BEHAVIORAL INTERVENTION FOR INSOMNIA IN OLDER ADULTS

老年人失眠的行为干预

• 批准号: 6393058
• 负责人: Dana Robin Epstein
• 金额: $ 7.15万
• 依托单位: PHOENIX VA HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-15 至 2003-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6393058
• 关键词: behavior therapy; behavioral medicine; body physical activity; clinical research; community; health behavior; human old age (65+); human subject; human therapy evaluation; nursing intervention; outcomes research; sleep deprivation; sleep disorders

Insomnia is a prevalent health problem and frequent complaint of older adults. The majority of research in the non-pharmacological treatment of insomnia has focused on young and middle-aged adults while only a small number of studies have evaluated treatment for late-life insomnia. Knowledge of the intervention or combination of interventions best suited for older adults is limited. Therefore, the purpose of the study is to evaluate and compare the efficacy of single interventions (stimulus control instructions, sleep restriction therapy) and multi- component intervention (stimulus control instructions and sleep restriction therapy) for sleep maintenance insomnia in community dwelling older adults. The study will incorporate multiple sleep measures to determine the short and long-term effects of the interventions on sleep outcomes. The efficiency of the interventions, intervention dosage, compliance with treatment and clinical significance of the outcomes will be addressed. The long-term goal of the research is to provide clinically significant and applicable non-pharmacological, theory driven intervention that effectively addresses the specific insomnia problems of older adulthood. One hundred eighty community dwelling older adults with sleep maintenance insomnia will participate in a randomized controlled study using a waiting-list design. Subjects will be randomly assigned to one of the four conditions: (a) multi- component intervention, (b) stimulus control instructions, (c) sleep restriction therapy, or (d) waiting-list control. There will be a 2- week baseline period, a 6-week treatment period, and a 2-week post- treatment period. The waiting-list subjects will receive treatment after the immediate treatment groups have completed their treatment and immediate post-treatment phases. Follow up evaluation will occur for 2-week periods at 3 and 12 months post-treatment. Descriptive and inferential statistics will be used to accomplish the specific aims of the study.

失眠是一种普遍存在的健康问题，也是老年人经常抱怨的问题 成年人。 大部分研究集中在非药物治疗 失眠症主要集中在青壮年，而只有 少数研究评估了晚年失眠的治疗方法。 最好了解干预措施或干预措施组合 适合老年人的数量有限。 因此，研究的目的 是评估和比较单一干预措施的效果 （刺激控制指令、睡眠限制疗法）和多 成分干预（刺激控制指令和睡眠 限制疗法）用于社区睡眠维持性失眠 居住的老年人。 该研究将包括多次睡眠 确定短期和长期影响的措施 对睡眠结果的干预。 干预措施的效率， 干预剂量、治疗依从性及临床意义 的结果将得到解决。 研究的长期目标 是提供具有临床意义且适用的非药理学、 理论驱动的干预，有效解决具体问题 老年人的失眠问题。 一百八十社区 患有睡眠维持性失眠的居住老年人将参加 在一项使用等待名单设计的随机对照研究中。 科目 将被随机分配到以下四个条件之一：（a）多 成分干预，(b) 刺激控制指令，(c) 睡眠 限制疗法，或 (d) 等候名单控制。 将会有一个 2- 周基线期、6周治疗期和2周后治疗期 治疗期。 等待名单上的受试者将接受治疗 立即治疗组完成治疗后 治疗后立即阶段。 将进行后续评估 治疗后 3 个月和 12 个月为 2 周。描述性和 推论统计将用于实现以下特定目标 研究。