Development, Validation, and feasibility of Integrated Yoga module on Anidra (Insomnia)

Abstract

Background: Insomnia is described as "a complaint of trouble beginning or maintaining sleep associated with daily effects that are not attributed to environmental factors or insufficient chances to sleep." According to the study, Yoga was shown to be safe and effective in improving sleep for individuals experiencing insomnia (Anidra). In this study, an Integrated Yoga Module (IYM) was specifically designed to manage Anidra (Insomnia). Method: The IYM was designed following a thorough review of classical yoga texts and prior research. Twenty-five yoga experts meeting the inclusion criteria were selected to validate the content of the IYM. The IYM comprised a total of 42 yoga practices, with each practice undergoing discussion and evaluation, categorized as (1) effective, (2) useful but less effective, or (3) not effective. The Content Validity Ratio (CVR) was calculated using Lawshe's formula. The feasibility of the IYM was assessed by experts using the Pittsburgh Sleep Quality Index (PSQI). To evaluate the feasibility of the intervention, we applied the developed program to 40 participants (20 in each group) in control and experimental groups for 45 days, with sessions conducted five days a week. Result: Data analysis revealed that, among the 22 IYM practices, 17 demonstrated significant content validity with a CVR exceeding the 0.44 cut-off, as determined by Lawshe's formula. Conversely, five yoga practices fell below the 0.44 CVR and were therefore rejected. Moreover, a significant improvement in sleep quality was observed in the experimental group. Conclusion: The yoga module designed and validated for the management of insomnia or A nidra is acknowledged as well accepted with good content validity and an efficacious program for insomnia management.