Comparing the effects of music and exercise with music for older adults with insomnia. Author: Huang CY1, Chang ET2, Lai HL3 Affiliation: <sup>1</sup>Department of Nursing, I-Shou University, No.8, Yida Rd., Kaohsiung City, 82445,Taiwan, R.O.C. <sup>2</sup>Department of Chest Medicine, Buddhist Tzu Chi General Hospital, No. 701, Section 3, Zhongyang RD, Hualien, 97004, Taiwan. <sup>3</sup>Department of Chest Medicine, Buddhist Tzu Chi General Hospital, No. 701, Section 3, Zhongyang RD, Hualien, 97004, Taiwan. Electronic address: snowjade@mail.tcu.edu.tw. Conference/Journal: Appl Nurs Res. Date published: 2016 Nov Other: Volume ID: 32 , Pages: 104-110 , Special Notes: doi: 10.1016/j.apnr.2016.06.009. Epub 2016 Jun 23. , Word Count: 188 AIM: To examine the effects of a soothing music intervention before bedtime and a treadmill brisk walking exercise combined with music in the evening on sleep quality of sedentary older adults with chronic insomnia. BACKGROUND: There is evidence to support the use of complementary interventions to improve sleep. They are rarely applied in Taiwanese elderly population. METHODS: Using a crossover controlled trial, 38 participants aged 50 to 75 years were randomly assigned to a music intervention/brisk walking sequence or a brisk walking/music intervention sequence. Each participant completed two intervention sessions (separated by 1 week). Each intervention lasted 30 min. An actigraph extended with electroencephalography (EEG) and questionnaires were used to assess the sleep quality. RESULTS: Both interventions exhibited beneficial effects on subjective sleep quality in adults with insomnia. Also listening to soothing music before bedtime significantly shortened the wake time after sleep onset measured by EEG, compared with brisk walking in the evening. CONCLUSIONS: The interventions applied in this study could be applied as the evidence-based nursing interventions for insomnia older adults. Copyright © 2016 Elsevier Inc. All rights reserved. KEYWORDS: Electroencephalography; Exercise; Insomnia; Music; Pittsburgh sleep quality index PMID: 27969011 DOI: 10.1016/j.apnr.2016.06.009