The Effect of Tele-Savvy on Sleep Quality and Insomnia in Caregivers of Persons Living with Dementia.
The Effect of Tele-Savvy on Sleep Quality and Insomnia in Caregivers of Persons Living with Dementia.
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DOI：
10.2147/cia.s425741
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发表时间：
2023
影响因子：
3.6
通讯作者：
中科院分区：
文献类型：
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作者：
睡眠障碍在痴呆症患者（PLwD）的照顾者中普遍存在。Tele-Savvy是一种为期7周的虚拟心理教育干预，可提高护理人员的能力和自我护理能力，并减少抑郁症。虽然没有明确设计这样做，但Tele-Savvy可以潜在地改善护理人员的睡眠障碍。本研究旨在探讨远程教育对照顾者睡眠质量和失眠的纵向影响。这是一项3组随机对照试验[Tele-Savvy（积极治疗）、健康生活（注意力控制）和常规护理（等待列表控制）]的次要数据分析。采用意向治疗原则的多水平混合建模，对组、时间和逐组时间效应进行了检验。估计从基线到干预后最初6个月的所有变化的效应量。在完成6个月的随机化后延迟后，我们检查了Tele-Savvy的综合结局。参与者（n=137;平均年龄64.7岁）主要为女性（68.6%）和白色（68.6%）。我们没有发现匹兹堡睡眠质量指数（PSQI）和失眠严重程度指数（ISI）的初始分组效应。对于联合Tele-Savvy组，ISI评分随时间推移有统计学显著改善（p=0.050）。PSQI的组合Tele-Savvy效应量为d=0.126，ISI为d=0.310。Tele-Savvy导致PLwD照顾者样本中失眠症状的长期显着减少，并表现出改善睡眠质量的积极趋势。由于睡眠障碍在PLwD的照顾者中非常普遍，因此将睡眠健康教育纳入心理教育照顾者干预措施可能会为照顾者带来更好的结果。许多照顾痴呆症患者的人睡眠不好。Tele-Savvy是一项为期7周的干预措施，通过在线方式向护理人员提供，改善了他们的睡眠技能和自我护理，并减少了他们的抑郁症状;因此，Tele-Savvy可能会改善他们的睡眠问题。本研究旨在探讨Tele-Savvy对照顾者睡眠质量和失眠的影响超过6个月。护理人员被随机分配到Tele-Savvy（干预），健康生活（比较干预）和常规护理（无初始干预）。137名照顾者，主要是女性，平均年龄64.7岁，参加了这项研究，并完成了失眠和睡眠质量的测量。对于接受Tele-Savvy的护理人员，失眠症状得到改善，并且随着时间的推移睡眠质量有改善的积极趋势。由于如此多的照顾者有睡眠问题，包括睡眠健康教育作为其他照顾者干预措施的一部分可能会为照顾者带来更好的结果。
Sleep disturbance is prevalent in caregivers of persons living with dementia (PLwD). Tele-Savvy, a 7-week virtual psychoeducational intervention, enhances caregivers’ competence and self-care, and reduces depression. While not explicitly designed to do so, Tele-Savvy can potentially improve caregivers’ disturbed sleep. The present study aimed to examine the longitudinal effects of Tele-Savvy on caregivers’ sleep quality and insomnia. This was a secondary data analysis of a 3-arm randomized control trial [Tele-Savvy (active treatment), Healthy Living (attention control), and usual care (waitlist control)]. Multilevel mixed modeling with intent-to-treat principles tested for group, time, and group-by-time effects. Effect sizes were estimated for all changes from baseline to the initial 6-month post-intervention point. Following completion of the 6-month post-randomization delay, we examined combined outcomes for Tele-Savvy. Participants (n=137; mean age 64.7 years) were predominantly female (68.6%) and White (68.6%). We found no initial group-by-time effects for the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI). For the combined Tele-Savvy group, there was a statistically significant improvement in ISI scores across time (p=0.050). The combined Tele-Savvy effect size for PSQI was d=0.126 and ISI was d=0.310. Tele-Savvy resulted in a significant long-term reduction in insomnia symptoms in this sample of caregivers of PLwD and demonstrated a positive trend for improvement in their sleep quality. Since sleep disturbance is so prevalent among caregivers of PLwD, the inclusion of sleep health education into psychoeducation caregiver interventions may yield even better outcomes for caregivers. Many caregivers of persons living with dementia have poor sleep. Tele-Savvy is a 7-week intervention that was delivered online to caregivers improved their caregiving skills and self-care and reduced their depressive symptoms; thus, Tele-Savvy may possibly improve their sleep problems. This study aimed to examine the effects of Tele-Savvy on caregivers’ sleep quality and insomnia over 6 months. Caregivers were randomly assigned to Tele-Savvy (intervention), Healthy Living (comparison intervention), and usual care (no initial intervention). One hundred and thirty-seven caregivers, predominantly female, who were on average 64.7 years, participated in this study and completed measures of insomnia and sleep quality. Insomnia symptoms improved and there was a positive trend for improved sleep quality across time for caregivers who received Tele-Savvy. Since so many caregivers have sleep problems, including sleep health education as a part of other caregiver interventions may lead to even better outcomes for caregivers.
影响因子：
2
作者：
Kovaleva, Mariya;Nocera, Joe R.;Hepburn, Kenneth;Higgins, Melinda;Nash, Rachel;Epps, Fayron;Brewster, Glenna;Bilsborough, Elizabeth;Blumling, Amy A.;Griffiths, Patricia C.
通讯作者：
Griffiths, Patricia C.