Improving Sleep Using Mentored Behavioral and Environmental Restructuring (SLUMBER)

项目总结/摘要 这项研究的目的是测试一个旨在教护理机构工作人员改善普通睡眠的计划， 居民的相关症状。睡眠障碍在专业护理机构中很常见， 多达69%的居民，而工作人员不完全了解如何改善睡眠，而不使用 药物治疗睡眠药物通常被用作老年人的一线治疗，但这是一种治疗方法。 因为这些药物可能导致更大的思考问题，更频繁的福尔斯， 更糟糕的睡眠随着时间的推移。此外，睡眠不好会导致情绪低落，思维更麻烦 和记忆力，更严重的疼痛，以及更需要帮助的日常活动。 已经努力减少用于睡眠的药物的使用，但是仍然需要改善药物的使用。 继续有困难的居民的睡眠质量。因为护理机构的居民 为了使工作人员能够满足基本的日常需要，工作人员参与睡眠是至关重要的。 改进的努力。这项研究将“指导”护理设施的工作人员，以改善居民的睡眠和相关的 症状通过使用睡眠改善计划称为：改善睡眠使用指导行为和 环境重组（SLUBER）。该计划为设施工作人员提供睡眠专家的指导 改善夜间睡眠环境，增加白天活动水平和光照，减少 白天的行为，导致睡眠障碍，在晚上，并帮助个别居民谁是有 睡眠困难。研究将在三个护理机构内的每个机构的两个单元中随机进行 秩序 除了指导工作人员改善睡眠的策略外，这项研究还将利用技术来帮助设施 工作人员这包括记录噪音水平的分贝计和测量居民睡眠的手腕活动记录仪 质量、活动水平和光照。设施工作人员也将得到一份清单，有针对性的战略，以使用 居民们有睡眠困难。工作人员将能够记录睡眠障碍的发作， 这些数据的可视化显示，以支持他们的工作。这项研究将测试是否SLUBER干预 改善夜间睡眠质量，居民报告的睡眠不佳，情绪低落，焦虑和 疼痛，以及干预是否改善认知和活动水平。这项研究还将衡量是否 工作人员创造了一个更好的睡眠环境，减少了夜间噪音，增加了日光照射， 更多地使用策略来促进更好的睡眠。

PROJECT SUMMARY/ABSTRACT The goal of this study is to test a program designed to teach nursing facility staff to improve common sleep- related symptoms among residents. Sleep disturbances are quite common in skilled nursing facilities and affect as many as 69% of residents while staff do not fully understand how to improve sleep without using medications. Medications for sleep are commonly used as first-line therapy for older adults but this is problematic because these medications can lead to greater problems with thinking, more frequent falls, and even worse sleep over time. In addition, poor sleep can lead to depressed mood, greater trouble with thinking and memory, worse pain, and greater need for help with daily activities. There have been efforts to reduce the use of medications for sleep, yet there is still a need to improve the quality of sleep among residents who continue to have difficulties. Because nursing facility residents depend on caregiving staff to meet their basic day-to-day needs, it is essential that staff members participate in sleep improvement efforts. This study will “mentor” nursing facility staff to improve residents’ sleep and related symptoms by using a sleep improvement program called: Improving Sleep Using Mentored Behavioral and Environmental Restructuring (SLUMBER). This program provides mentoring to facility staff from sleep experts to improve the nighttime sleep environment, increase daytime activity levels and light exposure, reduce daytime behaviors that cause sleep disturbances at night, and to help individual residents who are having difficulty with sleep. The study will take place in two units per facility within three nursing facilities in random order. In addition to mentoring staff on strategies to improve sleep, this study will use technology to assist facility staff. This includes decibel meters to record noise levels and wrist actigraphs to measure residents’ sleep quality, activity levels and light exposure. Facility staff will also be given a list of targeted strategies to be used with residents having difficulty with sleep. Staff will be able to record episodes of sleep disturbance and to see a visual display of these data to support their work. This study will test whether the SLUMBER intervention improves nighttime sleep quality, resident reported symptoms of poor sleep, depressed mood, anxiety and pain, and whether the intervention improves cognitive and activity levels. This study will also measure whether staff have created a better sleep environment with decreased nighttime noise, increased daylight exposure and greater use of strategies to promote better sleep.