Development of a dyadic sleep intervention for Alzheimer's disease patients and their caregivers.
This study aimed to refine a behavioral sleep intervention program targeting patients with Alzheimer's disease and their caregivers. In this case series, key components of the sleep program were built upon previous intervention studies of patients with cognitive impairment/dementia. The intervention...
| Publicado en: | Disability & Rehabilitation Vol. 43; no. 13; pp. 1861 - 1872 |
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| Autores principales: | , , , , , , , , , |
| Formato: | case study research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151136481&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151136481 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Jun2021 vid: 43 iid: 13 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 151136481 151136481 151136481 10.1080/09638288.2019.1680748 151136481 ppf: 1861 ppct: 11 formats: tig: atl: Development of a dyadic sleep intervention for Alzheimer's disease patients and their caregivers. aug: au: Song, Yeonsu McCurry, Susan M. Lee, Diane Josephson, Karen R. McGowan, Sarah Kate Fung, Constance H. Irwin, Michael R. Teng, Edmond Alessi, Cathy A. Martin, Jennifer L. affil: School of Nursing, University of California, Los Angeles, Los Angeles, CA, USA sug: subj: Sleep Disorders Therapy Alzheimer's Disease Caregivers Behavior Therapy Treatment Outcomes Funding Source Human Male Female Dementia Patients Cognition Disorders Sleep Hygiene Walking Relaxation Mindfulness Diaries Male Female ab: This study aimed to refine a behavioral sleep intervention program targeting patients with Alzheimer's disease and their caregivers. In this case series, key components of the sleep program were built upon previous intervention studies of patients with cognitive impairment/dementia. The intervention consisted of five weekly sessions covering sleep hygiene, sleep compression, stimulus control, daily walking/light exposure, relaxation/mindfulness, and caregiver training to manage patients' behavioral problems. The materials and structure were iteratively refined based on feedback from caregivers and sleep educators. Sleep diaries were used to evaluate sleep outcomes. Five out of six enrolled dyads completed the sessions. Several revisions were made during testing: the last session was changed from telephone to in-person; some components (e.g., sleep scheduling, mindfulness) were rearranged within or across sessions; sleep educator guidelines for sleep scheduling, light exposure, and walking were revised. After the fifth dyad, no additional issues were identified by the caregiver or the sleep educator. Four patients and three caregivers had improved sleep at the last session. The iterative refinement process was successful in finalizing the intervention program, with evidence of sleep improvements. Formal pilot testing of the program will provide further information on feasibility and effectiveness. Our dyadic behavioral sleep program can be tailored to various types of sleep problems among patients with Alzheimer's disease and their family caregivers, with the goal of improving daytime function by reducing sleep disturbances at night. Caregiver training and participation of both members of the dyad in sleep management may benefit the patients' sleep and other health outcomes, reduce caregiver stress and burden, and ultimately delay or prevent institutionalization of Alzheimer's disease patients. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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