Rosemary Gibson1, Anthony Dowell2, Linda Jones3, Philippa Gander4. 1. Sleep/Wake Research Centre, Massey University, Private Bag 756, Wellington, New Zealand. r.gibson@massey.ac.nz. 2. Primary Health Care and General Practice University of Otago, Wellington, New Zealand. 3. School of Psychology, Massey University, Wellington, New Zealand. 4. Sleep/Wake Research Centre, Massey University, Private Bag 756, Wellington, New Zealand.
Abstract
BACKGROUND: Sleep disturbances are challenging symptoms associated with mild cognitive impairment or dementia (MCIoD). This study assessed the feasibility of sleep monitoring and non-pharmacological interventions to improve the sleep of New Zealanders with MCIoD and their family carers. METHODS: A 5-week multi-modal intervention consisting of timed bright light therapy, physical activity, and sleep education was piloted. Sleep was monitored for a week at baseline and conclusion of the trial using actigraphy, diaries, and questionnaires alongside additional health and wellbeing information concerning both care recipients and carers. RESULTS: Fifteen pairs participated, 9 completed the trial. Patterns of attrition and participant feedback are discussed. Case studies showed that six of the care recipients had minor improvements to sleep efficiency. Some also had improved subjective sleep ratings and quality of life. Changes did not clearly translate to family carers. However, five of them also showed some improvements in sleep status and mental health. Health deterioration of care recipients may mask the effects of the intervention. CONCLUSIONS: It is feasible to use non-pharmacological sleep interventions for people with MCIoD and their family carers. Given the limited treatment options, further consideration of such interventions in future research and clinical practice is warranted. TRIAL REGISTRATION: As this study was to assess the feasibility of proposed methods, it was an observational study without case-control groups nor a medical-based intervention, clinical registration was not required. A future full version of the trial would be registered with the Australian New Zealand Clinical Trails Registry.
BACKGROUND:Sleep disturbances are challenging symptoms associated with mild cognitive impairment or dementia (MCIoD). This study assessed the feasibility of sleep monitoring and non-pharmacological interventions to improve the sleep of New Zealanders with MCIoD and their family carers. METHODS: A 5-week multi-modal intervention consisting of timed bright light therapy, physical activity, and sleep education was piloted. Sleep was monitored for a week at baseline and conclusion of the trial using actigraphy, diaries, and questionnaires alongside additional health and wellbeing information concerning both care recipients and carers. RESULTS: Fifteen pairs participated, 9 completed the trial. Patterns of attrition and participant feedback are discussed. Case studies showed that six of the care recipients had minor improvements to sleep efficiency. Some also had improved subjective sleep ratings and quality of life. Changes did not clearly translate to family carers. However, five of them also showed some improvements in sleep status and mental health. Health deterioration of care recipients may mask the effects of the intervention. CONCLUSIONS: It is feasible to use non-pharmacological sleep interventions for people with MCIoD and their family carers. Given the limited treatment options, further consideration of such interventions in future research and clinical practice is warranted. TRIAL REGISTRATION: As this study was to assess the feasibility of proposed methods, it was an observational study without case-control groups nor a medical-based intervention, clinical registration was not required. A future full version of the trial would be registered with the Australian New Zealand Clinical Trails Registry.
Authors: Susan M McCurry; Kenneth C Pike; Michael V Vitiello; Rebecca G Logsdon; Eric B Larson; Linda Teri Journal: J Am Geriatr Soc Date: 2011-07-28 Impact factor: 5.562
Authors: Jennifer L Martin; Matthew R Marler; Judith O Harker; Karen R Josephson; Cathy A Alessi Journal: J Gerontol A Biol Sci Med Sci Date: 2007-01 Impact factor: 6.053
Authors: Orfeu M Buxton; Calvin W Lee; Mireille L'Hermite-Baleriaux; Fred W Turek; Eve Van Cauter Journal: Am J Physiol Regul Integr Comp Physiol Date: 2003-03 Impact factor: 3.619
Authors: Andressa Alves da Silva; Renato Gorga Bandeira de Mello; Camila Wohlgemuth Schaan; Flávio D Fuchs; Susan Redline; Sandra C Fuchs Journal: BMJ Open Date: 2016-02-17 Impact factor: 2.692