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Intervention for sleep problems in nursing home residents with dementia: a cluster-randomized study
Martin Nikolaus Dichter1, Jonas Dörner2, Denise Wilfling3
1Institute of Nursing Science, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
International Psychogeriatrics
|February 2, 2025
Summary
A multi-component intervention significantly reduced sleep problems in people with dementia living in nursing homes. The MoNoPol-Sleep intervention demonstrated a 24.5% reduction in sleep issues compared to standard care.
Area of Science:
- Gerontology
- Sleep Medicine
- Dementia Care
Background:
- Sleep problems are prevalent in individuals with dementia residing in nursing homes.
- Effective interventions are needed to improve sleep quality and reduce behavioral disturbances.
Purpose of the Study:
- To evaluate the effectiveness of a multi-component intervention (MoNoPol-Sleep) in reducing sleep problems among nursing home residents with dementia.
Main Methods:
- A cluster-randomized controlled study involving 24 nursing homes and 191 participants with dementia.
- The intervention group received a 16-week program including staff education and sleep-promoting strategies.
- The control group received standard care.
Main Results:
- After 16 weeks, the intervention group showed a significant reduction in sleep problems (59.3%) compared to the control group (83.8%).
- A difference of -24.5% in sleep problems was observed, with a cluster-adjusted odds ratio of 0.281.
- Secondary outcomes also indicated significant improvements in sleep disorder inventory scores.
Conclusions:
- The MoNoPol-Sleep intervention is effective in reducing sleep problems for people with dementia in nursing home settings.
- This multi-component approach offers a promising strategy for improving sleep in this vulnerable population.
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