Evidence map›Paper›PMID 38193336›Full record

Trial reportJournal of the American Geriatrics Society2024

The feasibility of a sleep education program for informal dementia care dyads: A pilot randomized controlled trial.

Yeonsu Song, Anna Papazyan, Diane Lee, Michael N Mitchell, Susan M McCurry, Michael R Irwin, Edmond Teng, Cathy A Alessi, Jennifer L Martin

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03455569 (A Dyadic Sleep Intervention for Alzheimer's Disease Patients and Their Caregivers), which is not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 10% 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.

NCT03455569 nacompletednot on this map

A Dyadic Sleep Intervention for Alzheimer's Disease Patients and Their Caregivers

TypeinterventionalSponsorUniversity of California, Los AngelesRan2018 to 2023Enrolled60ConditionsSleep, Alzheimer DiseaseArmsBehavioral sleep education, Education only
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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 1 country.

Yeonsu SongSchool of Nursing, University of California, Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-2244-2323
Anna PapazyanGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, California, USA.
Diane LeeGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, California, USA.
Michael N MitchellGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, California, USA.
Susan M McCurrySchool of Nursing, University of Washington, Seattle, Washington, USA.
Michael R IrwinCousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, California, USA.
Edmond TengSchool of Medicine, Stanford University, Palo Alto, California, USA.
Cathy A AlessiGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, California, USA.
Jennifer L MartinGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, California, USA.
University of California, Los Angeles · USGeriatric Research Education and Clinical Center · USStanford University · USUniversity of Southern California · USUniversity of Washington · 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
Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
HSR&D Research Career Scientist AwardIK6HX003160 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2020 to 2025
–
HSRD VA IK6 HX003160NHLBI NIH HHS K24 HL143055NHLBI NIH HHS K24HL143055NIA NIH HHS K23 AG055668NIA NIH HHS K23AG055668
6 · The paper itself

Abstract

backgroundUntreated sleep problems in both persons living with dementia (PLWD) and their family care partners (CP) impact their health and quality of life. This pilot study tested a sleep intervention program for both dyad members.

methodsThirty dyads were randomized to a 5-session Care2Sleep intervention (n = 15 dyads) or an information-only control group (n = 15 dyads) delivered in-person or by video-telehealth by trained sleep educators. Care2Sleep is a manual-based program, incorporating key components of cognitive behavioral therapy for insomnia, daily light exposure and walking, and problem-solving for dementia-related behaviors. Adherence with Care2Sleep recommendations was assessed. Sleep outcomes included actigraphy-measured sleep efficiency (SE) and total wake time (TWT) for dyads, and the Pittsburgh Sleep Quality Index (PSQI) for CP. Other outcomes for CP included the Zarit Burden Interview (ZBI) and positive aspects of caregiving (PAC). Outcomes were measured at baseline, posttreatment, and 3-month follow-up. A 2 (group) by 3 (time) mixed model analysis of variance tested treatment effects.

resultsStudy feasibility was demonstrated, with 13 dyads completing all five sessions of Care2Sleep program and 14 completing the control condition. In the Care2Sleep group, the dyads adhered to recommended sleep schedules of 76% for bedtime and 72% for get-up time for PLWD, and 69% for bedtime and 67% for get-up time for CP. There were several nonsignificant trends in outcomes from baseline to 3-month follow-up between the two groups. For example, SE increased by 3.2% more for PLWD and 3.2% more for CP with Care2Sleep versus control. TWT decreased by 14 min more for PLWD and 12 min more for CP with Care2Sleep versus control at the 3-month follow-up. CP in Care2Sleep also showed improvement in the PSQI, ZBI, and PAC scores.

conclusionsA dyadic approach to sleep improvement is feasible. Larger trials are needed to test effects of this intervention for PLWD and their family CP. CLINICALTRIALS: gov: NCT03455569.

Indexed as

DementiaQuality of LifeCaregiversFeasibility StudiesHumansPilot ProjectsSleepTreatment Outcomebehavioral interventioncaregivingdementiadyadspoor sleep

Identifiers

PMID38193336
PMCPMC11018508
OpenAlexW4390706400

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.