Intervention for sleep problems in nursing home residents with dementia: a cluster-randomized study.
Int Psychogeriatr
; : 1-14, 2024 Jan 08.
Article
en En
| MEDLINE
| ID: mdl-38186227
ABSTRACT
OBJECTIVE:
To reduce sleep problems in people living with dementia using a multi-component intervention.DESIGN:
Cluster-randomized controlled study with two parallel groups and a follow-up of 16 weeks.SETTING:
Using external concealed randomization, 24 nursing homes (NH) were allocated either to the intervention group (IG, 12 clusters, 126 participants) or the control group (12 clusters, 116 participants).PARTICIPANTS:
Participants were eligible if they had dementia or severe cognitive impairment, at least two sleep problems, and residence of at least two weeks in a NH. INTERVENTION The 16-week intervention consists of six components (1) assessment of sleep-promoting activities and environmental factors in NHs, (2) implementation of two "sleep nurses," (3) basic education, (4) advanced education for staff, (5) workshops to develop sleep-promoting concepts, and (6) written information and education materials. The control group (CG) received standard care. MEASUREMENTS Primary outcome was ≥ two sleep problems after 16 weeks assessed with the Sleep Disorders Inventory (SDI).RESULTS:
Twenty-two clusters (IG = 10, CG = 12) with 191 participants completed the study. At baseline, 90% of people living with dementia in the IG and 93% in the CG had at least two sleep problems. After 16 weeks, rates were 59.3% (IG) vs 83.8% (CG), respectively, a difference of -24.5% (95% CI, -46.3% - -2.7%; cluster-adjusted odds ratio 0.281; 95% CI 0.087-0.909). Secondary outcomes showed a significant difference only for SDI scores after eight and 16 weeks.CONCLUSIONS:
The MoNoPol-Sleep intervention reduced sleep problems of people living with dementia in NH compared to standard care.
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Bases de datos:
MEDLINE
Tipo de estudio:
Clinical_trials
Idioma:
En
Revista:
Int Psychogeriatr
Asunto de la revista:
GERIATRIA
/
PSIQUIATRIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Alemania