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001     277339
005     20250323000932.0
024 7 _ |a 10.1093/ageing/afaf051
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024 7 _ |a 0002-0729
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024 7 _ |a 1468-2834
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037 _ _ |a DZNE-2025-00400
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Wilfling, Denise
|b 0
245 _ _ |a Process evaluation of an intervention to reduce sleep problems in people living with dementia in nursing homes: a mixed-methods study.
260 _ _ |a Oxford
|c 2025
|b Oxford Univ. Press
336 7 _ |a article
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336 7 _ |a Journal Article
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520 _ _ |a 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.
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650 _ 7 |a dementia
|2 Other
650 _ 7 |a nursing home
|2 Other
650 _ 7 |a older people
|2 Other
650 _ 7 |a sleep
|2 Other
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Nursing Homes
|2 MeSH
650 _ 2 |a Dementia
|2 MeSH
650 _ 2 |a Sleep Wake Disorders: therapy
|2 MeSH
650 _ 2 |a Sleep Wake Disorders: diagnosis
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Germany
|2 MeSH
650 _ 2 |a Homes for the Aged
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Sleep Quality
|2 MeSH
650 _ 2 |a Process Assessment, Health Care
|2 MeSH
650 _ 2 |a Surveys and Questionnaires
|2 MeSH
650 _ 2 |a Treatment Outcome
|2 MeSH
650 _ 2 |a Sleep
|2 MeSH
700 1 _ |a Kühn, Anja
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700 1 _ |a Lüth, Frederike
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700 1 _ |a Berg, Almuth
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700 1 _ |a Klatt, Thomas
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700 1 _ |a Meyer, Gabriele
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700 1 _ |a Dörner, Jonas
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700 1 _ |a Halek, Margareta
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700 1 _ |a Köpke, Sascha
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700 1 _ |a Dichter, Martin
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700 1 _ |a Möhler, Ralph
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773 _ _ |a 10.1093/ageing/afaf051
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910 1 _ |a Deutsches Zentrum für Neurodegenerative Erkrankungen
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