Assisted Relaxation Therapy for Insomnia in Older Adults With Mild Cognitive Impairment: A Pilot Study.
Assisted Relaxation Therapy for Insomnia in Older Adults With Mild Cognitive Impairment: A Pilot Study.
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DOI：
10.1177/00914150221132163
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发表时间：
2023-07
影响因子：
2
通讯作者：
Gooneratne, Nalaka S.
中科院分区：
文献类型：
--
作者：
McPhillips, Miranda, V;Li, Junxin;Petrovsky, Darina, V;Brewster, Glenna S.;Ward, E. John, III;Hodgson, Nancy;Gooneratne, Nalaka S.
在患有轻度认知障碍（MCI）的老年人中，失眠症状普遍存在，并可能带来治疗挑战。我们测试了辅助放松疗法（ART）改善社区居住的MCI老年人失眠症状的可行性、可接受性和初步疗效。在这项试验性随机对照试验中，25名参与者被分配到干预组或对照组，为期2周。最终样本（n = 20）包括所有黑人，主要是女性（70%）老年人（平均年龄69.10; SD = 7.45），平均蒙特利尔认知评估评分为21.10（SD = 2.49）。招聘及时;流失率低（80%）。参与者能够使用ART（平均使用7.00; SD = 5.07天）。与基线相比，ART组的参与者的胰岛素严重程度指数（ISI）有所改善（-7.10; 95% CI [-11.63，-2.55]; p = .004）。与对照组相比，干预组的ISI平均变化评分具有临床意义（-7.10 vs.-4.33）。结果提供了在充分把握度的临床试验中测试ART的理由。
Insomnia symptoms are prevalent in older adults with mild cognitive impairment (MCI) and can pose treatment challenges. We tested the feasibility, acceptability, and preliminary efficacy of assisted relaxation therapy (ART) to improve insomnia symptoms in community-dwelling older adults with MCI. In this pilot RCT, 25 participants were assigned to intervention or control groups for 2 weeks. The final sample (n = 20) consisted of all Black, primarily female (70%) older adults (mean age 69.10; SD = 7.45) with mean Montreal Cognitive Assessment scores of 21.10 (SD = 2.49). Recruitment was timely; attrition was low (80%). Participants were able to use ART (average use 7.00; SD = 5.07 days). Participants in the ART group improved on Insomnia Severity Index (ISI) (− 7.10; 95% CI [−11.63, −2.55]; p = .004) compared to baseline. There were clinically meaningful mean change scores on ISI for the intervention group compared to the control (− 7.10 vs. − 4.33). Results provide justification for testing ART in a fully powered clinical trial.
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影响因子：
6.9
作者：
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影响因子：
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DOI：
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发表时间：
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