Actively Recruiting
Enhancing Sleep Quality for Nursing Home Residents With Dementia: Pragmatic Trial of an Evidence-Based Frontline Huddling Program
Led by University of Alabama, Tuscaloosa · Updated on 2024-03-12
456
Participants Needed
3
Research Sites
60 weeks
Total Duration
On this page
Sponsors
U
University of Alabama, Tuscaloosa
Lead Sponsor
U
University of Massachusetts, Lowell
Collaborating Sponsor
AI-Summary
What this Trial Is About
This research aims to improve clinical outcomes for nursing home residents aged 50 and older who have Alzheimer's disease or related dementias and experience sleep problems. The study focuses on testing an evidence-based intervention designed to enhance sleep quality in this vulnerable group, addressing issues caused by nursing home routines that often disturb residents' sleep. The investigation also explores how well the intervention can be implemented and sustained over time in real-world nursing home settings. The intervention being studied is called the LOCK sleep program, which trains frontline nursing home staff to use huddling techniques based on strengths-based learning, teamwork, and systematic observation. Each nursing home acts as its own control, with one week of baseline data collection followed by a ten-week active intervention phase and a five-week sustainment phase. The LOCK program teaches staff to collaboratively solve sleep challenges and promote best practices for sleep and meaningful daytime activity in residents. Participants will be monitored over a 15-week period, during which sleep will be measured using actigraphy. Researchers will also track secondary outcomes such as use of psychotropic medications, pain treatment and reports, and decline in activities of daily living. The study involves data collection and observation to assess the program's impact, sustainment, and factors influencing implementation across 24 nursing homes. Safety and adherence are monitored throughout the study period, with all nursing home residents eligible for the intervention once baseline data is collected.
CONDITIONS
Brief Title
Enhancing Sleep Quality for Nursing Home Residents With Dementia - R33 Phase
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Nursing home residents aged 50 years or older
- Diagnosed with Alzheimer disease or related dementia
- Identified by nursing home staff as having sleep problems
- Participation in frontline LOCK sleep huddles
You will not qualify if you...
- High risk of untreated obstructive sleep apnea (OSA)
- Persistent bilateral resting tremor or paralysis in both arms, including some Parkinson's disease cases due to measurement inaccuracies
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 week
Participants serve as their own control during which baseline data on sleep and related outcomes are collected.
1 week of baseline data collection with no intervention
Duration - 10 weeks
Participants receive the LOCK sleep program involving frontline staff huddling to improve sleep quality through teamwork and evidence-based practices.
Weekly visits during the active intervention phase
Duration - 5 weeks
Participants continue to be observed during a 5-week period to assess the sustainability of the LOCK sleep program benefits.
Weekly visits during the sustainment phase
Trial Site Locations
Total: 3 locations
1
Vivage/Beecan Corporation
Lakewood, Colorado, United States, 80228
Actively Recruiting
2
National HealthCare Corporation
Murfreesboro, Tennessee, United States, 37130
Actively Recruiting
3
Caraday Healthcare, LLC
San Marcos, Texas, United States, 78666
Actively Recruiting
Research Team
L
Lynn Snow, PhD
B
Brian Cox, MS
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
2
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