Evaluation of the Benefits of Individualized Advice Administration on Quality of Sleep for the Elderly Living at Home (CISPAD)

Groupe Hospitalier de la Region de Mulhouse et Sud Alsace

Status: Completed

Conditions: Sleep Disorder; Complaint, Subjective Health

Treatments: Behavioral: Lawton Instrumental Activities of Daily Living; Behavioral: Quality of Life in Alzheimer's Disease; Behavioral: Cornell Scale for Depression in Dementia; Behavioral: Mini Zarit Caregiver Burden Scale, for the caregiver; Behavioral: Katz Index of Independence in Activities of Daily Living; Behavioral: Sleep diary; Behavioral: Mini Mental state examination; Behavioral: Neuropsychiatric Inventory (Cummings); Behavioral: Pittsburgh Sleep Quality Index

Study type: Interventional

Funder types: Other

Identifiers

NCT03594851

ID RCB 2017-A02815-48 (Registry Identifier)

GHR 924

Details and patient eligibility

About

Sleep disorder is often a complaint from the older people. Prevalence of sleep disorder increases with aging and reaches between 20 to 45% of the people of 65 years old and more. Sleep physiologically changes with aging. Sleep can also be disturbed by other factors such as intercurrent or related chronic pathologies, environmental change (institutionalized, death of a spouse...), or some medical treatments. Regardless of interindividual variabilities, normative criteria have been defined by a meta-analysis: insomnia can be diagnosed if night wakings are more than 60min and/or if sleep latency is more than 30 minutes.

Various studies have proved the major role of sleep on health and wellbeing. Sleep disorders have an impact on the quality of perception of health and on the quality of life of people and their spouse. According to the French High Health Authority recommendations, sleep diary and validated scales are the tools to use to investigate sleep disorders.

Results from previous studies brought us to consider sleep complaint more specifically and adjust to the heterogeneous population of the investigator's hospital with a subjective approach. This work intends to offer a program of individualized advice to older patients with no cognitive impairment, or with a mild or moderate cognitive impairment, who complain about their sleep quality. Patients with a moderate cognitive impairment who have a caregiver at home can also join the study. The main objective of the study is to evaluate the impact of individualized care for sleep disorders on quality of sleep using the Pittsburgh Sleep Quality Index which validity was demonstrated among the elderly.

Enrollment: 45 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patient giving a signed informed consent
2. Patient complaining about their sleep
3. Patient living at home
4. Patient with a Mini Mental State Examination score of 10 or more If the Mini Mental State Examination score is between 10 and 20, caregiver living at home able and willing to be in charge of a sleep calendar
5. Patient able to fill in questionnaires

Exclusion criteria

1. Patient living in a senior living facility
2. Patient legally protected
3. Patient with a psychotic decompensation
4. Patient with a sleep pathology
5. Patient with a Lewy body disease at the time of enrollment
6. Patient with no health insurance

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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45 participants in 1 patient group

Administration of individualized advice

Experimental group

Description:

Administration of individualized advice to improve the quality of older people's sleep, based on the following interventions : Pittsburgh Sleep Quality Index, Sleep diary, Mini Mental State Examination, Autonomy assessment (Katz Index of Independence in Activities of Daily Living \& Lawton Instrumental Activities of Daily Living), Neuropsychiatric Inventory (Cummings) for the caregiver, if applicable, Mini Zarit Caregiver Burden Scale, for the caregiver, if applicable, Cornell Scale for Depression in Dementia, Quality of Life in Alzheimer's Disease, Neuropsychiatric Inventory

Treatment:

Behavioral: Quality of Life in Alzheimer's Disease

Behavioral: Cornell Scale for Depression in Dementia

Behavioral: Mini Mental state examination

Behavioral: Neuropsychiatric Inventory (Cummings)

Behavioral: Pittsburgh Sleep Quality Index

Behavioral: Mini Zarit Caregiver Burden Scale, for the caregiver

Behavioral: Katz Index of Independence in Activities of Daily Living

Behavioral: Sleep diary

Behavioral: Lawton Instrumental Activities of Daily Living