Sleep medicine for older adults: Applying the age-friendly health systems framework to sleep medicine clinics.

Julia T Boyle, Jennifer Moye, Rina Eisenstein, Brienne Miner, Andrea Wershof Schwartz

Abstract readReview

In one paragraph

Review in Sleep medicine reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Julia T BoyleOffice of Research and Development, VA Boston Healthcare System, Boston, MA, USA; New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Electronic address: Julia.Boyle@va.gov.

Jennifer MoyeNew England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

Rina EisensteinDivision of Geriatric Medicine and Gerontology, Emory University Department of Medicine, Atlanta, GA, USA; Department of Medicine, Sleep Medicine Center, Atlanta VA Medical Center, Atlanta, GA, USA.

Brienne MinerDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

Andrea Wershof SchwartzNew England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA, USA; Division of Aging, Brigham and Women's Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026

$37.9M

NIA NIH HHS P30 AG021342

6 · The paper itself

Abstract

While poor sleep is not guaranteed in older adulthood, older adults are at greater risk for sleep concerns, in part, due to increasing multimorbidity, leading to new or worsening health conditions. Healthcare providers have the opportunity to address these modifiable and treatable concerns to help older adults maintain health, independence, and quality of life. Sleep medicine clinics are uniquely positioned to treat older adults using tools from the Age-Friendly Health Systems (AFHS) framework. This framework organizes patient-centered care of older adults around 4Ms: What Matters Most, Mobility, Mentation, and Medication, thus aligning a patient's health goals and values with complex medical, social, and functional needs. There is strong evidence supporting a relationship between each M and sleep concerns. This paper briefly reviews literature outlining these relationships and provides an overview of and specific guidance and practice tools for incorporating the 4Ms into the assessment and treatment of older adults within a sleep medicine clinic to promote Age-Friendly care.

Indexed as

AgingSleep Medicine SpecialtySleep Wake DisordersAgedHumansPatient-Centered CareQuality of LifeSleep4MsAge-friendlyAge-friendly health systemAgingOlder adultSleepSleep medicine

Identifiers

PMID41831372

DOI10.1016/j.smrv.2026.102268

PMCPMC13519883

What OpenQuestion holds

Textmetadata

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.