RT journal article
T1 A 6-month educational program improves sleep behaviour in community-dwelling frail older adults: A randomised controlled trial
A1 Corral Pérez, Juan
A1 Vázquez-Sánchez, María Ángeles
A1 Casals-Sánchez, José Luis
A1 Contreras-García, Francisco José
A1 Costilla Macias, Manuel Jesús
A1 Casals Vázquez, Cristina
A2 Didáctica de la Educación FísicaPlástica y Musical
AB BackgroundThe prevalence of sleep-related issues among older adults is a significant concern, with half of the older population reporting these problems. Consequently, strategies to improve sleep are needed for this population. This study aims to assess the effects of a health educational program on sleep behaviour among pre-frail or frail older adults residing in the community and to explore possible associations with frailty.MethodsThis randomised controlled trial (NCT05610605) included a total of 197 community-dwelling older adults with frailty/pre-frailty, divided into control (n = 88) and educational (n = 109) groups, were assessed at baseline, after the 6-month educational program (6 months), and 6 months after the intervention (12 months). The intervention comprised four group sessions and six follow-up phone calls, focusing on frailty, physical activity, dietary habits, and cognitive training. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and wrist-worn accelerometry.ResultsAt 6 months, a significant time-by-group interaction was found for self-reported [β = −0.449, 95%CI (−0.844, −0.053), p = 0.026] and accelerometer-measured [β = 0.505, 95%CI (0.085, 0.926), p = 0.019] sleep efficiency, showing improved sleep efficiency in the intervention group vs. controls. A significant time-by-group interaction at 6 months was noted for sleep awakenings [β = −0.402, 95%CI (−0.825, −0.020), p = 0.047]. The educational program led to a significant decrease in awakenings, while the control group experienced an increase. The change in the number of awakenings (Rs = 0.183, p = 0.020) at 6 months was significantly associated with changes in frailty. Moreover, a significant time-by-group interaction was reported at the 12-month assessment [β = −0.449, 95%CI (−0.844, −0.053), p = 0.026] for self-reported sleep quality, indicating better results in the intervention group compared to controls.ConclusionThe educational program improved sleep quality and sleep efficiency while reducing the number of awakenings per night among community-dwelling frail older adults, offering a practical approach to addressing sleep-related challenges in this demographic.
PB Elsevier
SN 1878-5506
YR 2024
FD 2024
LK http://hdl.handle.net/10498/34143
UL http://hdl.handle.net/10498/34143
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 08-nov-2026