Improving Sleep Using Mentored Behavioral and Environmental Restructuring
| Status: | Recruiting |
|---|---|
| Conditions: | Insomnia Sleep Studies |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/22/2018 |
| Start Date: | March 27, 2018 |
| End Date: | December 2022 |
| Contact: | Jessica Smilowitz, MPH |
| Email: | Jessica.Smilowitz@nyumc.org |
| Phone: | 646-501-8289 |
The goal of this study is to test potential functional/psychosocial benefits of improved
sleep using a program designed to teach nursing facility staff to improve sleep promoting
strategies and environment for nursing home residents. Sleep disturbances are quite common in
skilled nursing facilities and affect as many as 69% of residents while staff do not fully
understand how to improve sleep without using medications. Medications for sleep are commonly
used as first-line therapy for older adults but this is problematic because these medications
can lead to greater problems with thinking, more frequent falls, and even worse sleep over
time. In addition, poor sleep can lead to depressed mood, greater trouble with thinking and
memory, worse pain, and greater need for help with daily activities.
sleep using a program designed to teach nursing facility staff to improve sleep promoting
strategies and environment for nursing home residents. Sleep disturbances are quite common in
skilled nursing facilities and affect as many as 69% of residents while staff do not fully
understand how to improve sleep without using medications. Medications for sleep are commonly
used as first-line therapy for older adults but this is problematic because these medications
can lead to greater problems with thinking, more frequent falls, and even worse sleep over
time. In addition, poor sleep can lead to depressed mood, greater trouble with thinking and
memory, worse pain, and greater need for help with daily activities.
This is a study to test the effects of improved sleep quality on downstream
functional/psychosocial outcomes.
functional/psychosocial outcomes.
Inclusion Criteria:
- living in the unit of intervention,
- ability to communicate and follow simple commands,
- English- or Spanish-speaking,
- capacity to consent assessed with standard questions used to assess capacity or having
a surrogate who can provide consent.
Exclusion Criteria:
- Does not have capacity and does not show enthusiasm for the research
- Does not have capacity and does not have a proxy.
- obtunded or comatose state,
- inability to communicate verbally,
- inability to consent and without surrogate
- non-English and non-Spanish speaking. In keeping with QI strategies, all residents
will be exposed to the environmental aspects of the intervention, as these strategies
represent clinically proven non-experimental behavioral strategies with no perceptible
harm.
We found this trial at
1
site
550 1st Ave
New York, New York 10016
New York, New York 10016
(212) 263-7300
Principal Investigator: Joshua Chodosh, MD
Phone: 646-501-8289
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