Natalie E. Leland, Donald Fogelberg, Alix Sleight, Trudy Mallinson, Cheryl Vigen, Jeanine Blanchard, Mike Carlson, Florence Clark; Napping and Nighttime Sleep: Findings From an Occupation-Based Intervention. Am J Occup Ther 2016;70(4):7004270010. https://doi.org/10.5014/ajot.2016.017657
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© 2021 American Occupational Therapy Association
OBJECTIVE. To describe sleeping behaviors and trends over time among an ethnically diverse group of community-living older adults.
METHOD. A descriptive secondary data analysis of a subsample (n = 217) from the Lifestyle Redesign randomized controlled trial was done to explore baseline napping and sleeping patterns as well as 6-mo changes in these outcomes.
RESULTS. At baseline, the average time sleeping was 8.2 hr daily (standard deviation = 1.7). Among all participants, 29% reported daytime napping at baseline, of which 36% no longer napped at follow-up. Among participants who stopped napping, those who received an occupation-based intervention (n = 98) replaced napping time with nighttime sleep, and those not receiving an intervention (n = 119) experienced a net loss of total sleep (p < .05).
CONCLUSION. Among participants who stopped napping, the occupation-based intervention may be related to enhanced sleep. More research examining the role of occupation-based interventions in improving sleep is warranted.
Sleep problems represent a growing public health issue and pose a threat to health, quality of life, and occupational engagement in older adults.
Promoting daily engagement in meaningful occupations may be associated with improved sleep behaviors among older adults.
Further research is needed to evaluate the effect of occupational therapy interventions on sleeping behaviors among older adults.
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