The Effect of Insomnia on Functional Status of Community-Dwelling Older Adults
Authors: Deratnay Penney , Sidani Souraya 
Published: August 2014

How to Obtain Contact Hours by Reading this Article

Instructions

1.3
contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at
https://villanova.gosignmeup.com/dev_students.asp?action=browse&main=Nursing+Journals&misc=564
. To obtain contact hours you must:

1.
Read the article, “The Effect of Insomnia on Functional Status of Community-Dwelling Older Adults” found on pages 22–30, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

2.
Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

3.
Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated.

This activity is valid for continuing education credit until September 30, 2015.

Contact Hours
This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated.
Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Activity Objectives

1.
Review the findings from this study that examined the extent to which fatigue mediates the relationship between insomnia and physical, social, and psychological domains of functional status in community-dwelling older adults.

2.
Relate the study findings to implications for nursing practice and/or research.

Disclosure Statement
Neither the planners nor the authors have any conflicts of interest to disclose.

This secondary data analysis examined the extent to which fatigue mediates the relationship between insomnia and the physical, social, and psychological domains of functional status in community-dwelling older adults. Data were obtained from 209 older adults with insomnia. Regression analysis was used to test the proposed mediating role of fatigue. Findings identified insomnia of moderate severity in community-dwelling older adults. Insomnia was directly associated with social function and indirectly associated with physical and psychological function. Fatigue mediated the relationship between insomnia and all three domains of functional status. The findings have implications for nursing practice and research and highlight the importance of successfully managing insomnia and fatigue to promote functioning in older adults. [
Journal of Gerontological Nursing, 39
(10), 22–30.]