highly significantp < 0.001
Baseline PSQI scores were comparable between groups, but the intervention group showed significantly greater improvements thereafter, with mean PSQI decreasing to 8.60 ± 2.28 at week 1 and 5.20 ± 1.87 at week 2, compared with 11.08 ± 2.73 and 10.68 ± 2.88 in controls at the same time points, respectively, indicating a marked, time-dependent improvement in subjective sleep quality with between-group differences reported as highly significant ( p < 0.001) [ 134 ].