Evidence map›Paper›PMID 40924822›Full record

ArticleClinical rehabilitation2025

Adapting and implementing a staff-led sleep intervention in an acute rehabilitation setting.

Bianca A Ramos, Kavita Ram, Maylyn Martinez, Aashna Sunderrajan, Jacob Sindorf, Megan K O'Brien, Sara Prokup, Sehar Siddiqui, Linda L Morris, Kristen L Knutson and 6 more

Abstract read
In one paragraph

Article in Clinical rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

16 authors.

Bianca A RamosPritzker School of Medicine, University of Chicago, Chicago, IL, USA.ORCID 0009-0004-3778-3771
Kavita RamPritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Maylyn MartinezPritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Aashna SunderrajanPritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Jacob SindorfMax Näder Center for Rehabilitation Technologies and Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.ORCID 0009-0000-9570-3953
Megan K O'BrienMax Näder Center for Rehabilitation Technologies and Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.ORCID 0000-0001-8069-365X
Sara ProkupMax Näder Center for Rehabilitation Technologies and Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.
Sehar SiddiquiPritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Linda L MorrisFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Kristen L KnutsonFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-2751-6168
Babak MokhlesiDepartment of Internal Medicine, Rush University, Chicago, IL, USA.ORCID 0000-0001-8135-5433
Shyam PrabhakaranPritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Lisa F WolfeFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Phyllis C ZeeFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Arun JayaramanMax Näder Center for Rehabilitation Technologies and Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.ORCID 0000-0002-9302-6693
Vineet M AroraPritzker School of Medicine, University of Chicago, Chicago, IL, USA.

Funding

SIESTA (Sleep of Inpatients: Empower Staff to Act) for Acute Stroke Rehabilitation - Resubmission 01R01HD097786 · NICHD · UNIVERSITY OF CHICAGO · PI ARORA, VINEET, JAYARAMAN, ARUN · 2020 to 2024
$3.7M
NICHD NIH HHS R01 HD097786
6 · The paper itself

Abstract

ObjectiveTo adapt and modify the successful SIESTA (Sleep for Inpatients: Empowering Staff to Act) sleep-promoting hospital protocol to an acute stroke rehabilitation setting.DesignThis study utilized a mixed methods design, involving qualitative surveys and interviews. Needs assessment and staff interviews informed the development of the adapted protocol, SIESTA-Rehab.SettingInpatient unit treating persons with neurological injury, primarily stroke, in an acute rehabilitation hospital.ParticipantsNursing staff on the inpatient unit where SIESTA-Rehab was implemented.InterventionAfter identifying needs, we adapted the SIESTA protocol with relevant modifications to SIESTA-Rehab. Protocol adaptations were guided by the Culture, Oversight, Systems Change, Training framework, with a focus on developing nursing education and sleep-enhancing tools. The protocol was implemented over a four-year period, sustained through periodic staff re-education, and nursing staff perceptions of the intervention were evaluated using fidelity interviews.Main MeasuresQualitative assessments were conducted from a convenience sample of nurses to gauge understanding, recall, ease of implementation, and individual re-education needs for SIESTA-Rehab.ResultsInitial staff feedback indicated limited awareness of sleep disorder screening and sleep optimization practices, highlighting the absence of sleep-based assessments during standard care. Initial unit-wide training was conducted on SIESTA-Rehab for nursing staff (

Indexed as

Nursing Staff, HospitalSleep Wake DisordersStroke RehabilitationAdultFemaleHospitals, RehabilitationHumansMaleQualitative Researchimplementation sciencenurse interventionsleep interventionSleep qualitystroke

Identifiers

PMID40924822
PMCPMC13122846

What OpenQuestion holds

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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.