Mindfulness-based therapies for mood, insomnia and cognition in older adults

INTERVENTION: Participants will be given access to a six‐week online mindfulness‐based insomnia intervention, called A Mindful Way to Healthy Sleep, delivered at the website www.amindfulway.com.au. The program involves a series of video lessons and modules teaching formal and informal mindfulness skills, and the components of cognitive behavioural therapy for insomnia. The mindfulness skills include deep breathing, abdominal breathing, body scan, guided reflection, visualization, and structured meditation. The course is led by Dr Giselle Withers, a clinical psychologist with experience in sleep psychology, and mindfulness teacher. Each module takes 1.5‐2 hours each week and builds on the knowledge and homework from the previous week. As part of the homework, they will be asked to complete 15‐30 minutes of daily meditation using audio recordings, make behavioural and cognitive changes as instructed during the course. Adherence will be reviewed through percentage of course completed and a self‐report questionnaire at end of study. CONDITION: Insomnia;Depression ;Anxiety ;Subjective Cognitive Complaints ; ; Insomnia ; Depression ; Anxiety ; Subjective Cognitive Complaints Mental Health ‐ Anxiety Mental Health ‐ Depression Mental Health ‐ Other mental health disorders Neurological ‐ Other neurological disorders PRIMARY OUTCOME: Change in symptoms of insomnia through Insomnia Severity Index (ISI) [At baseline and then at Week 6 post‐baseline (primary), and 3, 6 and 12 months after program completion] INCLUSION CRITERIA: Older adults (aged 55+) with subclinical and clinical symptoms of sleep difficulty (ISI >= 8 or PSQI >=5) and mild to greater symptoms of depression or anxiety (GAD‐7/PHQ‐9 => 5) . Fluent in English, with adequate digital literacy who are able and willing to follow study protocols. SECONDARY OUTCOME: Adherence to Mindfulness training through the Mindfulness Adherence Questionnaire (MAQ) [At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in daytime sleepiness through Epworth Sleepiness Scale (ESS)[At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in dysfunctional beliefs about sleep (DBAS) [At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in negative affect through the Positive and Negative Affect Schedule (PANAS‐SF)[At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in positive affect through the Positive and Negative Affect Schedule (PANAS‐SF)[At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in pre‐sleep arousal measured through the Pre‐sleep Arousal Scale (PSAS) [At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in quality of life through the Older People's Quality of Life Questionnaire (OPQoL‐brief) [At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in sleep quality through Pittsburgh Sleep Quality Inde X(PSQI) [At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in Subjective Cognitive Complaints measured through study‐specific questionnaire [At baseline and then at 3, 6 and 12 months after program completion] Change in symptoms of anxiety measured through Generalised Anxiety Disorder‐7 (GAD‐7)[At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Change in symptoms of depression measured through Patient Health Questionnaire‐9 (PHQ‐9)[At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion] Mindfulness in daily life assessed through the Five‐Facet Mindfulness Questionnaire (FFMQ‐15) [At baseline and then at Week 6 post‐baseline, and 3, 6 and 12 months after program completion]