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@ARTICLE{Dichter:274030,
      author       = {Dichter, Martin and Dörner, Jonas and Wilfling, Denise and
                      Berg, Almuth and Klatt, Thomas and Möhler, Ralph and
                      Haastert, Burkhard and Meyer, Gabriele and Halek, Margareta
                      and Köpke, Sascha},
      title        = {{I}ntervention for sleep problems in nursing home residents
                      with dementia: a cluster-randomized study.},
      journal      = {International psychogeriatrics},
      volume       = {36},
      number       = {10},
      issn         = {1041-6102},
      address      = {Cambridge},
      publisher    = {Cambridge Univ. Press},
      reportid     = {DZNE-2025-00011},
      pages        = {965 - 978},
      year         = {2024},
      abstract     = {To reduce sleep problems in people living with dementia
                      using a multi-component intervention.Cluster-randomized
                      controlled study with two parallel groups and a follow-up of
                      16 weeks.Using external concealed randomization, 24 nursing
                      homes (NH) were allocated either to the intervention group
                      (IG, 12 clusters, 126 participants) or the control group (12
                      clusters, 116 participants).Participants were eligible if
                      they had dementia or severe cognitive impairment, at least
                      two sleep problems, and residence of at least two weeks in a
                      NH.The 16-week intervention consists of six components: (1)
                      assessment of sleep-promoting activities and environmental
                      factors in NHs, (2) implementation of two 'sleep nurses,'
                      (3) basic education, (4) advanced education for staff, (5)
                      workshops to develop sleep-promoting concepts, and (6)
                      written information and education materials. The control
                      group (CG) received standard care.Primary outcome was ≥
                      two sleep problems after 16 weeks assessed with the Sleep
                      Disorders Inventory (SDI).Twenty-two clusters (IG = 10, CG =
                      12) with 191 participants completed the study. At baseline,
                      $90\%$ of people living with dementia in the IG and $93\%$
                      in the CG had at least two sleep problems. After 16 weeks,
                      rates were $59.3\%$ (IG) vs $83.8\%$ (CG), respectively, a
                      difference of $-24.5\%$ $(95\%$ CI, $-46.3\%$ - $-2.7\%;$
                      cluster-adjusted odds ratio 0.281; $95\%$ CI 0.087-0.909).
                      Secondary outcomes showed a significant difference only for
                      SDI scores after eight and 16 weeks.The MoNoPol-Sleep
                      intervention reduced sleep problems of people living with
                      dementia in NH compared to standard care.},
      keywords     = {Humans / Nursing Homes / Male / Dementia: complications /
                      Female / Aged / Sleep Wake Disorders: therapy / Aged, 80 and
                      over / Homes for the Aged / Cluster Analysis / complex
                      interventions (Other) / dementia (Other) / dyssomnias
                      (Other) / nursing homes (Other) / person-centered care
                      (Other) / sleep (Other) / sleep problems (Other)},
      cin          = {AG Holle},
      ddc          = {610},
      cid          = {I:(DE-2719)1610002},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:38186227},
      doi          = {10.1017/S1041610223004489},
      url          = {https://pub.dzne.de/record/274030},
}