F51.0 G47.0
Conditions
Interventions
Group 1: Pre-inpatient: Four weekly individual sessions according to Buysse et al. (2011) "Brief behavioral treatment for insomnia". Setting is subject-oriented: Psychotherapy outpatient clinic, onlin
Sponsors
Evangelisches Klinikum Bethel Universitätsklinikum OWL Abteilung für Gerontopsychiatrie
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: - Age: over 65 years and older - Patients who have an indication for an inpatient operation of any kind, and - who have an expected interval between the indication and the admission for surgery of at least four weeks. - Subjects with a sleep disorder with the following criteria: - Difficulty falling asleep or staying asleep or poor sleep quality occurring at least 3x/week for a period of at least one month. - There is excessive preoccupation with the sleep disorder at night and during the day and excessive worry about its negative consequences. - The unsatisfactory sleep duration or quality either causes significant distress or has a disruptive effect on daily activities. - The sleep disorder is seen as a diagnosis in its own right, even though it may be a symptom of another mental disorder or physical illness (such as pain or discomfort due to an underlying orthopedic condition, for example)
Exclusion criteria
Exclusion criteria: - Severe physical comorbidity where life expectancy is likely to be less than three months. - severe cognitive impairment - Evidence of untreated sleep apnea syndrome. - Evidence of untreated restless legs syndrome, periodic limb movement syndrome, or delayed sleep phase syndrome - bipolar disorder - untreated addictive disorders - driving heavy machinery or regular, long car trips
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| acceptance, tolerability - Qualitative, semi-standardized interview after completion of the intervention - Acceptance and tolerability is noted during the implementation of the intervention - treatment satisfaction (adapted version of ZUF-8) - Drop-out rate during the sleep promotion intervention (with reasons) Sleep quality Before-after change in sleep-related paramaters: - Pittsburgh Sleep Quality Index (PSQI, Buysse et al., 1991) - Insomnia Severity Index (ISI, Morin, C.M. 1993) - Sleep efficiency (SE), sleep quality, total sleep time (TST), latency to fall asleep (SOL), ability to sleep through the night (WASO) determined using a sleep diary (Müller & Paterok, 2010) Delirium incidence Peri-operative delirium incidence up to the 7th post-operative day or previous discharge using established delirium screening instruments such as ICDSC, NuDESC, 4AT | — |
Secondary
| Measure | Time frame |
|---|---|
| pre-post change in the following paramaters: - Number and type of sedatives taken - daytime sleepiness (Eppworth Sleepiness Scale, Johns, 1991) - Pain questionnaire (FESV) - Motor function by means of non-invasive digital 3-D video analysis of the movement or gait sequence | — |
Countries
Germany
Contacts
Public ContactRabea Höke
Universität Bielefeld Fakultät für Psychologie und Sportwissenschaften
Outcome results
None listed