ENVIRONMENTAL INTERVENTIONS ON SLEEP IN THE NURSING HOME

描述（改编自研究者摘要）：主要目的 这个项目是为了测试一种环境干预措施， 夜间睡眠和减少日间嗜睡在养老院 居民 干预措施的目标是改善破坏性的 导致睡眠障碍的环境条件。 本5年 该项目将是一项在4个社区进行的随机对照试验 养老院，预计招募120名受试者。 居民 白天嗜睡和夜间睡眠障碍都将成为目标， 书房 随机分配至治疗组的受试者将接受 白天/夜间（即，24小时）干预， 以前测试过的夜间干预措施（包括减少 噪音、光线和睡眠干扰的护理实践）， 干预（包括结构化睡眠和觉醒时间，自然明亮， 光暴露，增加体力活动，并限制在 床）。 对照受试者将接受常规护理。 结局指标将 包括睡眠与觉醒测量（通过24小时腕关节估计 活动记录仪）和行为（通过24小时行为观察测量）。 在 此外，干预过程中的某些措施将被 收集的（即，噪音水平、光照、卧床时间和活动 （三）检验干预的理论框架。 主要 假设是，干预将与改善有关， 夜间睡眠和减少白天嗜睡和躁动。 结果 这一应用可能会导致疗养院的巨大变化， 环境，具有显著提高质量的潜力 这一弱势群体的生活和福祉。

DESCRIPTION (adapted from investigator's abstract): The primary purpose of this project is to test an environmental intervention aimed at improving nighttime sleep and decreasing daytime sleepiness among nursing home residents. The intervention will be targeted at improving disruptive environmental conditions that contribute to sleep disturbance. This 5-year project will be a randomized, controlled trial performed in 4 community nursing homes, with an expected enrollment of 120 subjects. Residents with both daytime sleepiness and nighttime sleep impairment will be targeted for the study. Subjects randomized to the treatment group will receive a daytime/nighttime (i.e., 24-hour) intervention that combines a previously-tested nighttime intervention (involving measures to decrease noise, light and sleep-disruptive nursing care practices) with a daytime intervention (involving structured sleep and awakening times, natural bright light exposure, increased physical activity, and limitation of time spent in bed). Control subjects will receive usual care. Outcome measures will include measures of sleep versus wakefulness (estimated by 24 hour wrist actigraphy) and behavior (measured by 24 hour behavioral observations). In addition, certain measures of the process of the intervention will be collected (i.e., noise levels, light exposure, in-bed time, and activity levels) to test the theoretical framework of the intervention. The major hypotheses are that the intervention will be associated with improvement in nighttime sleep and decreased daytime sleepiness and agitation. Results of this application may lead to dramatic changes in the nursing home environment, with the potential for significant improvement in the quality of life and well-being of this vulnerable population.