Evidence map›Paper›PMID 28482053›Full record

Trial reportSleep2017

A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial.

Jennifer L Martin, Yeonsu Song, Jaime Hughes, Stella Jouldjian, Joseph M Dzierzewski, Constance H Fung, Juan Carlos Rodriguez Tapia, Michael N Mitchell, Cathy A Alessi

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Jennifer L MartinGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
Yeonsu SongGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
Jaime HughesUniversity of North Carolina, Chapel Hill, NC.
Stella JouldjianGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
Joseph M DzierzewskiDepartment of Psychology, Virginia Commonwealth University, Richmond, VA.
Constance H FungGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
Juan Carlos Rodriguez TapiaGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
Michael N MitchellGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
Cathy A AlessiGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA.
VA Greater Los Angeles Healthcare System · USGeriatric Research Education and Clinical Center · USUniversity of California, Los Angeles · USHealth Services Research & Development · USVirginia Commonwealth University · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KARLAMANGLA, ARUN S · 2006 to 2017
$9.8M
Cognitive and inflammatory consequences of sleep disorders in older adultsK23AG049955 · NIA · VIRGINIA COMMONWEALTH UNIVERSITY · PI DZIERZEWSKI, JOSEPH MICHAEL · 2016 to 2020
$794k
Improving Older Adults' Decision Making For Obstructive Sleep Apnea TreatmentK23AG045937 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FUNG, CONSTANCE · 2013 to 2017
$786k
NCATS NIH HHS UL1 TR000124NIA NIH HHS K23 AG045937NIA NIH HHS K23 AG049955NIA NIH HHS P30 AG028748RRD VA I01 RX000135
6 · The paper itself

Abstract

Study Objective: To test the effectiveness of a 4-week behavioral Sleep Intervention Program (SIP: sleep compression, modified stimulus control, and sleep hygiene) compared to a 4-week information-only control (IC) among older adults attending a VA Adult Day Health Care (ADHC) program in a double-blind, randomized, clinical trial. Methods: Forty-two individuals (mean age: 77 years, 93% male) enrolled in a VA ADHC program were randomized to receive SIP or IC. All completed in-person sleep and health assessments at baseline, post-treatment and 4-months follow-up that included 3 days/nights of wrist actigraphy, the Pittsburgh Sleep Quality Index (PSQI), and the Insomnia Severity Index (ISI). Mixed repeated measures analysis was used to compare sleep outcomes at post-treatment and 4-months follow-up, with baseline values as covariates. Results: SIP participants (n = 21) showed significant improvement on actigraphy sleep efficiency (p = .007), number of nighttime awakenings (p = .016), and minutes awake at night (p = .001) at post-treatment, compared to IC participants (n = 21). Benefits were slightly attenuated but remained significant at 4-month follow-up (all p's < .05). There were no differences in total sleep time between groups. There was significant improvement on PSQI factor 3 (daily disturbances) at 4-month follow-up (p = .016), but no differences were observed between SIP and IC on other PSQI components or ISI scores at post-treatment or 4-month follow-up. Conclusions: A short behavioral sleep intervention may have important benefits in improving objectively measured sleep in older adults participating in ADHC. Future studies are needed to study implementation of this intervention into routine clinical care within ADHC.

Indexed as

Behavior TherapyActigraphyAgedDouble-Blind MethodFemaleHumansMaleSleepSleep Initiation and Maintenance DisordersSleep Medicine SpecialtyTreatment Outcomeadult day health careagingbehavioral interventionssleepveterans

Identifiers

PMID28482053
PMCPMC5804980
OpenAlexW2610730599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.