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Updated: Nov 29, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
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Sleep Management within Skilled Nursing Facilities: A Practice Survey.

Nabila Enam1, Namrata Grampurohit2, Ruth S Farber3

  • 1Occupational Therapy, University of the Sciences, Philadelphia, PA, USA.

Occupational Therapy in Health Care
|November 24, 2020
PubMed
Summary

Occupational therapy practitioners recognize sleep

Keywords:
Occupational therapy practitionersskilled nursing facilitiessleep assessmentsleep management

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Area of Science:

  • Gerontology
  • Sleep Medicine
  • Occupational Therapy

Background:

  • Sleep disturbances are prevalent among residents in skilled nursing facilities, impacting their overall health and well-being.
  • Occupational therapy practitioners acknowledge the critical role of sleep in patient recovery and daily functioning.

Purpose of the Study:

  • To investigate current practice patterns of occupational therapy practitioners regarding sleep management in skilled nursing facilities.
  • To identify barriers and facilitators to implementing effective sleep interventions.

Main Methods:

  • A cross-sectional descriptive survey was conducted with 105 occupational therapy practitioners.
  • The survey assessed screening, assessment, treatment, and documentation of sleep issues, as well as the use of standardized tools and evidence-based interventions.

Main Results:

  • While practitioners view sleep as essential, a majority do not routinely screen, assess, treat, or document sleep problems.
  • There is a noted lack of utilization of standardized sleep assessments and evidence-based interventions among practitioners.
  • Common client-reported sleep issues include inadequate sleep, daytime sleepiness, and difficulty staying asleep.

Conclusions:

  • Occupational therapy practitioners require enhanced training and education in sleep management strategies.
  • Developing advocacy skills is crucial for promoting the occupational therapy's role in addressing sleep in skilled nursing facilities.
  • Integrating standardized assessments and evidence-based interventions is necessary to improve sleep outcomes for residents.