Non-pharmacological Treatment of Insomnia in Nursing Homes.

Study Overview
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Brief Summary
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The study wants to examine the feasibility of a non-pharmacological approach for insomnia in nursing homes provided by trained nurses/paramedics and physicians.

Official Title
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Pilot Study on the Feasibility of Non-pharmacological Treatment of Insomnia in Nursing Homes.

Conditions
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Insomnia

Intervention / Treatment
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* Behavioral: Non-pharmacological approach of insomnia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female nursing home residents of age 55+ with insomnia, defined as difficulty in getting to sleep, difficulty in staying asleep, early wakening, or non-restorative sleep Exclusion Criteria: insufficient cognitive ability for self-reflection dementia insomnia caused by a medical disorder (hyperthyroidism, congestive heart failure, peripheral arterial disease, GORD, COPD/asthma, angina pectoris, benign prostatic hyperplasia, arthritis, other insomnia caused by medication substance misuse other sleep disorder: restless legs syndrome, periodic limb movement disorder, sleep apnoea, narcolepsy psychiatric disorder: psychotic or bipolar disorder in anamnesis, major depression present or more than 2 episodes in anamnesis short stay

Ages Eligible for Study
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Minimum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Non-pharmacological approach of insomnia<br>Non-pharmacological approach of insomnia based on cognitive-behavioural techniques (education on sleep, sleep hygiene, stimulus control, cognitive techniques) | Behavioral: Non-pharmacological approach of insomnia<br>* education on sleep, sleep hygiene, stimulus control, cognitive techniques<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The proportion of eligible residents who accepted to participate in the non-pharmacological program and the proportion of eligible residents who completed the non-pharmacological program. | Evaluation takes place at the moment the program is ended according to the trained caregiver or maximally 3 months after the start of the program. | after 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Insomnia, as measured by the Groningen Sleep Quality Questionnaire |  | at baseline and after 3 months | 
| quality of life | measured by the Geriatric Behaviour Observation Scale | at baseline and after 3 months | 
| Use of sleep medication |  | at baseline and after 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Insomnia