Treating Sleep Problems in VA Adult Day Health Care
HERO-ADHC
1 other identifier
interventional
72
1 country
1
Brief Summary
The Veterans Millennium Health Care and Benefits Act (Millennium Act) of 1999 mandated the Department of Veterans Affairs (VA) to provide non-institutional long-term care to veterans. Adult Day Health Care (ADHC) is a key component of that spectrum of long-term care services. Veterans in ADHC commonly suffer from limited poor functioning, depression, cognitive problems and low quality of life. These factors can lead to continued deterioration in functioning, loss of independence, hospitalizations, nursing home placement and death. Sleep disruption is associated with depression, low quality of life, functional decline, nursing home placement, and death among older people. Sleep disturbance is common among ADHC patients, it is not addressed within routine clinical care, and treatment may be limited to medications. Studies show that untreated insomnia and medications for insomnia can increase risk of falls and other health events among older persons. On the other hand, non-medication treatments for sleep do not show these problems. These treatments have been shown to be effective in other studies. The goal of this study is to test non-medication treatments to improve sleep among older Veterans with insomnia in a VA ADHC program. The study design will facilitate translation into routine care and application in other similar VA programs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2010
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2010
CompletedFirst Submitted
Initial submission to the registry
December 10, 2010
CompletedFirst Posted
Study publicly available on registry
December 14, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2013
CompletedResults Posted
Study results publicly available
December 30, 2014
CompletedFebruary 25, 2025
February 1, 2025
2.6 years
December 10, 2010
December 17, 2014
February 5, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Sleep Efficiency
Percentage of time asleep while in bed estimated by actigraphy
End of 4-week intervention
Sleep Efficiency
Percentage of time asleep while in bed estimated by actigraphy.
4-month follow-up
Study Arms (2)
SIP group
EXPERIMENTALThe Sleep Intervention Program group received a sleep education program based on behavioral principles, delivered in 4 individual sessions carried out within the Adult Day Health Care program.
Control group
ACTIVE COMPARATORThe Control group received basic sleep education, delivered in 4 individual sessions carried out within the Adult Day Health Care
Interventions
Sessions focused on: 1) sleep consolidation and sleep schedule optimization, 2) sleep hygiene education, 3) cognitive therapy, and 4) maintenance of sleep improvements and coping with future bouts of insomnia.
During sessions, participants reviewed two educational brochures that focused on changes in sleep with age and sleep hygiene education.
Eligibility Criteria
You may qualify if:
- All of the following:
- ADHC program participant
- Age \>= 60 years
- Ability to communicate verbally
You may not qualify if:
- One or more of the following:
- Significant cognitive impairment (Mini Mental State Examination score\<20)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Greater Los Angeles Healthcare System, Sepulveda, CA
Sepulveda, California, 91343, United States
Related Publications (2)
Song Y, Dzierzewski JM, Fung CH, Rodriguez JC, Jouldjian S, Mitchell MN, Josephson KR, Alessi CA, Martin JL. Association Between Sleep and Physical Function in Older Veterans in an Adult Day Healthcare Program. J Am Geriatr Soc. 2015 Aug;63(8):1622-7. doi: 10.1111/jgs.13527. Epub 2015 Jul 22.
PMID: 26200520RESULTMartin JL, Song Y, Hughes J, Jouldjian S, Dzierzewski JM, Fung CH, Rodriguez Tapia JC, Mitchell MN, Alessi CA. A Four-Session Sleep Intervention Program Improves Sleep for Older Adult Day Health Care Participants: Results of a Randomized Controlled Trial. Sleep. 2017 Aug 1;40(8):zsx079. doi: 10.1093/sleep/zsx079.
PMID: 28482053DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Small sample size; predominantly male study sample
Results Point of Contact
- Title
- Dr. Jennifer Martin
- Organization
- VA Greater Los Angeles Healthcare System
Study Officials
- PRINCIPAL INVESTIGATOR
Jennifer Martin, PhD
VA Greater Los Angeles Healthcare System, Sepulveda, CA
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 10, 2010
First Posted
December 14, 2010
Study Start
November 1, 2010
Primary Completion
June 1, 2013
Study Completion
June 1, 2013
Last Updated
February 25, 2025
Results First Posted
December 30, 2014
Record last verified: 2025-02