Research Article  |   May 2018
Occupational Therapy Interventions Addressing Sleep for Community-Dwelling Older Adults: A Systematic Review
Author Affiliations
  • Stacy Smallfield, DrOT, OTR/L, BCG, FAOTA, is Associate Professor of Occupational Therapy and Medicine and Assistant Director, Occupational Therapy Entry-Level Professional Programs, Washington University School of Medicine, St. Louis, MO; stacy.smallfield@wustl.edu
  • Whitney Lucas Molitor, OTD, OTR/L, BCG, is Assistant Professor, Department of Occupational Therapy, University of South Dakota, Vermillion
Article Information
Evidence-Based Practice / Geriatrics/Productive Aging
Research Article   |   May 2018
Occupational Therapy Interventions Addressing Sleep for Community-Dwelling Older Adults: A Systematic Review
American Journal of Occupational Therapy, May 2018, Vol. 72, 7204190030p1-7204190030p9. doi:10.5014/ajot.2018.031211
American Journal of Occupational Therapy, May 2018, Vol. 72, 7204190030p1-7204190030p9. doi:10.5014/ajot.2018.031211
Abstract

Because of age-related changes in sleep patterns, older adults may get less sleep than the recommended amount and experience decreased performance in daytime activities as a result. This article examines the evidence for the effectiveness of interventions within the scope of occupational therapy addressing sleep. Thirteen Level I studies met inclusion criteria and were categorized into three themes: (1) one-to-one single-component interventions, (2) one-to-one multicomponent interventions, and (3) group multicomponent interventions. Strong evidence supports cognitive–behavioral intervention strategies for older adults that include relaxation, sleep hygiene education, problem solving, and physical exercise, among others, delivered one to one or in a group. Routine use of these interventions is recommended.