Effect of individualized social activity on sleep in nursing home residents with dementia.

Abstract:

OBJECTIVES:To test the efficacy of an individualized social activity intervention (ISAI) on decreasing daytime sleep, improving nighttime sleep, and lowering the day/night sleep ratio and to determine its cost. DESIGN:Pretest/posttest randomized with an experimental and control group. SETTING:Seven nursing homes. PARTICIPANTS:One hundred forty-seven residents with dementia. INTERVENTION:One to 2 hours of individualized social activities for 21 consecutive days. MEASUREMENTS:Twenty-four-hour sleep/wake patterns using an Actigraph. RESULTS:The ISAI group had significantly less daytime sleep (P=.001) and a lower day/night sleep ratio (P=.03) than the control group, after adjusting for baseline values. Because 40% of the sample slept 7 or more hours at night, a secondary analysis was conducted. When only those residents with a sleep efficiency of less than 50% (n=50) were included, the ISAI group (n=20) had less daytime sleep (P=.005), a lower day/night sleep ratio (P=.02), fell asleep faster (P=.03), and were awake less at night (P=.04) than the control group (n=30), after adjusting for baseline values. The weekly cost of the ISAI was roughly $70 per participant. Initial training and supply costs were $1,944. CONCLUSION:The ISAI provides an alternative to medications, without side effects.

journal_name

J Am Geriatr Soc

authors

Richards KC,Beck C,O'Sullivan PS,Shue VM

doi

10.1111/j.1532-5415.2005.53460.x

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

1510-7

issue

9

eissn

0002-8614

issn

1532-5415

pii

JGS53460

journal_volume

53

pub_type

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