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A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings
BACKGROUND: Disturbances in sleep and circadian rhythms are common among residents of long-term care facilities. In this systematic review, we aim to identify and evaluate the literature documenting the outcomes associated with non-pharmacological interventions to improve nighttime sleep among long-...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006939/ https://www.ncbi.nlm.nih.gov/pubmed/29914382 http://dx.doi.org/10.1186/s12877-018-0794-3 |
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author | Capezuti, Elizabeth Sagha Zadeh, Rana Pain, Kevin Basara, Aleksa Jiang, Nancy Ziyan Krieger, Ana C. |
author_facet | Capezuti, Elizabeth Sagha Zadeh, Rana Pain, Kevin Basara, Aleksa Jiang, Nancy Ziyan Krieger, Ana C. |
author_sort | Capezuti, Elizabeth |
collection | PubMed |
description | BACKGROUND: Disturbances in sleep and circadian rhythms are common among residents of long-term care facilities. In this systematic review, we aim to identify and evaluate the literature documenting the outcomes associated with non-pharmacological interventions to improve nighttime sleep among long-term care residents. METHODS: The Preferred Reporting Items for Systematic Reviews guided searches of five databases (MEDLINE, Embase, CINAHL, Scopus, and Cochrane Library) for articles reporting results of experimental or quasi-experimental studies conducted in long-term care settings (nursing homes, assisted-living facilities, or group homes) in which nighttime sleep was subjectively or objectively measured as a primary outcome. We categorized each intervention by its intended use and how it was administered. RESULTS: Of the 54 included studies evaluating the effects of 25 different non-pharmacological interventions, more than half employed a randomized controlled trial design (n = 30); the others used a pre-post design with (n = 11) or without (n = 13) a comparison group. The majority of randomized controlled trials were at low risk for most types of bias, and most other studies met the standard quality criteria. The interventions were categorized as environmental interventions (n = 14), complementary health practices (n = 12), social/physical stimulation (n = 11), clinical care practices (n = 3), or mind-body practices (n = 3). Although there was no clear pattern of positive findings, three interventions had the most promising results: increased daytime light exposure, nighttime use of melatonin, and acupressure. CONCLUSIONS: Non-pharmacological interventions have the potential to improve sleep for residents of long-term care facilities. Further research is needed to better standardize such interventions and provide clear implementation guidelines using cost-effective practices. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12877-018-0794-3) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6006939 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60069392018-06-26 A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings Capezuti, Elizabeth Sagha Zadeh, Rana Pain, Kevin Basara, Aleksa Jiang, Nancy Ziyan Krieger, Ana C. BMC Geriatr Research Article BACKGROUND: Disturbances in sleep and circadian rhythms are common among residents of long-term care facilities. In this systematic review, we aim to identify and evaluate the literature documenting the outcomes associated with non-pharmacological interventions to improve nighttime sleep among long-term care residents. METHODS: The Preferred Reporting Items for Systematic Reviews guided searches of five databases (MEDLINE, Embase, CINAHL, Scopus, and Cochrane Library) for articles reporting results of experimental or quasi-experimental studies conducted in long-term care settings (nursing homes, assisted-living facilities, or group homes) in which nighttime sleep was subjectively or objectively measured as a primary outcome. We categorized each intervention by its intended use and how it was administered. RESULTS: Of the 54 included studies evaluating the effects of 25 different non-pharmacological interventions, more than half employed a randomized controlled trial design (n = 30); the others used a pre-post design with (n = 11) or without (n = 13) a comparison group. The majority of randomized controlled trials were at low risk for most types of bias, and most other studies met the standard quality criteria. The interventions were categorized as environmental interventions (n = 14), complementary health practices (n = 12), social/physical stimulation (n = 11), clinical care practices (n = 3), or mind-body practices (n = 3). Although there was no clear pattern of positive findings, three interventions had the most promising results: increased daytime light exposure, nighttime use of melatonin, and acupressure. CONCLUSIONS: Non-pharmacological interventions have the potential to improve sleep for residents of long-term care facilities. Further research is needed to better standardize such interventions and provide clear implementation guidelines using cost-effective practices. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12877-018-0794-3) contains supplementary material, which is available to authorized users. BioMed Central 2018-06-18 /pmc/articles/PMC6006939/ /pubmed/29914382 http://dx.doi.org/10.1186/s12877-018-0794-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Capezuti, Elizabeth Sagha Zadeh, Rana Pain, Kevin Basara, Aleksa Jiang, Nancy Ziyan Krieger, Ana C. A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings |
title | A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings |
title_full | A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings |
title_fullStr | A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings |
title_full_unstemmed | A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings |
title_short | A systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings |
title_sort | systematic review of non-pharmacological interventions to improve nighttime sleep among residents of long-term care settings |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006939/ https://www.ncbi.nlm.nih.gov/pubmed/29914382 http://dx.doi.org/10.1186/s12877-018-0794-3 |
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