socio-cognitive determinants of healthy sleep behaviors among iranian elderly: application of the theory of planned behavior

Background: sleep quality and quantity disorders are among the most important problems in old age.healthy sleep behaviors are among the best ways to deal with sleep disorders among the elderly. this studyaimed to determine the socio-cognitive determinants predicting healthy sleep behaviors among the elderlywho had been referred to the retirement centers in hamadan, iran.methods: this cross-sectional study was performed among 288 elderly people who had been referredto the retirement centers in hamadan, iran in 2020, and were selected through stratified randomsampling. data were collected online using a self-administered questionnaire with items on demographiccharacteristics and the theory of planned behavior (tpb) constructs. data were analyzed by spss software(version 16) using pearson correlation, independent t test, one-way anova, and linear regression tests atthe significance level of 0.05.results: the mean (± standard deviation) age of respondents in this study was 67.2 (± 6.3) years. perceivedbehavior control (β = 0.409), attitude (β = 0.251), and subjective norms (β = 0.205) were stronger predictorsof healthy sleep behavior intention among the elderly, respectively; collectively, they accounted for28.5% of the variation in sleep health behavior intention. behavioral intention (β = 0.429) and perceivedbehavioral control (β = 0.167) were also predictors of healthy sleep behaviors among the elderly. there wasa statistically significant relationship between the educational level and healthy sleep behaviors (p < 0.05).conclusion: it seems that the development and implementation of educational programs based on the tpbfor the improvement of attitudes, subjective norms, and perceived behavior control can play an effectiverole in promoting healthy sleep behaviors and sleep quality among the elderly.