Evidence map›Paper›PMID 29283797›Full record

Trial reportClinical gerontologist

Measuring Sleep in Vulnerable Older Adults: A Comparison of Subjective and Objective Sleep Measures.

Jaime M Hughes, Yeonsu Song, Constance H Fung, Joseph M Dzierzewski, Michael N Mitchell, Stella Jouldjian, Karen R Josephson, Cathy A Alessi, Jennifer L Martin

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00781963 (Implementing Sleep Interventions for Older Veterans), which is not on this map. Cited by 63 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 7 pooled it
5.6field-weighted citation impact, top 4% 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.

NCT00781963 nacompletednot on this map

Implementing Sleep Interventions for Older Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2010 to 2013Enrolled519ConditionsInsomniaArmsManual-based cognitive behavioral therapy for insomnia, Non-directive sleep education
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 7 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
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  6. Effects of physical activity programs on sleep outcomes in older adults: a systematic review.The international journal of behavioral nutrition and physical activity · 2020
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  14. Observational
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  18. Quantifying the population-level impact of insomnia on dementia among older adults in the United States.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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  20. Article

3 more citing papers are in PubMed but not listed here.

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 1 country.

Jaime M Hughesa Center for Health Services Research in Primary Care , Durham VA Medical Center , Durham , North Carolina , USA.
Yeonsu Songb Geriatric Research, Education, and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Constance H Fungb Geriatric Research, Education, and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Joseph M Dzierzewskid Department of Psychology , Virginia Commonwealth University , Richmond , Virginia , USA.
Michael N Mitchellb Geriatric Research, Education, and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Stella Jouldjianb Geriatric Research, Education, and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Karen R Josephsonb Geriatric Research, Education, and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Cathy A Alessib Geriatric Research, Education, and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Jennifer L Martinb Geriatric Research, Education, and Clinical Center , VA Greater Los Angeles Healthcare System , Los Angeles , California , USA.
Geriatric Research Education and Clinical Center · USVA Greater Los Angeles Healthcare System · USDurham VA Medical Center · USUniversity of California, Los Angeles · USVirginia Commonwealth University · US

Funding

A Dyadic Telehealth Program to Support Alzheimer’s Disease Patients and Their Caregivers During COVID-19K23AG055668 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SONG, YEONSU · 2017 to 2022
$1.1M
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
Treating Sleep Problems in VA Adult Day Health CareI01RX000135 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2009 to 2015
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HSRD VA CIN 13-410NIA NIH HHS K23 AG045937NIA NIH HHS K23 AG049955NIA NIH HHS K23 AG055668RRD VA I01 RX000135
6 · The paper itself

Abstract

objectivesThis study compared subjective (questionnaire) and objective (actigraphy) sleep assessments, and examined agreement between these methods, in vulnerable older adults participating in a Veterans Administration Adult Day Health Care (ADHC) program.

methods59 ADHC participants (95% male, mean age = 78 years) completed sleep questionnaires and 72 continuous hours of wrist actigraphy. Linear regression was used to examine agreement between methods and explore discrepancies in subjective/objective measures.

resultsDisturbed sleep was common, yet there was no agreement between subjective and objective sleep assessment methods. Compared with objective measures, one-half of participants reported worse sleep efficiency (SE) on questionnaires while one-quarter over-estimated SE. Participants reporting worse pain had a greater discrepancy between subjective and objective SE.

conclusionsVulnerable older adults demonstrated unique patterns of reporting sleep quality when comparing subjective and objective methods. Additional research is needed to better understand how vulnerable older adults evaluate sleep problems. CLINICAL IMPLICATIONS: Objective and subjective sleep measures may represent unique and equally important constructs in this population. Clinicians should consider utilizing both objective and subjective sleep measures to identify individuals who may benefit from behavioral sleep treatments, and future research is needed to develop and validate appropriate sleep assessments for vulnerable older adults.

Indexed as

ActigraphyActivities of Daily LivingAgedAged, 80 and overFemaleHumansLinear ModelsMaleMental Status SchedulePainReproducibility of ResultsSelf ReportSleepSleep Initiation and Maintenance DisordersVeteransAdult day health carediscrepancyinsomniameasurementobjectivesleepsubjective

Identifiers

PMID29283797
PMCPMC5809246
OpenAlexW2772514133

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.