Enhancing Sleep Quality for Nursing Home Residents With Dementia - R33 Phase

Summary

This study seeks to improve clinical outcomes for an important, growing, and vulnerable population-nursing home residents with Alzheimer's disease or related dementias-by testing an evidence-based intervention to improve these residents' sleep. It will also examine the implementation and sustainment of this intervention.

Interventions

• LOCK Sleep Program · BEHAVIORAL

  The LOCK sleep program is a program that trains NH staff in a NH frontline staff huddling approach. It is derived from evidence supporting strengths-based learning, systematic observation, relationship-based teamwork, and efficiency. Staff learn how to work together as a team to collaboratively problem-solving about resident sleep challenges (e.g., evidence-based sleep promoting best practices and daytime meaningful activity best practices).

• No intervention (control period/baseline data collection) · OTHER

  Each NH serves as its own control. During the control period, baseline data will be collected.

Published eligibility criteria

Verbatim from the registry. Only the site can decide how these apply to a specific patient.

Inclusion Criteria:

* Nursing home residents aged \>=50 years with an Alzheimer disease or related dementia (ADRD) diagnosis, identified by nursing home staff participating in frontline LOCK sleep huddles as having sleep problems

Exclusion Criteria:

* Residents with a high risk of OSA who are not being treated for OSA because actigraph measurements are inaccurate in that population.
* Residents who have a persistent bilateral resting tremor or paralysis in both arms (a subset of persons with Parkinson's disease and related significant tremor-causing diagnoses), due to actigraph measurement inaccuracies

Sites (3)

• Vivage/Beecan Corporation, Lakewood, Colorado · RECRUITING
• National HealthCare Corporation, Murfreesboro, Tennessee · RECRUITING
• Caraday Healthcare, LLC, San Marcos, Texas · RECRUITING