Evidence map›Paper›PMID 42920831›Full record

ArticleHealth science reports2026

Effect of a Researcher-Supervised Walking Program With Smartphone-Based Step Monitoring on Sleep Quality in Older Psychiatric Inpatients: A Randomized Controlled Trial.

Samin Khoshnoud Speily, Roya Mansour-Ghanaei, Robabeh Soleimani, Saman Maroufizadeh

Abstract read
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Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Samin Khoshnoud SpeilyZeynab (P.B.U.H) School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran.
Roya Mansour-GhanaeiZeynab (P.B.U.H) School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran.ORCID https://orcid.org/0000-0001-8062-8858
Robabeh SoleimaniDepartment of Psychiatry, School of Medicine Guilan University of Medical Sciences Rasht Iran.ORCID https://orcid.org/0000-0003-1463-0380
Saman MaroufizadehGastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht Iran.ORCID https://orcid.org/0000-0001-5794-3876

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Sleep disorders are common among hospitalized older adults with psychiatric conditions and may adversely affect health. Structured walking is a promising nonpharmacological intervention, and smartphone-based step monitoring may support adherence. This study evaluated the effect of a researcher-supervised walking program supported by smartphone-based step monitoring on sleep quality in older adults admitted to a psychiatric hospital in Guilan Province, Iran. Methods: In this randomized controlled trial, 62 hospitalized older adults were randomly assigned to the intervention or control groups. The intervention group received routine care plus a 4-week researcher-supervised walking program supported by smartphone-based step monitoring, consisting of 30-min outdoor walking sessions three times weekly. The control group received routine care alone. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) at baseline and postintervention. The primary outcome was global PSQI score, assessed at baseline and postintervention. The prespecified primary analysis was ANCOVA; because its assumptions were not fully met, a post hoc change score analysis was conducted using Welch's Results: Complete outcome data were available for 55 of the 62 randomized participants, and the primary analysis used a complete case approach without imputation. The mean PSQI score decreased from 12.93 ± 3.94 to 5.89 ± 3.48 in the intervention group and from 11.64 ± 3.94 to 9.39 ± 3.07 in the control group. The intervention group demonstrated significantly greater improvement in PSQI scores (between-group mean difference in change: -4.79, 95% CI -6.05 to -3.52; Cohen's Conclusion: A researcher-supervised walking program supported by smartphone-based step monitoring was associated with improved sleep quality in hospitalized older adults with psychiatric disorders and may be a feasible non-pharmacological adjunct to routine inpatient care.

Indexed as

geriatric psychiatryinpatientsmHealtholder adultssleep qualitysmartphone‐guided physical activity

Identifiers

PMID42920831
PMCPMC13691535

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.