Universität zu Köln

Wilfling, Denise, Hylla, Jonas, Berg, Almuth, Meyer, Gabriele, Koepke, Sascha, Halek, Margareta, Moehler, Ralph and Dichter, Martin N. (2021). Characteristics of multicomponent, nonpharmacological interventions to reduce or avoid sleep disturbances in nursing home residents: a systematic review. Int. Psychogeriatr., 33 (3). S. 245 - 274. NEW YORK: CAMBRIDGE UNIV PRESS. ISSN 1741-203X

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Abstract

Background: Dementia guidelines propose the use of nonpharmacological interventions for sleep disturbances for older people. Based on available reviews, it seems most likely that multicomponent interventions have the strongest potential to be effective in improving sleep. However, a detailed description of multicomponent interventions is missing. This systematic review aims to identify, describe, and summarize multicomponent, nonpharmacological interventions to reduce or avoid sleep disturbances in nursing home residents. Methods: This review followed established methodological frameworks for systematic evidence syntheses. A computerized search was conducted in December 2018, using the databases PubMed, CINAHL, Scopus, and Cochrane Library. Two independent reviewers assessed all search results to identify eligible studies and assessed studies' methodological quality following the Cochrane Risk of Bias methodology for randomized controlled trials and the CASP Appraisal Checklist for controlled trials. Evaluation studies of any design investigating multicomponent interventions were included, except case studies. Components of included intervention programs were analyzed applying the TIDieR and CReDECI 2 criteria. Results: A total of 2056 studies were identified through the database search; ten publications about nine interventions met the inclusion criteria and were included in the review. The identified interventions can be summarized assigned to the categories daytime activities, nighttime activities, staff training, and light exposure. The approaches showed similarities and differences in procedures, materials, modes of delivery, intervention provider, and intervention period. None of the studies described any intended interactions between components or considered context characteristics in intervention modeling as well as internal and external facilitators or barriers influencing delivery of intervention. We identified positive or mixed positive effects for sleep-related outcomes for the mentioned categories. Conclusions: The analysis of included interventions demonstrates somehow promising results, although findings are difficult to interpret as interventions were not well described, and the challenges of developing and evaluating complex interventions were not sufficiently acknowledged.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wilfling, Denise UNSPECIFIED UNSPECIFIED UNSPECIFIED Hylla, Jonas UNSPECIFIED UNSPECIFIED UNSPECIFIED Berg, Almuth UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, Gabriele UNSPECIFIED UNSPECIFIED UNSPECIFIED Koepke, Sascha UNSPECIFIED UNSPECIFIED UNSPECIFIED Halek, Margareta UNSPECIFIED UNSPECIFIED UNSPECIFIED Moehler, Ralph UNSPECIFIED UNSPECIFIED UNSPECIFIED Dichter, Martin N. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-593146
DOI:	10.1017/S1041610220000733
Journal or Publication Title:	Int. Psychogeriatr.
Volume:	33
Number:	3
Page Range:	S. 245 - 274
Date:	2021
Publisher:	CAMBRIDGE UNIV PRESS
Place of Publication:	NEW YORK
ISSN:	1741-203X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ASSISTED LIVING RESIDENTS; IMPROVE SLEEP; ENVIRONMENTAL INTERVENTION; ALZHEIMERS-DISEASE; CIRCADIAN-RHYTHMS; LIGHT TREATMENT; DEMENTIA CARE; DISTRESS; QUALITY; PEOPLE Multiple languages Psychology, Clinical; Geriatrics & Gerontology; Gerontology; Psychiatry; Psychology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/59314