Preventive Care in Nursing and Midwifery Journal
Volume 16, Issue 2 (4-2026)
Prev Care Nurs Midwifery J 2026, 16(2): 13-25 |
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Ethics code: IR.IAU.SRB.REC.1404.137
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Shahaned-hellaba T, Khodabakhshi-Koolaee A, Falsafinejad M R. Efficacy of Online Mindful Self-Compassion Therapy on Sleep Quality and Pain Adaptation to in Employees with Physical Disabilities: A Quasi-Experimental Study. Prev Care Nurs Midwifery J 2026; 16 (2) :13-25
URL: http://nmcjournal.zums.ac.ir/article-1-1008-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-1008-en.html
Department of Psychology and Educational Sciences, Faculty of Humanities, Khatam University, Tehran, Iran , a.khodabakhshid@khatam.ac.ir
Abstract: (226 Views)
Background: Sleep disturbances and poor pain adaptation are common in individuals with physical disabilities, yet evidence on online interventions for this population remains limited.
Objectives: This study evaluated online mindful self-compassion therapy's effectiveness on sleep quality and pain adaptation in physically impaired employees of the National Iranian Gas Company.
Methods: This quasi-experimental pretest-posttest study with a control group included 30 employees with physical disabilities, non-randomly assigned to experimental (n=15) or control (n=15) groups. The experimental group received eight 45-minute online mindful self-compassion sessions. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and Adaptation to Chronic Pain Questionnaire (ACPQ), analyzed via MANCOVA in SPSS-25.
Results: The intervention significantly improved sleep quality in the experimental group (F=6.39; η²=0.204; p<0.01). No significant difference was observed for pain adaptation (F=2.13; η²=0.079; p>0.05). However, this null finding is inconclusive due to very low statistical power (0.29). Post-hoc power analysis indicated 118 participants would be required to reliably detect this medium effect size.
Conclusion: Online mindful self-compassion therapy appears effective for improving sleep quality in individuals with physical disabilities. Regarding pain adaptation, no meaningful conclusion can be drawn due to insufficient power. Future adequately powered trials (target N≈118) are needed. The quasi-experimental design also limits causal inferences.
Objectives: This study evaluated online mindful self-compassion therapy's effectiveness on sleep quality and pain adaptation in physically impaired employees of the National Iranian Gas Company.
Methods: This quasi-experimental pretest-posttest study with a control group included 30 employees with physical disabilities, non-randomly assigned to experimental (n=15) or control (n=15) groups. The experimental group received eight 45-minute online mindful self-compassion sessions. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and Adaptation to Chronic Pain Questionnaire (ACPQ), analyzed via MANCOVA in SPSS-25.
Results: The intervention significantly improved sleep quality in the experimental group (F=6.39; η²=0.204; p<0.01). No significant difference was observed for pain adaptation (F=2.13; η²=0.079; p>0.05). However, this null finding is inconclusive due to very low statistical power (0.29). Post-hoc power analysis indicated 118 participants would be required to reliably detect this medium effect size.
Conclusion: Online mindful self-compassion therapy appears effective for improving sleep quality in individuals with physical disabilities. Regarding pain adaptation, no meaningful conclusion can be drawn due to insufficient power. Future adequately powered trials (target N≈118) are needed. The quasi-experimental design also limits causal inferences.
Keywords: Self-compassion Therapy, Mindfulness, Sleep Quality, Adaptation to Chronic Pain, Physical Disability, Online Intervention
Type of Study: Orginal research |
Subject:
other
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