, M.K. (2019) Sleep Duration and Sleep Quality in Caregivers of Patients with Dementia: A Systematic Review and Meta-Analysis. JAMA Network Open, 2, e199891. https://doi.org/10.1001/jamanetworkopen.2019.9891
[23]
Cong, L., Ju, Y., Gui, L., Zhang, B., Ding, F. and Zou, C. (2021) The Mediating Role of Self-Efficacy in Sleep Disorder and Depressive Symptoms among Chinese Caregivers of Stroke Inpatients: A Structural Equation Modeling Analysis. Neuropsychiatric Disease and Treatment, 17, 3635-3643. https://doi.org/10.2147/ndt.s338241
[24]
Tei-tominaga, M. and Nakanishi, M. (2020) Factors Related to Turnover Intentions and Work-Related Injuries and Accidents among Professional Caregivers: A Cross-Sectional Questionnaire Study. Environmental Health and Preventive Medicine, 25, Article No. 24. https://doi.org/10.1186/s12199-020-00863-8
[25]
James-Palmer, A., Anderson, E.Z. and Daneault, J. (2022) Remote Delivery of Yoga Interventions through Technology: Scoping Review. Journal of Medical Internet Research, 24, e29092. https://doi.org/10.2196/29092
[26]
Charness, G., Gneezy, U. and Kuhn, M.A. (2012) Experimental Methods: Between-Subject and Within-Subject Design. Journal of Economic Behavior & Organization, 81, 1-8. https://doi.org/10.1016/j.jebo.2011.08.009
