LETTER REQUESTING THE EXPERTS TO COMPUTE THE CONTENT

VALIDITY OF THE TOOL

From
:
Ms. Nishanthiry. k,
M.Sc Nursing Ist year,
Vinayaka missions college of nursing,
Puducherry.

To:

Through,
The Principal,
Vinayaka missions college of nursing,
Puducherry.

Respected Sir:
Sub: Requesting the opinion and suggestions of experts for establishing content validity of the
tool.
I am K.NISHANTHIRY , M.Sc Nursing-Ist year, Department of Medical surgical Nursing at
Vinayaka Missions College of Nursing, is conducting ‘’ Effectiveness of multifactorial
intervention on sleep quality among elderly adults in old age home, Puducherry.’’ as a
partial fulfillment of degree programme.

Here by requesting your valuable suggestions, opinions of the tool and content.
OBJECTIVES
 To assess the sleep quality among elderly adults in selected old age homes.
 To evaluate the effectiveness of multifactorial interventions on sleep quality among
elderly adults in selected old age homes.
 To correlate the effectiveness between multifactorial intervention among elderly adults.
 To associate the pretest level of sleep quality with selected demographic variables
among elderly adults in selected old age homes.

ENCLOSURE
 Section-A: Tools, Demographic variables of age, gender, education status, marital status,
dietary pattern, residence, co-morbid illnesses, religion, leisure activities, comfortable
measures, sedations.
 Section-B: the Pittsburgh sleep quality index to assess the sleep pattern of the elderly adults in
old age home.
 Validation certificate

Here by requesting your valuable, suggestions, opinions of the tool and content.

Thanking you,

Place: Puducherry. Yours sincerely,

Date: (B. NITHIYA)
 CERTIFICATE OF VALIDATION

This is to certify that the tools , Constructed by B. NITHIYA, M.Sc Nursing –II year
student of Vinayaka Missions College of Nursing, Puducherry to be used in her study titled, ‘’
Effectiveness of multifactorial intervention on sleep quality among elderly adults in old
age home, Puducherry.’’ has been validated by me.

Sl. Content Suggestion

No
1. Tool

2. Methodology

3. Demographic variables

4. The Pittsburgh sleep quality index

Signature:
Name:

Designation:
Date:

Remarks:
 VINAYAKA MISSION’S COLLEGE OF NURSING
Kirumampakkam, Puducherry
A Constituent College of
VINAYAKA MISSION’S RESEARCH FOUNDATION(SALEM)
(Deemed to be University)

1. Title: Effectiveness of multifactorial intervention on sleep quality among elderly

adults in old age home, Puducherry.

2. Guide I: Mrs. Sasikala.R

Assistant Professor,
Dept. of Medical Surgical Nursing ,
VMCON, Puducherry.

3. Guide II: Mrs.Gomathy.R

Associate Professor,
Dept. of Medical Surgical Nursing,
VMCON,Puducherry.

4. Name of the candidate: Ms. B.Nithiya

5. Name of the department: Medical Surgical Nursing

STATEMENT OF THE PROBLEM:
A study to assess the effectiveness of multifactorial intervention on sleep quality
among elderly adults in old age home, Puducherry.
OBJECTIVES:

 To assess the sleep quality among elderly adults in selected old age homes.
 To evaluate the effectiveness of multifactorial interventions on sleep
quality among elderly adults in selected old age homes.
 To compare the effectiveness between multifactorial intervention among
elderly adults.
 To associate the pretest level of sleep quality with selected demographic
variables among elderly adults in selected old age homes.
HYPOTHESIS:

H1: There will be a significant difference between the sleep quality among
elderly adults after receiving multi-arm interventions.
H2: There will be a significant association between pretest with selected
demographic variable.
DELIMITATIONS:
1. The Elderly adults who are 60-85 years living in selected old age home.

2. The study is delimited to 60 elderly adults.

3. The duration of the study is delimited to 2 months.

RESEARCH METHODOLOGY:
RESEARCH APPROACH:

Research approach is the basic procedure for conducting the study. A quantitative

research approach was adapted for this study.

RESEARCH DESIGN:

Research design is an investigator’s overall plan for obtaining answers to the

research questions and it spells out strategies that the researcher adopted to develop

information that is accurate, objective and interpretable. A Pre experimental one group

pretest-posttest designs was adapted for this study

POPULATION:

The population is referred to as a group of all the elements like individuals or

objects that are available in the same geographical area. The target population for this

study comprises of Elderly adults living in old age home with sleep disturbances.

SAMPLE:

Sample is a selected proportion of the defined population. It is a subset of a

population. The sample for the study is elderly adults who fulfill in the inclusion and

exclusion criteria.

SAMPLE SELECTION CRITERIA:

Inclusion criteria: The study includes,

1. Both male and female comes under the age group of 60-85 years.

2. Elderly living in old age homes with sleep pattern disturbances.

3. Elderly who are willing to participate in the study.

 4. Elderly who can read and write Tamil, English.

 Exclusion criteria:

1. Elderly who doesn’t have sleep disturbance.

2. Elderly who are taking sleeping pills.

3. Elderly who are not willing.

SAMPLE SIZE:

Sample size is the number of subjects involved in the study. The sample size of the

study is 60 elderly adults. (20 samples per intervention).

SAMPLING TECHNIQUE:

Sampling technique is defined as the process of selecting a group of people or the

other elements with which conduct a study. Convenient sampling technique is used for

the present study.

SETTING OF THE STUDY:

The study will be conducted at selected old age homes at puducherry.

DESCRIPTION OF TOOL :

The tool consists of two section, section A and section B.

Section A: this section consists of age, gender, education status, marital status, dietary

pattern, residence, co-morbid illnesses, religion, leisure activities, comfortable

measures, sedations.
Section B: this section consists of scale (the Pittsburgh sleep quality index) to assess the

sleep pattern of the elderly adults in old age home.

It contains 9 questions 1, 2, 3, 4, 9 questions base on general information

sleep quality assessment questions 5,(a-j) 6,7,8 are rated each scored 0 (no difficulty) to

3 (severe difficulty). The component scores are summed to produce a total score (range

0 to 39). Higher scores indicate worse sleep quality.

Interpretation of score:

1. Very good 0-10

2. Fairly good 11-20
3. Fairly bad 21-30
4. Very bad 31-39

DATA COLLECTION PROCEDURE:

ETHICAL CONSIDERATION:

Ethical consideration will be obtained from the institutional ethical committee.

Informed consent will be obtained. Then the researcher will assess the

demographic variables and find out the sleep problems by using the Pittsburgh sleep

quality index scale. The sample will be collected and then divide in to 3groups.

(20/group).The researcher will provide (the multifactorial intervention to 3 groups)

aromatherapy, diet, leisure activity to the sample for 7 days. The researcher will assess

the post test results after 7 days of the intervention.

1. Informed consent will be obtained. Then the researcher will assess the demographic
variables and find out the sleep problems by using the Pittsburgh sleep quality index
scale.
2.The sample will be collected and then divide in to 3groups.(20/group)
3.The researcher will provide (the multifactorial intervention to 3 groups)
aromatherapy, diet, leisure activity to the sample for 7 days.
4.The researcher will assess the post test results after 7 days of the intervention.

DATA ANALYSIS:
• The collected data will be analyzed by descriptive and inferential statistics such
as Frequency percentage, chi square r- value

GROUP – I GROUP –II GROUP-III

20 20 20

FOR SEVEN DAYS:

PRE TEST :
The sample size is 60 samples , we divided into 20 for aromatherapy, 20 for diet ,20 for
leisure activity.
I stgroup consists of 20 members for aromatherapy.
IIndgroup consists of 20 diet.
IIIrdgroup consists of 20 members for leisure activity.
STEPS IN AROMATHERAPY:
1. Dilute lavender oil with a coconut oil. ( lavender oil is very powerful, hence
decided to use a diluted oil) 12 drops of lavender oil to 50ml carrier(coconut) oil.
2. Test the oil on your skin.
3. Lavender oil and coconut oil heated with lamp and it’s spread fragrance.
DIET:
The mixture of milk and honey (milk150ml +2 teaspoon of honey).
LEISURE ACTIVITY:
Reading books like (Religious book).(According to client preference).

DATA ANALYSIS:
1. Descriptive statistics: Frequency distribution, mean and standard deviation are used

to assess the demographic Variables and Assessment of the sleep quality among elderly

adults in old age home.

2. Inferential statistics:

A. Paired t test will be used to find out the effectiveness of multifactorial intervention

on sleep quality among elderly adults in old age home.

B. Independent t test will be used to find out the comparison of multifactorial

intervention on sleep quality among elderly adults in old age home.

C. Chi-square test determines the association between the sleep quality among elderly

adults in old age home with selected demographic Variables.

 DEMOGRAPHIC VARIABLES

1. AGE ( in year )
a. 60- 65
b. 66- 75
c. 76- 85

2. SEX
a. Male
b. Female

3. EDUCATION
a. Illiterate
b. Primary education
c. Secondary education
d. Graduate

4 .MARITAL STATUS
a. Married
b. Un married
c. Widower
d. Divorced

5 .DIETARY PATTERN
a. Normal diet
b. Semi Solid diet/ soft diet
c. Salt restricted diet
d. diabetic diet

6 .RESIDENCE
a. Urban
b. Rural
7. RELEGION
a. Hindu
b. Christian
c. Muslim
d. Others

8. HISTORY OF COMORBID ILLNESSES YES /NO IF YES,

a. Heart disease.
b. Diabetes mellitus.
c. Asthma.
d. Hypertension.
e. Kidney diseases.

9. CURRENT TREATMENT FOR OF CO MORBID ILLNESSES?

a. Yes
Ifyes, specify the diseases name?

b. No

10. LEISURE ACTIVITIES

a. Reading books
b. Walking
c. Listening to music
d. Chatting with friends.

11. HISTORY OF SLEEPING PILLS INTAKE?

a. Yes
If yes. Specify the drug name

b. No

12. COMFORTABLE MEASURES TAKEN TO PROMOTE SLEEP.

a. Blanket
b. Extra Pillows
c. Evening bath

13. DO YOU HAVE ANY ALLERGIC HISTORY OF?

 a. Perfumes or scent.
b. Room freshener.
c. Agarpathi smoke.

THE PITTSBURGH SLEEP QUALITY INDEX (PSQI)

1. When have you usually gone to bed?

2. How long (in minutes) has it taken you to fall asleep each night?
3. When have you usually gotten up in the morning?
4. How many hours of actual sleep do you get at night (This may be different than the number of hours
you spend in bed)
5. During the Not during the Less than once a Once or twice a Three or more
past month, how past month (0) week (1) week (2) times week (3)
often have you
had trouble
sleeping
because you...
a. Cannot get to
sleep within 30
minutes.
b. Wake up in
the middle of
the night or
early morning.
c. Have to get
up to use the
bathroom
d. Cannot
breathe
comfortably.
e. Cough or
snore loudly
f. Feel too cold
g. Feel too hot
h. Have bad
dreams
i. Have pain
j. Other
reason(s), please
describe,
including how
often you have
had trouble
sleeping
because of this
reason(s):
6. During the
past month, how
often have you
taken medicine
(prescribed or
"over the
counter") to
help you sleep?
7. During the
past month, how
often have you
had trouble
staying awake
while driving,
eating meals, or
engaging in
social activity?
8. During the
past month, how
much of a
problem has it
been for you to
keep up
enthusiasm to
get things done?

Very good (0) Fairly good (1) Fairly bad (2) Very bad (3)

9. During the
past month, how
would you rate
your sleep
quality overall?

1. Very good 0-10

2. Fairly good 11-20
3. Fairly bad 21-30
4. Very bad 31-39