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). |