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 lessdaytime 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.
RCT Entities:
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.
Authors: Darina V Petrovsky; Karen B Hirschman; Miranda Varrasse McPhillips; Justine S Sefcik; Alexandra L Hanlon; Liming Huang; Glenna S Brewster; Nancy A Hodgson; Mary D Naylor Journal: Int Psychogeriatr Date: 2020-07 Impact factor: 3.878
Authors: Rebecca A Lorenz; Nalaka Gooneratne; Catherine S Cole; Morton H Kleban; Gurpreet K Kalra; Kathy C Richards Journal: Am J Geriatr Psychiatry Date: 2012-06 Impact factor: 4.105
Authors: Kathy C Richards; Corinne Lambert; Cornelia K Beck; Donald L Bliwise; William J Evans; Gurpreet K Kalra; Morton H Kleban; Rebecca Lorenz; Karen Rose; Nalaka S Gooneratne; Dennis H Sullivan Journal: J Am Geriatr Soc Date: 2011-02 Impact factor: 5.562
Authors: Susan M McCurry; David M LaFazia; Kenneth C Pike; Rebecca G Logsdon; Linda Teri Journal: Am J Geriatr Psychiatry Date: 2012-06 Impact factor: 4.105