N/A
N=42
Treating Sleep Problems in VA Adult Day Health Care
Insomnia · Sleep Disorders
Bottom Line
View on ClinicalTrials.gov: NCT01259401 ↗Enrolled (actual)
42
Serious AEs
0.0%
Results posted
Dec 2014
Primary outcome: Primary: Sleep Efficiency — 86.6; 83.3 percentage of time in bed spent asleep — p=.04
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Sleep Intervention Program (Behavioral); Sleep Education control (Behavioral)
- Age
- Adult, Older Adult · 60+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Sleep Efficiency |
85.3; 81.5 | .061 |
| PRIMARY Sleep Efficiency |
85.3; 81.5 | .061 |
Summary
The Veterans Millennium Health Care and Benefits Act (Millennium Act) of 1999 mandated the Department of Veterans Affairs (VA) to provide non-institutional long-term care to veterans. Adult Day Health Care (ADHC) is a key component of that spectrum of long-term care services. Veterans in ADHC commonly suffer from limited poor functioning, depression, cognitive problems and low quality of life. These factors can lead to continued deterioration in functioning, loss of independence, hospitalizations, nursing home placement and death. Sleep disruption is associated with depression, low quality of life, functional decline, nursing home placement, and death among older people. Sleep disturbance is common among ADHC patients, it is not addressed within routine clinical care, and treatment may be limited to medications. Studies show that untreated insomnia and medications for insomnia can increase risk of falls and other health events among older persons. On the other hand, non-medication treatments for sleep do not show these problems. These treatments have been shown to be effective in other studies. The goal of this study is to test non-medication treatments to improve sleep among older Veterans with insomnia in a VA ADHC program. The study design will facilitate translation into routine care and application in other similar VA programs.
Eligibility Criteria
Inclusion Criteria
All of the following:
- ADHC program participant
- Age >= 60 years
- Ability to communicate verbally
Exclusion Criteria
One or more of the following:
- Significant cognitive impairment (Mini Mental State Examination score<20)
Data sourced from ClinicalTrials.gov (NCT01259401). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.