Daytime sleepiness and napping in nursing-home eligible community dwelling older adults: A mixed methods study

Objectives: To describe perceptions and beliefs about daytime sleepiness and napping along with subjective and objective daytime sleep characteristics in nursing-home eligible community dwelling older adults. Methods: A mixed methods study; we conducted semi-structured interviews and measured sleep variables via Actigraphy, sleep diary, and Epworth Sleepiness Scale (ESS). Napping was defined as >10 minutes; anything less was considered dozing. Results: Final sample ( n = 40) was primarily female (85%), Black (100%), with a mean age of 72 ± 9.5 years. Few (25%) reported daytime sleepiness (ESS >10). However, average duration of napping per day was 33.1 ± 11.5 minutes with a nap frequency of 2.5 ± 1.5 naps. Conclusion: Our sample napped frequently throughout the day, yet the majority reported no daytime sleepiness. These older adults did not always recognize napping or how much they napped.

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0721 Daytime Sleepiness and Napping in Nursing-Home Eligible Community Dwelling Older Adults: A Mixed Methods Study

SLEEP ◽

10.1093/sleep/zsy061.720 ◽

2018 ◽

Vol 41 (suppl_1) ◽

pp. A268-A268

Author(s):

M V McPhillips ◽

J Li ◽

P Z Cacchione ◽

V V Dickson ◽

N S Gooneratne ◽

...

Keyword(s):

Older Adults ◽

Nursing Home ◽

Mixed Methods ◽

Daytime Sleepiness ◽

Community Dwelling ◽

Mixed Methods Study ◽

Community Dwelling Older Adults

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0719 Understanding Sleep Characteristics in Nursing-Home Eligible Community Dwelling Older Adults: A Mixed Methods Study

SLEEP ◽

10.1093/sleep/zsy061.718 ◽

2018 ◽

Vol 41 (suppl_1) ◽

pp. A267-A267

Author(s):

M V McPhillips ◽

V V Dickson ◽

P Z Cacchione ◽

J Li ◽

N S Gooneratne ◽

...

Keyword(s):

Older Adults ◽

Nursing Home ◽

Mixed Methods ◽

Community Dwelling ◽

Mixed Methods Study ◽

Community Dwelling Older Adults

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Nursing Home Eligible, Community-Dwelling Older Adults’ Perceptions and Beliefs About Sleep: A Mixed-Methods Study

Clinical Nursing Research ◽

10.1177/1054773819849348 ◽

2019 ◽

Vol 29 (3) ◽

pp. 177-188

Author(s):

Miranda V. McPhillips ◽

Victoria V. Dickson ◽

Pamela Z. Cacchione ◽

Junxin Li ◽

Nalaka Gooneratne ◽

...

Keyword(s):

Older Adults ◽

Nursing Home ◽

Mixed Methods ◽

Sleep Disturbances ◽

Community Dwelling ◽

Mixed Methods Study ◽

Poor Sleep ◽

Final Sample ◽

Modifiable Factors ◽

Home Placement

Sleep disturbances are highly prevalent in older adults; little is known about sleep in those who remain living in the community despite qualifying for nursing home placement. We conducted a concurrent, nested, mixed-methods study to describe sleep characteristics and sleep disturbances in this population. Our final sample ( n = 40) was Black (100%), female (85%) older adults with a mean (± SD) age of 72 ± 9.5 years. Of these, 35 had objectively measured short or long sleep duration, and 30 had subjectively reported poor sleep quality. Our evidence suggests that sleep disturbances are common in this group, and these older adults had adjusted their expectations and adapted to their sleep disturbances. Given that at-risk older adults may not perceive their sleep disturbances as problematic, clinicians must proactively assess sleep and educate about the importance of sleep. These results reveal modifiable factors with potential to improve health outcomes in this vulnerable population.

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