Understanding Sleep in Hospitalized Older Patients

Environment and Perceived Control: Improving Sleep in Hospitalized Older Patients

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01057823

Enrollment

771

Registered

2010-01-27

Start date

2010-01-31

Completion date

2020-07-19

Last updated

2021-05-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sleep Deprivation, Sleep Fragmentation

Keywords

aged, sleep deprivation, actigraphy, ambulatory monitoring

Brief summary

The overall goal of this research is to elucidate how environmental, healthcare, and patient-level factors and patients' level of perceived control impact sleep duration and quality in hospitalized older patients and to assess whether better in-hospital sleep is associated with improved physical activity and health outcomes. We hypothesize that environment, healthcare disruptions and patient symptoms will be significantly associated with objective and subjective sleep duration and sleep quality in hospitalized older patients. We also hypothesize that a high level of perceived control will be associated with improved sleep duration and quality in hospitalized older patients. We further hypothesize that shorter sleep duration and quality in hospitalized older adults will be associated with adverse health outcomes, namely higher blood pressure and blood sugar.

Detailed description

This research can lead to a better understanding of the effects of inpatient sleep on health outcomes for hospitalized older patients and can help inform the design and evaluation of interventions designed to improve sleep in hospitalized older patients. This work can also form the foundation for understanding the longer term health effects of inpatient sleep loss for older patients that are potentially modifiable.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

50 Years to No maximum

Healthy volunteers

Inclusion criteria

* Age 50 or above * Hospitalized on General Medicine service * Ambulatory * Community Dwelling * MMSE \>17

Exclusion criteria

* transfer from the ICU or another hospital * cognitively impaired * not ambulatory * residents of a nursing home or skilled nursing facility * on bedrest * documented sleep disorder in their medical history

Design outcomes

Primary

Measure	Time frame
Sleep will be measured using subjective reports (Karolinska Sleep Diary on Daily Sleep Assessment).	January 2010-January 2015

Secondary

Measure	Time frame
Sleep will also be measured objectively using actigraphy.	January 2010-January 2015

Countries

United States

Outcome results