Managing Sleep Disturbances in Adult Family Homes: Recruitment and Implementation of a Behavioral Treatment Program

Overview

Journal Geriatr Nurs

Specialty Nursing

Date 2009 Feb 14

PMID 19215811

Citations 1

Authors

Susan M McCurry

David M LaFazia

Kenneth C Pike

Rebecca G Logsdon

Linda Teri

Affiliations

Soon will be listed here.

Abstract

This article describes a sleep education program (SEP) designed to teach owner/operators and direct-care staff working in adult family homes (AFHs) how to improve the sleep and nighttime behavior of older residents with dementia. There have been no sleep intervention studies conducted in AFHs, and strategies that are known to improve sleep in community-dwelling older adults or nursing home residents may not be feasible or effective in AFHs because of their unique care environment. The SEP was developed on the basis of experiences treating sleep disturbances in community-dwelling older adults with dementia (the Nighttime Insomnia Treatment and Education in Alzheimer's Disease study). In this article, we address both the clinical and empirical challenges faced by researchers recruiting and intervening in AFHs, raise issues pertinent to assessment of residents and staff, and discuss implications for evaluating the impact of behavioral treatments for sleep-wake disturbances in AFH residents.

Citing Articles

Development and evaluation of a sleep education program for older adults with dementia living in adult family homes.

McCurry S, LaFazia D, Pike K, Logsdon R, Teri L Am J Geriatr Psychiatry. 2012; 20(6):494-504.

PMID: 22367233 PMC: 3358539. DOI: 10.1097/JGP.0b013e318248ae79.

References

McCurry S, Ancoli-Israel S . Sleep Dysfunction in Alzheimer's Disease and Other Dementias. Curr Treat Options Neurol. 2003; 5(3):261-272. DOI: 10.1007/s11940-003-0017-9. View

Folstein M, Folstein S, McHugh P . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. DOI: 10.1016/0022-3956(75)90026-6. View

Alexopoulos G, ABRAMS R, Young R, SHAMOIAN C . Cornell Scale for Depression in Dementia. Biol Psychiatry. 1988; 23(3):271-84. DOI: 10.1016/0006-3223(88)90038-8. View

Lawton M . Residential environment and self-directedness among older people. Am Psychol. 1990; 45(5):638-40. DOI: 10.1037//0003-066x.45.5.638. View

Teri L, Logsdon R, McCurry S . Nonpharmacologic treatment of behavioral disturbance in dementia. Med Clin North Am. 2002; 86(3):641-56, viii. DOI: 10.1016/s0025-7125(02)00006-8. View

Hedrick S, Sales A, Sullivan J, Gray S, Tornatore J, Curtis M . Resident outcomes of Medicaid-funded community residential care. Gerontologist. 2003; 43(4):473-82. DOI: 10.1093/geront/43.4.473. View

Tornatore J, Hedrick S, Sullivan J, Gray S, Sales A, Curtis M . Community residential care: comparison of cognitively impaired and noncognitively impaired residents. Am J Alzheimers Dis Other Demen. 2003; 18(4):240-6. PMC: 10833777. DOI: 10.1177/153331750301800413. View

McCurry S, Reynolds C, Ancoli-Israel S, Teri L, Vitiello M . Treatment of sleep disturbance in Alzheimer's disease. Sleep Med Rev. 2003; 4(6):603-628. DOI: 10.1053/smrv.2000.0127. View

McCurry S, Gibbons L, Logsdon R, Vitiello M, Teri L . Nighttime insomnia treatment and education for Alzheimer's disease: a randomized, controlled trial. J Am Geriatr Soc. 2005; 53(5):793-802. DOI: 10.1111/j.1532-5415.2005.53252.x. View

10.

McCurry S, Gibbons L, Logsdon R, Vitiello M, Teri L . Training caregivers to change the sleep hygiene practices of patients with dementia: the NITE-AD project. J Am Geriatr Soc. 2003; 51(10):1455-60. DOI: 10.1046/j.1532-5415.2003.51466.x. View

11.

Hickman S, Barrick A, Williams C, Zimmerman S, Connell B, Preisser J . The effect of ambient bright light therapy on depressive symptoms in persons with dementia. J Am Geriatr Soc. 2007; 55(11):1817-24. DOI: 10.1111/j.1532-5415.2007.01428.x. View

12.

McCurry S, Logsdon R, Vitiello M, Teri L . Treatment of sleep and nighttime disturbances in Alzheimer's disease: a behavior management approach. Sleep Med. 2004; 5(4):373-7. DOI: 10.1016/j.sleep.2003.11.003. View

13.

Johns M . A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991; 14(6):540-5. DOI: 10.1093/sleep/14.6.540. View

14.

Richards K, Sullivan S, Phillips R, Beck C . The effect of individualized activities on the sleep of nursing home residents who are cognitively impaired: a pilot study. J Gerontol Nurs. 2002; 27(9):30-7. DOI: 10.3928/0098-9134-20010901-07. View

15.

Hedrick S, Guihan M, Chapko M, Manheim L, Sullivan J, Thomas M . Characteristics of residents and providers in the assisted living pilot program. Gerontologist. 2007; 47(3):365-77. DOI: 10.1093/geront/47.3.365. View

16.

Mueller C, Arling G, Kane R, Bershadsky J, Holland D, Joy A . Nursing home staffing standards: their relationship to nurse staffing levels. Gerontologist. 2006; 46(1):74-80. DOI: 10.1093/geront/46.1.74. View