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Table 2 Primary, secondary, and other outcome measures

From: Enhancing sleep quality for nursing home residents with dementia: a pragmatic randomized controlled trial of an evidence-based frontline huddling program

Category

Name

Time Frame

Brief Description

Primary

Total Sleep Time via Actigraph

Baseline, Intervention,

Post-Treatment

Actigraph measurement of the total number of minutes the subject is asleep between 7 pm

and 7 am.

Secondary

Psychotropic Medication Use

Baseline, Intervention,

Post-Treatment

Psychotropic medication use as recorded in the Minimum Data Set (MDS)

Secondary

Pain and Analgesic Medication Use

Baseline, Intervention,

Post-Treatment

Psychotropic medication use as recorded in the Minimum Data Set (MDS)

Secondary

Activities of Daily Living Decline

Baseline, Intervention,

Post-Treatment

Activities of daily living as recorded in the Minimum Data Set (MDS)

Other

Sleep Staff Rating

Intervention, Post-Treatment

Staff rating of sleep global impression of change

Other

Staff-identified Sleep-related Concerns

Intervention, Post-Treatment

Staff rating of sleep-related concerns global impression of change

Other

Inter-resident Sleep Variability

Baseline, Intervention,

Post-Treatment

NH medical record data to indicate (a) changes in any sedating medications and

changes in dosages; (2) incidents of delirium; (3) any urinary tract infections; (4) doses of any sedating medications, including as

needed ones

Other

Sleep Information from MDS

Baseline, Intervention,

Post-Treatment

The MDS contains only two items pertaining to sleep. Because MDS is the foundational nursing home administrative quality data set,

these items will be examined for their utility. One item, part of the PHQ-9, is, “trouble falling or staying asleep or sleeping too much.” The pain section also includes one item for residents who can self-report, “over the past 5 days, has pain made it hard for

you to sleep at night” (there is not a comparable item in the MDS staff interview section for residents unable to self-report).