Cognitive Functions in Women's National Sitting Volleyball Players

September 29, 2026 updated by: Ahmet Sansi, Abant Izzet Baysal University

Effects of a Sleep Environment Optimization Intervention on Cognitive Functions in Women's National Sitting Volleyball Players

This study investigates the effects of a multidimensional, 13-component sleep hygiene optimization intervention on cognitive performance (executive functions, cognitive flexibility, and psychomotor speed) and objective sleep parameters in elite female sitting volleyball athletes. The study aims to optimize the on-court decision-making mechanisms of Paralympic athletes by improving sleep quality through structured environmental and behavioral factors.

Study Overview

Detailed Description

Quick decision-making, attention, and executive control are of critical importance in elite sports performance, and these neurocognitive functions are highly dependent on high-quality sleep. While the literature generally focuses on athletes without physical disabilities, evidence regarding sleep optimization for Paralympic athletes-who often experience specific physiological challenges such as chronic pain or spasticity-is limited. This research was conducted during the competition preparation period with athletes from the Turkish Women's National Sitting Volleyball Team (n=8). The study utilized a single-group pre-test/post-test experimental design, applying a specific sleep hygiene intervention consisting of 13 components. The effectiveness of the intervention was systematically analyzed using objective cognitive tests evaluating processing speed, attention, and executive control (Symbol Digit Modalities Test and Stroop Test), alongside objective sleep parameters obtained via wearable technology (Xiaomi Mi Band 7).

Study Type

Interventional

Enrollment (Actual)

8

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Bolu, Turkey (Türkiye), 14000
        • Bolu Abant Izzet Baysal University Spor Science Faculty

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • ≥ 18 years of age
  • Active national sitting volleyball team member
  • ≥ 1 year of national team experience
  • ≥ 20 hours of weekly training

Exclusion Criteria:

  • Non-compliance with the team camp program
  • Major neurological diagnosis

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Sleep enviroment intervention /Experimental Group (Turkish Women's National Sitting Volleyball Team)
  • Intervention Type: Behavioral (Behavioral and Environmental Modification)
  • Intervention Name: 13-Component Multidimensional Sleep Hygiene Optimization Protocol This protocol includes the following 13 rules, with participants' compliance monitored daily via a checklist over 5 working days: (1) Ceasing the use of electronic devices 1 hour before sleep, (2) Avoiding vigorous exercise before sleep, (3) Optimizing room temperature between 18-22°C, (4) Turning off all light-emitting devices, (5) Using a sleep mask, (6) Not using the bedroom for work purposes during the day, (7) Avoiding unhealthy snacks before sleep, (8) Cutting off caffeine intake at least 3 hours before sleep, (9) Engaging in adequate daily exercise, (10) Practicing pre-sleep stress management techniques, (11) Ensuring a quiet sleep environment, (12) Establishing a personalized pre-sleep routine (e.g., brushing teeth), and (13) Not taking daytime naps.

This protocol includes the following 13 rules, with participants' compliance monitored daily via a checklist over 5 working days: (1) Ceasing the use of electronic devices 1 hour before sleep, (2) Avoiding vigorous exercise before sleep, (3) Optimizing room temperature between 18-22°C, (4) Turning off all light-emitting devices, (5) Using a sleep mask, (6) Not using the bedroom for work purposes during the day, (7) Avoiding unhealthy snacks before sleep, (8) Cutting off caffeine intake at least 3 hours before sleep, (9) Engaging in adequate daily exercise, (10) Practicing pre-sleep stress management techniques, (11) Ensuring a quiet sleep environment, (12) Establishing a personalized pre-sleep routine (e.g., brushing teeth), and (13) Not taking daytime naps.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Objective Cognitive Performance Analysis using the Symbol Digit Modalities Test (SDMT) and Stroop Test (TBAG Form)
Time Frame: Baseline (Day 0), Mid-intervention (Day 3), and immediately after the 5-day intervention (Day 8)

Visual scanning and psychomotor speed (total substitutions, correct substitutions, number of errors) were recorded using the SDMT. Executive functions, cognitive flexibility, and response inhibition (task completion times in seconds, number of spontaneous corrections, and number of errors) were recorded using the Stroop Test. A decrease in completion times and an increase in accuracy rates indicate improved cognitive performance.

Baseline (Day 0), Mid-intervention (Day 3), and immediately after the 5-day intervention (Day 8)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Ahmet Sansi, Bolu Abant Izzet Baysal University Sport Science Faculty
  • Principal Investigator: Semih KARAMAN, PhD (c), Bolu Abant Izzet Baysal University Sport Science Faculty

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 10, 2026

Primary Completion (Actual)

April 10, 2026

Study Completion (Actual)

April 25, 2026

Study Registration Dates

First Submitted

September 22, 2026

First Submitted That Met QC Criteria

September 29, 2026

First Posted (Actual)

October 5, 2026

Study Record Updates

Last Update Posted (Actual)

October 5, 2026

Last Update Submitted That Met QC Criteria

September 29, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • AIBU-ANE-AS-02

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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