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000277339 1001_ $$aWilfling, Denise$$b0
000277339 245__ $$aProcess evaluation of an intervention to reduce sleep problems in people living with dementia in nursing homes: a mixed-methods study.
000277339 260__ $$aOxford$$bOxford Univ. Press$$c2025
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000277339 520__ $$aPeople living with dementia often suffer from sleep disturbances. The MoNoPol-Sleep (multimodal, nonpharmacological intervention for sleep disturbances in people with dementia living in nursing homes) study aimed to develop and evaluate a multimodal, nonpharmacological intervention to prevent and reduce sleep disturbances in people with dementia living in nursing homes.To investigate implementation fidelity, adoption, barriers and facilitators of the multimodal, nonpharmacological intervention.Mixed-methods process evaluation alongside an exploratory cluster-randomised controlled trial.Twenty-two nursing homes in three regions in Germany.Nursing staff, nursing home managers, sleep nurses and other target groups of the intervention from the participating nursing homes.Questionnaires, qualitative interviews and documentation of the intervention's implementation.The intervention was predominately implemented as planned, but implementation fidelity varied between the clusters. The most frequently planned and implemented sleep-promoting interventions were daytime activities. There is some evidence that person-centredness slightly increased in the intervention group. The commitment of nursing home managers, the motivation of nurses and good cooperation with the main contact persons of the research team were identified as facilitating context factors. Identified barriers were financial and time resources and low motivation of the nurses. The results of the cRCT have been published elsewhere.For a successful implementation, involvement of nurses from day and night shifts and other stakeholders is crucial. Based on the results of this process evaluation conducted alongside an exploratory trial, the intervention can be adapted and further developed to evaluate its effectiveness in a future full trial.ISRCTN No ISRCTN36015309.
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000277339 650_7 $$2Other$$adementia
000277339 650_7 $$2Other$$anursing home
000277339 650_7 $$2Other$$aolder people
000277339 650_7 $$2Other$$asleep
000277339 650_2 $$2MeSH$$aHumans
000277339 650_2 $$2MeSH$$aNursing Homes
000277339 650_2 $$2MeSH$$aDementia
000277339 650_2 $$2MeSH$$aSleep Wake Disorders: therapy
000277339 650_2 $$2MeSH$$aSleep Wake Disorders: diagnosis
000277339 650_2 $$2MeSH$$aMale
000277339 650_2 $$2MeSH$$aGermany
000277339 650_2 $$2MeSH$$aHomes for the Aged
000277339 650_2 $$2MeSH$$aFemale
000277339 650_2 $$2MeSH$$aAged
000277339 650_2 $$2MeSH$$aAged, 80 and over
000277339 650_2 $$2MeSH$$aSleep Quality
000277339 650_2 $$2MeSH$$aProcess Assessment, Health Care
000277339 650_2 $$2MeSH$$aSurveys and Questionnaires
000277339 650_2 $$2MeSH$$aTreatment Outcome
000277339 650_2 $$2MeSH$$aSleep
000277339 7001_ $$aKühn, Anja$$b1
000277339 7001_ $$aLüth, Frederike$$b2
000277339 7001_ $$aBerg, Almuth$$b3
000277339 7001_ $$aKlatt, Thomas$$b4
000277339 7001_ $$aMeyer, Gabriele$$b5
000277339 7001_ $$0P:(DE-2719)9002752$$aDörner, Jonas$$b6$$udzne
000277339 7001_ $$0P:(DE-2719)2191593$$aHalek, Margareta$$b7
000277339 7001_ $$aKöpke, Sascha$$b8
000277339 7001_ $$0P:(DE-2719)2451281$$aDichter, Martin$$b9$$udzne
000277339 7001_ $$aMöhler, Ralph$$b10
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