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CTRI Number  CTRI/2025/08/093747 [Registered on: 27/08/2025] Trial Registered Prospectively
Last Modified On: 22/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   How Better Sleep Habits Can Improve Strength, Reduce Anxiety, and Help Teenage Girls in Sports Recover Faster 
Scientific Title of Study   Impact of Sleep Hygiene Education on Strength, Competitive anxiety and Recovery In Adolescent Female Athletes. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Hemlata 
Designation  PG Student 
Affiliation  Pt.BD Sharma PGIMS Rohtak 
Address  Physiotherapy Department, E block, College of Physiotherapy, PGIMS ROHTAK

Rohtak
HARYANA
124001
India 
Phone  9996306097  
Fax    
Email  harsshujangra@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Poonam Dhankher 
Designation  Associate Professor  
Affiliation  College of physiotherapy, Pt. BD Sharma University of Health Sciences, Rohtak 
Address  Faculty Room, Physiotherapy Department, E block, College of Physiotherapy, PGIMS ROHTAK

Rohtak
HARYANA
124001
India 
Phone  8607157000  
Fax    
Email  Poonam.dhankher.jhajhria@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Hemlata 
Designation  PG Student 
Affiliation  Pt.BD Sharma PGIMS Rohtak 
Address  Physiotherapy Department, E block, College of Physiotherapy, PGIMS ROHTAK

Rohtak
HARYANA
124001
India 
Phone  9996306097  
Fax    
Email  harsshujangra@gmail.com  
 
Source of Monetary or Material Support  
Pt.BD Sharma PGIMS ,Rohtak, Haryana,India-124001  
 
Primary Sponsor  
Name  College of physiotherapy, PGIMS ,Rohtak, Haryana,India-124001 
Address  Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India - 124001 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Hemlata  Pt. BD Sharma PGIMS Rohtak   E block , College of Physiotherapy and Chaudhary Ranbir Singh new OPD, PGIMS ROHTAK
Rohtak
HARYANA 
09996306097

harsshujangra@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical Research Ethics Committee, PGIMS /UHS Rohtak  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Female athletes 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  General health and wellness education sessions  Participants in the control group will attend general health and wellness education sessions, but will not receive specific sleep hygiene education. These sessions will cover importance of a balanced diet for recovery, hydration and its effects on muscle function, general stress management strategies and injury prevention techniques  
Intervention  Sleep Hygiene Education   Structured sleep hygiene education program will be administered for 7 weeks. Participants will also maintain a Consensus Sleep Diary-Core (CSD-C) to track their bedtime, wake time, and sleep disturbances. Each session will conclude with a Q&A discussion to clarify doubts and reinforce concepts  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Female 
Details  1 Female athletes actively competing at district state or national level in structured training programs
2 No history of diagnosed sleep disorder
3 Willing to comply with the study protocol and intervention procedures 
 
ExclusionCriteria 
Details  1 Athletes with clinically diagnosed sleep disorders (e.g., insomnia, obstructive sleep apnea).
2 Athletes with psychiatric disorders (e.g., anxiety, depression) that may impact sleep patterns.
3 Athletes using medications that affect sleep patterns e.g. sedatives, stimulants
4 Athletes recovering from injuries sustained in the last three months
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Vertical Jump Test, Sports Anxiety Scale-2, Perceived Recovery Status Scale  Baseline at week 0, post intervention week 7, follow up at week 12 and 24 
 
Secondary Outcome  
Outcome  TimePoints 
Yo-Yo test, T-test, Pittsburgh Sleep Quality Index (PSQI)  Baseline at week 0, post intervention week 7, follow up at week 12 and 24 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   05/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Background

Sleep is a vital physiological process influencing physical recovery, hormonal regulation, cognitive function, and athletic performance. Adolescent female athletes are particularly vulnerable to poor sleep hygiene due to rigorous training schedules, academic responsibilities, social obligations, and psychological stress. Inadequate sleep in this population is associated with fatigue, slower reaction time, reduced strength and endurance, increased injury risk, and impaired recovery.

Sleep hygiene refers to behavioral and environmental practices that promote consistent and restorative sleep. Good sleep habits can optimize the anabolic hormonal environment necessary for post-exercise recovery, regulate mood, reduce anxiety, and improve performance. While nutritional and training interventions in athletes are well-studied, the impact of structured sleep hygiene education on athletic performance and psychological outcomes in adolescent female athletes remains underexplored.

Methodology

This study is a randomized controlled trial (RCT) conducted over a 12-month period with 60 female adolescent athletes aged 18–25 years, actively participating in competitive sports. Participants are randomly divided into two equal groups:

  • Experimental Group (n=30): Receives a structured 7-week sleep hygiene education program covering topics such as sleep physiology, behavioral strategies, relaxation techniques (progressive muscle relaxation, paced breathing), and nutrition’s impact on sleep. Participants maintain a sleep diary and attend group sessions.

  • Control Group (n=30): Receives general health and wellness education without sleep-specific content.

Assessments are done at baseline (Week 0), immediately post-intervention (Week 7), and at follow-ups (Week 12 and Week 24) using validated tools:

  • Strength: Vertical Jump Test

  • Endurance: Yo-Yo Test

  • Competitive Anxiety: Sports Anxiety Scale-2 (SAS-2)

  • Recovery: Perceived Recovery Status (PRS) Scale

  • Agility: T-Test Agility Test

  • Sleep Quality: Pittsburgh Sleep Quality Index (PSQI)

Statistical analysis includes paired and independent t-tests, repeated measures ANOVA, and Pearson correlation, with significance set at p < 0.05.

Discussion

This study hypothesizes that structured sleep hygiene education will significantly enhance strength, improve recovery, and reduce competitive anxiety in female adolescent athletes compared to controls. By integrating educational sessions with practical interventions like relaxation exercises and personalized sleep routines, the study targets both intrinsic and extrinsic factors affecting sleep quality.

Expected outcomes include improved sleep patterns, better perceived recovery, reduced anxiety levels, and measurable improvements in athletic performance. The longitudinal design and use of validated outcome measures will allow for evaluating both immediate and sustained effects of the intervention.

The findings aim to bridge a research gap by highlighting sleep hygiene as a cost-effective, non-pharmacological tool for improving overall sports performance. If successful, the study could encourage coaches, physiotherapists, and sports institutions to incorporate sleep education into routine athletic training programs.

 
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