Trial reportJournal of the American Geriatrics Society2005
Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents.
Trial report in Journal of the American Geriatrics Society, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
66 citing papers in PubMed, 10 syntheses or guidelines pooled it, 256 citations in OpenAlex.
- Pharmacological and Non-Pharmacological Interventions to Improve Sleep in People with Cognitive Impairment: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2025Pooled it
- Non-pharmacological interventions for sleep disturbances in people with dementia.The Cochrane database of systematic reviews · 2023Pooled it
- A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings.BMC geriatrics · 2018Pooled it
- An Integrative Review of Nonpharmacological Interventions to Improve Sleep among Adults with Advanced Serious Illness.Journal of palliative medicine · 2018Pooled it
- Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD), and Irregular Sleep-Wake Rhythm Disorder (ISWRD). An Update for 2015: An American Academy of Sleep Medicine Clinical Practice Guideline.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015Guideline
- The effects of physical activity on sleep: a meta-analytic review.Journal of behavioral medicine · 2015Pooled it
- A systematic mapping review of randomized controlled trials (RCTs) in care homes.BMC geriatrics · 2012Pooled it
- Treatment of sleep disturbance in Alzheimer's dementia.International journal of geriatric psychiatry · 2011Pooled it
- Guideline
- The Effects of Light Therapy on Sleep, Agitation and Depression in People With Dementia: A Systematic Review and Meta-analysis of Randomized Controlled Trials.American journal of Alzheimer's disease and other dementiasPooled it
- CONNECT for better fall prevention in nursing homes: results from a pilot intervention study.Journal of the American Geriatrics Society · 2013Trial
- Trial
- Strength training, walking, and social activity improve sleep in nursing home and assisted living residents: randomized controlled trial.Journal of the American Geriatrics Society · 2011Trial
- Periodic leg movements predict total sleep time in persons with cognitive impairment and sleep disturbance.Sleep · 2008Trial
- Napping and Nighttime Sleep: Findings From an Occupation-Based Intervention.The American journal of occupational therapy : official publication of the American Occupational Therapy AssociationTrial
- Effectiveness of Nature-Based Interventions in Reducing Agitation Among Older Adults with Dementia: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Scoping review of the measurement of care environment factors that impact sleep in the rehabilitation, subacute, and aged care settings.Sleep advances : a journal of the Sleep Research Society · 2025Review
- Sundowning Syndrome in Dementia: Mechanisms, Diagnosis, and Treatment.Journal of clinical medicine · 2025Review
- Article
- Light therapy as a non-pharmacological intervention to mitigate daytime sleepiness in healthy older adults.Sleep & breathing = Schlaf & Atmung · 2024Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesAbnormal sleep/wake patterns are common in nursing home residents. Lifestyle and environmental factors likely contribute to these poor sleep patterns. The objective of this study was to test a multidimensional, nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents.
designRandomized, controlled trial.
settingFour nursing homes in the Los Angeles area.
participantsResidents were screened for excessive daytime sleeping (asleep > or = 15% of daytime observations) and nighttime sleep disruption (asleep < 80% of nighttime hours, according to wrist actigraphy). Four hundred ninety-two residents were screened; 339 had excessive daytime sleeping. Of these, 133 had nighttime sleep disruption and consented to participate; 120 completed baseline assessments, and 118 (77% female, mean age 86.9, 90% non-Hispanic white) were randomized to intervention versus usual care.
interventionFive consecutive days and nights of efforts to decrease daytime in-bed time, 30 minutes or more of daily sunlight exposure, increased physical activity, structured bedtime routine, and efforts to decrease nighttime noise and light. MEASUREMENTS: Seventy-two consecutive hours of wrist actigraphy (nighttime sleep) and structured behavioral observations (daytime sleep and participation in social and physical activities and social conversation) at baseline and repeated at follow-up while the intervention or usual care condition was in place.
resultsThe only effect on nighttime sleep was a modest decrease in mean duration of nighttime awakenings in intervention participants (10.6 minutes at baseline, 9.8 minutes at follow-up) versus an increase in controls (9.8 minutes at baseline, 13.8 minutes at follow-up) (F=4.27, P=.04). There were no significant effects on percentage of nighttime sleep or number of nighttime awakenings. There was a significant decrease in daytime sleeping in intervention participants (32% of daytime observations asleep at baseline, 21% at follow-up), with no change in controls (32% at baseline, 30% at follow-up; F=20.68, P<.001). Intervention participants had increased participation in social (F=22.42, P<.001) and physical (F=12.65, P=.001) activities and social conversation (F=5.04, P=.03).
conclusionA multidimensional, nonpharmacological intervention into lifestyle and environmental factors that likely contribute to abnormal sleep/wake patterns in nursing home residents resulted in decreased daytime sleeping and increased participation in social and physical activities and social conversation. Nonpharmacological interventions should be considered in the management of abnormal sleep/wake patterns in nursing home residents. The main effect may be a significant decrease in daytime sleeping, which may translate to an improvement in quality of life.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.