Table 1.
Session 1 | Introductions. Discuss causes of sleep problems in dementia. Identify potential sleep scheduling, daytime inactivity, dietary, environmental, or health causes for night awakenings. Develop behavioral sleep plan for the next week. |
Session 2 | Review success with sleep plan. Describe overall A-B-C approach to behavioral change.15 Use ABCs to problem-solve any challenges that emerged in past week adhering to sleep plan. Set goals for upcoming week. |
Session 3 | Review success with sleep plan and problem-solve challenges that emerged in past week. Develop individualized list of pleasant activities that can be implemented daily with resident in 15-minute increments at peak napping times during the afternoon and evening. |
Session 4 | Follow-up on homework. Discuss sleep benefits observed by subjects since beginning treatment. Develop plan for continued adherence to behavioral program, and use of ABCs to deal with patient nocturnal disturbances. |