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. 2023 Jan 3;2023(1):CD011881. doi: 10.1002/14651858.CD011881.pub2

Richards 2005.

Study characteristics
Methods Study design: RCT
Follow‐up: day 17–21
Participants Country: USA, central Southeast
Setting: 7 long‐term care facilities
Inclusion criteria:
  • aged ≥ 55 years

  • baseline actigraphy data showing < 85% sleep efficiency

  • ≥ 30 minutes of daytime sleep

  • ≥ 1 month's residency

  • MMSE ≤ 24


Exclusion criteria: not reported
Number of participants completing the study: 139 (IG 71, CG 68)
Baseline characteristics: not reported
Group differences: not reported
Interventions Intervention: 21 days of individualised social activities for 1–2 hours daily
Control: usual care
Outcomes
  • Daytime sleep, minutes (actigraphy)

  • Night‐time minutes to sleep onset (actigraphy)

  • Night‐time total awakening length, minutes (actigraphy)

  • Night‐time total sleep (actigraphy)

  • Sleep efficiency (actigraphy)

Funding Sponsorship source:
  • Veterans Health Administration

  • VA Research Career Development Award

  • National Institute of Nursing Research

  • National Institutes of Health/National Center for Research Resources to the General Clinical Research

  • Center of the University of Arkansas for Medical Sciences

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Sequence generation Unclear risk Participants randomly assigned to IG or CG.
Allocation concealment Unclear risk No information.
Blinding of participants and personnel
All outcomes Unclear risk Unknown.
Blinding of participants and personnel
Subjective sleep quality (carer ratings) Unclear risk Unknown.
Blinding of participants and personnel
Objective sleep measures Unclear risk Unknown.
Blinding of outcome assessors
Objective outcome measures Unclear risk Not blinded, but probably not relevant (maybe determination of "time in bed" by nursing assistants).
Blinding of outcome assessors
Subjective sleep quality (carer ratings) Unclear risk No information available.
Incomplete outcome data
All outcomes Low risk Outcomes available for most. No information about group differences.
Selective outcome reporting Unclear risk No protocol identified.
Other sources of bias Low risk None.