Trial reportAge and ageing2025
Process evaluation of an intervention to reduce sleep problems in people living with dementia in nursing homes: a mixed-methods study.
Trial report in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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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
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Summary of best evidence for non-pharmacological management of sleep disturbances in patients with mild cognitive impairment or early dementia: an integrative review.Frontiers in medicine · 2026Pooled it
- Biodynamic lighting versus bright light effects on rest-activity rhythm and night-time sleep in nursing homes residents with dementia.BMC geriatrics · 2026Trial
- Adapting and implementing a staff-led sleep intervention in an acute rehabilitation setting.Clinical rehabilitation · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundPeople living with dementia often suffer from sleep disturbances. The MoNoPol-Sleep (multimodal, nonpharmacological intervention for sleep disturbances in people with dementia living in nursing homes) study aimed to develop and evaluate a multimodal, nonpharmacological intervention to prevent and reduce sleep disturbances in people with dementia living in nursing homes.
objectivesTo investigate implementation fidelity, adoption, barriers and facilitators of the multimodal, nonpharmacological intervention.
designMixed-methods process evaluation alongside an exploratory cluster-randomised controlled trial.
settingTwenty-two nursing homes in three regions in Germany. SUBJECTS: Nursing staff, nursing home managers, sleep nurses and other target groups of the intervention from the participating nursing homes.
methodsQuestionnaires, qualitative interviews and documentation of the intervention's implementation.
resultsThe intervention was predominately implemented as planned, but implementation fidelity varied between the clusters. The most frequently planned and implemented sleep-promoting interventions were daytime activities. There is some evidence that person-centredness slightly increased in the intervention group. The commitment of nursing home managers, the motivation of nurses and good cooperation with the main contact persons of the research team were identified as facilitating context factors. Identified barriers were financial and time resources and low motivation of the nurses. The results of the cRCT have been published elsewhere.
conclusionsFor a successful implementation, involvement of nurses from day and night shifts and other stakeholders is crucial. Based on the results of this process evaluation conducted alongside an exploratory trial, the intervention can be adapted and further developed to evaluate its effectiveness in a future full trial. CLINICAL
trial registrationISRCTN No ISRCTN36015309.
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