The Effect of (ASMR) Videos on Sleep Quality and Stress Levels on Nursing Students

The Effect of Autonomous Sensory Meridian Response (ASMR) Videos on Sleep Quality and Stress Levels of Nursing Students Before First Clinical Practice

This study was planned to evaluate the effect of Autonomous Sensory Meridian Response (ASMR) videos on sleep quality and stress levels of nursing students before clinical practice.

Study Overview

• Status: Completed
• Conditions: Students; Nursing
• Intervention / Treatment: Other: ASMR

Detailed Description

Autonomous Sensory Meridian Response (ASMR) is a physiological phenomenon that describes a tingling sensation caused by specific visual and auditory triggers, usually starting on the scalp and travelling down the body. These trigger stimuli are often socially intimate in nature and often involve repetition of movements and/or sounds.

According to studies conducted among university students, it is generally stated that university students have poor sleep quality and sleep inadequately. Negative impact on students' sleep quality is a factor that causes them to experience stress. Nursing students are faced with an important source of stress due to the various situations they encounter in the education and practice processes. Although clinical education offers rich opportunities to gain hands-on experience, it is reported that the clinical component of nursing education provides the highest source of stress for nursing students.

This study was planned to evaluate the effect of Autonomous Sensory Meridian Response (ASMR) videos on sleep quality and stress levels of nursing students before clinical practice.

• Study Type: Interventional
• Enrollment (Actual): 87
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Kozlu/Zonguldak
    • Zonguldak, Kozlu/Zonguldak, Turkey, 67100
      • Ayşe Kabuk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Over 18 years,
• illiterate,
• volunteer to participate in the study
• First-year nursing students who have not done clinical practice before

Exclusion Criteria:

• have done clinical practice before

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: control; no intervention
Experimental: intervention; For 7 days, they were asked to watch ASMR videos for 20-30 minutes every evening at 22:00 before going to bed. The videos were downloaded to the student's computer or phone in advance, the student was asked to switch his/her phone to airplane mode to block the stimuli during the viewing, to watch these videos with headphones, to reduce the sounds in the room as much as possible, to lie on his/her bed and to wear comfortable clothes.	Other: ASMR; We used 7 ASMR videos published on the most watched ASMR channel on the YouTube platform, in which applications such as hair combing, brushing, massaging the head are applied sequentially and repeatedly, and there is no speech.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
sleep quality	PUKI was accepted in determining sleep quality, and in 1989 and its validity and reliability were determined (Cronbach's alpha=0.80). In our country, the validity and reliability study was carried out by Ağargün et al. (16) and the Cronbach alpha value of the scale was found to be 0.80. The scale is a four-point Likert type and contains a total of 24 questions; subjective sleep quality (component 1), sleep latency (component 2), sleep duration (component 3), habitual sleep efficiency (component 4), sleep disturbance (component 5), use of sleeping pills (component 6) and daytime dysfunction (component 3) 7) consists of 7 components. The sum of the seven component scores gives the total PUKI score. The response of each is scored between 0-3 according to symptom frequency. The total score has a value between 0-21.	In the study, The sleep quality of the students in the intervention group was measured before the interventions and on the 8th day after the 7-day interventions. Sleep quality of the students in the control group was measured on day 1 and day 8.
anxiety	State - Trait Anxiety Inventory-STAI. It was developed by Spielberger et al. (1970). The scale consists of two parts: the State Anxiety Inventory and Trait Anxiety Inventory. The State Anxiety Inventory determines how the individual feels at a certain moment and under certain conditions, and the Trait Anxiety Inventory determines how the individual feels regardless of the situation and conditions. Each scale contains two types of statements with 20 items. In the state anxiety scale, the responses were evaluated with a 4-point scale (never, a little, a lot, completely). In the trait anxiety scale, the answers of the participants were measured with a 4-point scale (never, sometimes, very often, almost always). The total score value obtained from both scales varies between 20 and 80. A high score indicates a high level of anxiety and a low score indicates a low level of anxiety.	In the study, The anxiety of the students in the intervention group was measured before the interventions and on the 8th day after the 7-day interventions. Anxiety of the students in the control group was measured on day 1 and day 8.

Collaborators and Investigators

• Sponsor: Zonguldak Bulent Ecevit University

Publications and helpful links

General Publications

• Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4.
• Stinson C, Curl ED, Hale G, Knight S, Pipkins C, Hall I, White K, Thompson N, Wright C. Mindfulness Meditation and Anxiety in Nursing Students. Nurs Educ Perspect. 2020 Jul/Aug;41(4):244-245. doi: 10.1097/01.NEP.0000000000000635.
• Smejka T, Wiggs L. The effects of Autonomous Sensory Meridian Response (ASMR) videos on arousal and mood in adults with and without depression and insomnia. J Affect Disord. 2022 Mar 15;301:60-67. doi: 10.1016/j.jad.2021.12.015. Epub 2021 Dec 13.

Study record dates

Study Major Dates

• Study Start (Actual): May 11, 2024
• Primary Completion (Actual): May 29, 2024
• Study Completion (Actual): May 29, 2024

Study Registration Dates

• First Submitted: May 10, 2024
• First Submitted That Met QC Criteria: May 10, 2024
• First Posted (Actual): May 16, 2024

Study Record Updates

• Last Update Posted (Actual): May 29, 2025
• Last Update Submitted That Met QC Criteria: May 22, 2025
• Last Verified: May 1, 2025

More Information

Terms related to this study

• Keywords: sleep; anxiety; Autonomous Sensory Meridian Response
• Other Study ID Numbers: 23.02.2024/420449

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: ı want to share my research protocol after six months.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No