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

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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 ★★★★★★☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


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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  • Information provided by author.

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

  • 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.