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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 ★★★★★★☆
randomised controlled trial.
Follow up period:
32 days for the intervention group and 16 days for the control group.
4 community nursing homes in Los Angeles, California, USA.
118 residents (mean age 87 y, 77% women) with daytime sleepiness and night time wakefulness. Exclusion criteria: acute illness, isolation, or being bed-bound.
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), …
↵† Information provided by author.
For correspondence: Dr C A Alessi, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
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.