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@ARTICLE{Wilfling:277339,
      author       = {Wilfling, Denise and Kühn, Anja and Lüth, Frederike and
                      Berg, Almuth and Klatt, Thomas and Meyer, Gabriele and
                      Dörner, Jonas and Halek, Margareta and Köpke, Sascha and
                      Dichter, Martin and Möhler, Ralph},
      title        = {{P}rocess evaluation of an intervention to reduce sleep
                      problems in people living with dementia in nursing homes: a
                      mixed-methods study.},
      journal      = {Age $\&$ ageing},
      volume       = {54},
      number       = {3},
      issn         = {0002-0729},
      address      = {Oxford},
      publisher    = {Oxford Univ. Press},
      reportid     = {DZNE-2025-00400},
      pages        = {afaf051},
      year         = {2025},
      abstract     = {People 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.},
      keywords     = {Humans / Nursing Homes / Dementia / Sleep Wake Disorders:
                      therapy / Sleep Wake Disorders: diagnosis / Male / Germany /
                      Homes for the Aged / Female / Aged / Aged, 80 and over /
                      Sleep Quality / Process Assessment, Health Care / Surveys
                      and Questionnaires / Treatment Outcome / Sleep / dementia
                      (Other) / nursing home (Other) / older people (Other) /
                      sleep (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:40037562},
      doi          = {10.1093/ageing/afaf051},
      url          = {https://pub.dzne.de/record/277339},
}