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Clinical Trials/NCT03594851
NCT03594851CompletedNot Applicable

Evaluation of the Benefits of Individualized Advice Administration on Quality of Sleep for the Elderly Living at Home Prospective, Monocentric and Open Study

Groupe Hospitalier de la Region de Mulhouse et Sud Alsace1 site in 1 country45 target enrollmentStarted: January 8, 2018Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
45
Locations
1
Primary Endpoint
Evaluation of the benefits of individualized advice administration on sleep quality for the elderly living at home and complaining about their sleep

Study Overview

Brief Summary

Sleep disorder is often a complaint from the older people. Prevalence of sleep disorder increases with aging and reaches between 20 to 45% of the people of 65 years old and more. Sleep physiologically changes with aging. Sleep can also be disturbed by other factors such as intercurrent or related chronic pathologies, environmental change (institutionalized, death of a spouse…), or some medical treatments. Regardless of interindividual variabilities, normative criteria have been defined by a meta-analysis: insomnia can be diagnosed if night wakings are more than 60min and/or if sleep latency is more than 30 minutes.

Various studies have proved the major role of sleep on health and wellbeing. Sleep disorders have an impact on the quality of perception of health and on the quality of life of people and their spouse. According to the French High Health Authority recommendations, sleep diary and validated scales are the tools to use to investigate sleep disorders.

Results from previous studies brought us to consider sleep complaint more specifically and adjust to the heterogeneous population of the investigator's hospital with a subjective approach. This work intends to offer a program of individualized advice to older patients with no cognitive impairment, or with a mild or moderate cognitive impairment, who complain about their sleep quality. Patients with a moderate cognitive impairment who have a caregiver at home can also join the study. The main objective of the study is to evaluate the impact of individualized care for sleep disorders on quality of sleep using the Pittsburgh Sleep Quality Index which validity was demonstrated among the elderly.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Supportive Care
Masking
None

Eligibility Criteria

Ages
60 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Patient giving a signed informed consent
  • •Patient complaining about their sleep
  • •Patient living at home
  • •Patient with a Mini Mental State Examination score of 10 or more If the Mini Mental State Examination score is between 10 and 20, caregiver living at home able and willing to be in charge of a sleep calendar
  • •Patient able to fill in questionnaires

Exclusion Criteria

  • •Patient living in a senior living facility
  • •Patient legally protected
  • •Patient with a psychotic decompensation
  • •Patient with a sleep pathology
  • •Patient with a Lewy body disease at the time of enrollment
  • •Patient with no health insurance

Arms & Interventions

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Pittsburgh Sleep Quality Index (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Sleep diary (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Katz Index of Independence in Activities of Daily Living (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Lawton Instrumental Activities of Daily Living (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Neuropsychiatric Inventory (Cummings) (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Mini Zarit Caregiver Burden Scale, for the caregiver (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Mini Mental state examination (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Cornell Scale for Depression in Dementia (Behavioral)

Administration of individualized advice

Experimental

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions :

Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living

& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Intervention: Quality of Life in Alzheimer's Disease (Behavioral)

Outcomes

Primary Outcomes

Evaluation of the benefits of individualized advice administration on sleep quality for the elderly living at home and complaining about their sleep

Time Frame: Through study completion, an average of 6 months

Evolution of the Pittsburgh Sleep Quality Index. The global PSQI score is calculated by totaling the seven component scores, providing an overall score ranging from 0 to 21, where lower scores denote a healthier sleep quality.

Secondary Outcomes

  • Impact of a specific follow-up on quantity of sleep of elderly complaining about their sleep(Through study completion, an average of 6 months)
  • Impact of a specific follow up on quality of life of elderly complaining about their sleep(Through study completion, an average of 6 months)
  • Impact of a specific follow up on the burden of caregivers of elderly complaining about their sleep(Through study completion, an average of 6 months)
  • Impact of a specific follow up on quality of life of caregivers of elderly complaining about their sleep(Through study completion, an average of 6 months)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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