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Therapeutics
A multidimensional non-drug intervention reduced daytime sleep in nursing home residents with sleep problems

https://doi.org/10.1136/ebm.10.6.178

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    Alessi CA, Martin JL, Webber AP, et al. Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents. J Am Geriatr Soc 2005;53:803–10.
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 Q In nursing home residents with sleep problems, does a multidimensional, non-drug intervention improve sleep patterns?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Geriatrics ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {unconcealed*}†.

    Embedded ImageBlinding:

    unblinded.*

    Embedded ImageFollow up period:

    32 days for the intervention group and 16 days for the control group.

    Embedded ImageSetting:

    4 community nursing homes in Los Angeles, California, USA.

    Embedded ImageParticipants:

    118 residents (mean age 87 y, 77% women) with daytime sleepiness and night time wakefulness. Exclusion criteria: acute illness, isolation, or being bed-bound.

    Embedded ImageIntervention:

    intervention (n = 62) or usual care (n = 56). The intervention was given over 5 consecutive days and nights. From 8 am to 8 pm, the intervention group was encouraged to remain out of bed, received ⩾30 minutes of sunlight exposure (⩾10 000 lux), …

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    Footnotes

    • ↵* See glossary.

    • ↵† Information provided by author.

    • For correspondence: Dr C A Alessi, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA. cathy.alessi{at}med.va.gov

    • Sources of funding: National Institute on Aging; VA Health Services Research and Development; VA Greater Los Angeles Healthcare System Geriatric Research, Education and Clinical Center.