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Multi-Modal Home Sleep Monitoring in Older Adults

Multi-Modal Home Sleep Monitoring in Older Adults

Published on: January 26, 2019

Process evaluation of an intervention to reduce sleep problems in people living with dementia in nursing homes: a

Denise Wilfling¹, Anja Kühn², Frederike Lüth²

¹Institute of Nursing Science, Medical University Graz, Graz, Austria.

|March 4, 2025

Abstract

Background:

People living with dementia often suffer from sleep disturbances. The MoNoPol-Sleep (multimodal, nonpharmacological intervention for sleep disturbances in people with dementia living in nursing homes) study aimed to develop and evaluate a multimodal, nonpharmacological intervention to prevent and reduce sleep disturbances in people with dementia living in nursing homes.

Objectives:

To investigate implementation fidelity, adoption, barriers and facilitators of the multimodal, nonpharmacological intervention.

Design:

Mixed-methods process evaluation alongside an exploratory cluster-randomised controlled trial.

Setting:

Twenty-two nursing homes in three regions in Germany.

Subjects:

Nursing staff, nursing home managers, sleep nurses and other target groups of the intervention from the participating nursing homes.

Methods:

Questionnaires, qualitative interviews and documentation of the intervention's implementation.

Results:

The intervention was predominately implemented as planned, but implementation fidelity varied between the clusters. The most frequently planned and implemented sleep-promoting interventions were daytime activities. There is some evidence that person-centredness slightly increased in the intervention group. The commitment of nursing home managers, the motivation of nurses and good cooperation with the main contact persons of the research team were identified as facilitating context factors. Identified barriers were financial and time resources and low motivation of the nurses. The results of the cRCT have been published elsewhere.

Conclusions:

For a successful implementation, involvement of nurses from day and night shifts and other stakeholders is crucial. Based on the results of this process evaluation conducted alongside an exploratory trial, the intervention can be adapted and further developed to evaluate its effectiveness in a future full trial.

Clinical Trial Registration:

ISRCTN No ISRCTN36015309.

Keywords:

dementia nursing home older people sleep

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