Process evaluation of an intervention to reduce sleep problems in people living with dementia in nursing homes: a mixed-methods study

Background

People with dementia often have trouble sleeping. The MoNoPol-Sleep study aimed to create and test a new approach to help improve sleep for those living in nursing homes.

Objectives

The study looked at how well the new sleep intervention was put into practice, what helped or hindered its use, and how it was accepted by staff.

Study Design

This was a mixed-methods study conducted in 22 nursing homes across three regions in Germany. It included surveys and interviews with nursing staff, managers, and sleep specialists.

Results

The intervention was mostly carried out as planned, although some differences were seen between nursing homes. Daytime activities were the most common sleep-promoting strategies used. There was a slight improvement in personalized care for residents. Key factors that helped included the support from nursing home managers, nurse motivation, and good teamwork with researchers. Barriers included limited financial and time resources and some nurses feeling unmotivated. Further detailed results have been shared in another publication.

Conclusions

For the intervention to succeed, it is essential to involve both day and night shift nurses and other key players. The findings can help refine the intervention for a larger future study.

Next Steps for Clinics

  • Define Measurable Outcomes: Set clear goals to track improvements in sleep for patients with dementia.
  • Select AI Tools: Choose AI solutions that meet specific clinical needs for better patient management.
  • Implement Step by Step: Start with a pilot project, use AI to monitor results, and evaluate the real-world impact of the intervention.

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