干旱区生态环境知识资源中心(Arid): Feasibility and Preliminary Efficacy of an Internet-Delivered Intervention for Insomnia in Individuals with Mild Cognitive Impairment

Arid

DOI	10.3233/JAD-210657
	Feasibility and Preliminary Efficacy of an Internet-Delivered Intervention for Insomnia in Individuals with Mild Cognitive Impairment
	Mattos, Meghan K.; Manning, Carol A.; Quigg, Mark; Davis, Eric M.; Barnes, Laura; Sollinger, Ann; Eckstein, Michelle; Ritterband, Lee M.
通讯作者	Mattos, MK (corresponding author), Univ Virginia, Sch Nursing, Acute & Specialty Care, McLeod Hall Room 5012,POB 800782, Charlottesville, VA 22903 USA.
来源期刊	JOURNAL OF ALZHEIMERS DISEASE
ISSN	1387-2877
EISSN	1875-8908
出版年	2021
卷号	84 期号:4 页码:1539-1550
英文摘要	Background: Approximately 50% of older adults with cognitive impairment suffer from insomnia. When untreated, preexisting cognitive problems may be exacerbated and potentially contribute to further cognitive decline. One promising approach to maintain cognitive health is to improve sleep quantity and quality. Objective: To determine feasibility, acceptability, and preliminary efficacy of Sleep Health Using the Internet for Older Adult Sufferers of Insomnia and Sleeplessness (SHUTi OASIS), an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) program in older adults with mild cognitive impairment (MCI). Methods: Older adults with MCI and insomnia were recruited from hospital-based memory and sleep disorders clinics and enrolled in a single-arm pilot study. Participants completed the six cores of SHUTi OASIS, over nine weeks with two-week baseline and post-assessments using self-reported sleep diaries. Feasibility and acceptability were informed by usage statistics and qualitative interviews; preliminary efficacy was informed by patient-generated sleep data. Results: Twelve participants enrolled and, on average, were 75.8 years of age. Ten participants completed the study and logged in most days. Most participants reported a positive overall experience, and interviews revealed successful and independent program management and completion. There were significant changes on all baseline to post-assessment sleep measures, including clinically meaningful improvements on the Insomnia Severity Index (13.5 to 8.3, p < 0.01), sleep efficiency, wake after sleep onset, and sleep onset latency (ps < 0.02). There was no statistically significant change in cognitive measures (p > 0.05). Conclusion: This study supports that older adults with cognitive impairment can independently complete CBT-I via the Internet and achieve clinical sleep improvements.
英文关键词	Aged behavioral intervention cognitive dysfunction insomnia Internet mild cognitive impairment research
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000728091100014
WOS关键词	SEVERITY INDEX ; SLEEP ; PREVALENCE ; VALIDATION ; THERAPY
WOS类目	Neurosciences
WOS研究方向	Neurosciences & Neurology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/373572
作者单位	[Mattos, Meghan K.; Manning, Carol A.] Univ Virginia, Sch Nursing, Charlottesville, VA 22903 USA; [Manning, Carol A.; Quigg, Mark; Davis, Eric M.; Ritterband, Lee M.] Univ Virginia, Sch Med, Charlottesville, VA 22908 USA; [Barnes, Laura] Univ Virginia, Sch Engn & Appl Sci, Charlottesville, VA USA; [Sollinger, Ann] Virginia Tech Carilion, Sch Med, Roanoke, VA USA; [Eckstein, Michelle] MedStar Georgetown Univ Hosp, Washington, DC USA
推荐引用方式 GB/T 7714	Mattos, Meghan K.,Manning, Carol A.,Quigg, Mark,et al. Feasibility and Preliminary Efficacy of an Internet-Delivered Intervention for Insomnia in Individuals with Mild Cognitive Impairment[J],2021,84(4):1539-1550.
APA	Mattos, Meghan K..,Manning, Carol A..,Quigg, Mark.,Davis, Eric M..,Barnes, Laura.,...&Ritterband, Lee M..(2021).Feasibility and Preliminary Efficacy of an Internet-Delivered Intervention for Insomnia in Individuals with Mild Cognitive Impairment.JOURNAL OF ALZHEIMERS DISEASE,84(4),1539-1550.
MLA	Mattos, Meghan K.,et al."Feasibility and Preliminary Efficacy of an Internet-Delivered Intervention for Insomnia in Individuals with Mild Cognitive Impairment".JOURNAL OF ALZHEIMERS DISEASE 84.4(2021):1539-1550.