Evidence map›Paper›PMID 41576571›Full record

ArticleGeriatric nursing (New York, N.Y.)2026

Caregiver outcomes related to sleep disturbances in persons living with cognitive impairment.

Miranda V McPhillips, Erin Donnelly, Fanghong Dong, Darina V Petrovsky, Justine S Sefcik, Glenna S Brewster, Junxin Li, Nalaka S Gooneratne, Nancy A Hodgson

Abstract read
In one paragraph

Article in Geriatric nursing (New York, N.Y.), 2026. 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. Article
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.

Miranda V McPhillipsM. Louise Fitzpatrick College of Nursing, University of Villanova, Villanova, PA, USA. Electronic address: miranda.mcphillips@villanova.edu.
Erin DonnellyM. Louise Fitzpatrick College of Nursing, University of Villanova, Villanova, PA, USA.
Fanghong DongDepartment of Psychiatry, School of Medicine, Washington University, St. Louis, MO, USA.
Darina V PetrovskySchool of Nursing, Duke University, Durham, NC, USA.
Justine S SefcikCollege of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Glenna S BrewsterNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Junxin LiSchool of Nursing, John Hopkins University, Baltimore, MD, USA.
Nalaka S GooneratneDivision of Sleep Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Nancy A HodgsonSchool of Nursing, University of Pennsylvania, Philadelphia, PA, USA.

Funding

The Role of Palliative Care Interventions to Reduce Circadian Rhythm Disorders in Persons with DementiaR01NR015226 · NINR · UNIVERSITY OF PENNSYLVANIA · PI HODGSON, NANCY A · 2016 to 2020
$3.0M
A Personalized Behavioral Intervention to Improve Physical Activity, Sleep and Cognition in Sedentary Older AdultsR00NR016484 · NINR · JOHNS HOPKINS UNIVERSITY · PI LI, JUNXIN · 2019 to 2021
$996k
Music-based Intervention for Insomnia in Persons Living with Dementia and their CaregiversK23AG073618 · NIA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI PETROVSKY, DARINA V. · 2021 to 2025
$968k
Multicomponent Behavioral Sleep Intervention for Insomnia in Older Adults with Mild Cognitive ImpairmentK23NR018487 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MCPHILLIPS, MIRANDA VARRASSE · 2019 to 2021
$496k
A Person-Centered Environmental and Sensory Intervention for Nursing Home Residents with Dementia who Exhibit Persistent VocalizationsK23NR018673 · NINR · DREXEL UNIVERSITY · PI SEFCIK, JUSTINE SUZETTE · 2020 to 2022
$461k
The feasibility of a tailored music intervention to reduce symptoms of sleep disruption in older adults with dementiaF32AG060630 · NIA · UNIVERSITY OF PENNSYLVANIA · PI PETROVSKY, DARINA V. · 2018 to 2020
$188k
NIA NIH HHS F32 AG060630NIA NIH HHS K23 AG073618NINR NIH HHS K23 NR018487NINR NIH HHS K23 NR018673NINR NIH HHS R00 NR016484NINR NIH HHS R01 NR015226
6 · The paper itself

Abstract

Sleep disturbances in persons living with cognitive impairment (PLWCI) may impose a great burden on caregivers. We examined the association between sleep (objective sleep quality and quantity; subjective sleep impairment, quality, and daytime sleepiness) in PLWCI and caregiver depression, mastery, and burden via secondary analysis of Healthy Patterns baseline data (n = 209). Objective sleep variables included total sleep time and sleep efficiency derived from PLWCI using 3 nights of actigraphy. Subjective sleep measures included PROMIS Sleep Related Impairment, Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale, filled out by the caregiver describing the PLWCI sleep. Caregiver measures included Center for Epidemiological Studies Depression Scale, Caregiver Mastery Scale and Zarit Burden Interview. PLWCI were primarily female (66.5%) and Black (64%), with a mean age of 73.6 ± 8.6. Caregivers were mainly female (81%) and family caregivers (67%), with a mean age of 56.6 ± 14.7. After controlling for PLWCI cognition, age, and gender, poorer PLWCI sleep quality was significantly associated with more caregiver depression (β = 0.387, p = 0.029); worse PLWCI sleep impairment was associated with worse mastery (β = 0.104, p = 0.004). Poor PLWCI sleep quality was associated with lower caregiver mastery; the effect was larger for females than males. PLWCI being less sleepy during the day (β = 0.104, p = 0.055) and having worse sleep impairment (β =-0.163, p = 0.039) were both associated with more caregiver burden. There is a critical need to address the effects of PLWCI sleep disruption on caregivers in dementia care services.

Indexed as

CaregiversCognitive DysfunctionSleep Wake DisordersAgedDepressionFemaleHumansMaleMiddle AgedSleep DurationSleep QualityAlzheimer’s diseaseBurdenCaregiverDepressionMasterySleep

Identifiers

PMID41576571
PMCPMC13129855

What OpenQuestion holds

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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.