Background: Sleep disorders have multifactorial causes affecting 25 to 30%of the adult population, which can consist of primary or secondary conditions, representing a serious risk to public health. They are risk factors for the elderly population, estimating that 50% of this age group have symptoms related to sleep. Objectives: to verify the efficacy of expressive therapies (ET) in sleep disorders in hyperfrequent elderly (HE) of Primary Health Care (PHC). Methods: Quasi-experimental study, with 69 elderly people assisted at PHC in a metropolitan region of the Midwest, divided into two groups: intervention (hyperfrequent elderly) and control (non-hyperfrequent). The sleep questionnaires were used: Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESE), Insomnia severity index (ISI) and STOP-Bang (SB), in addition to the investigation of sociodemographic and anthropometric variables. and related to health services. For data analysis, chi-square tests, multivariate analysis of variance and Wilks’ Lambda test were used, considering p ≤ 0.05. Results: The intervention group (IG) showed a decrease in the scores of PSQI (p = 0.003), ESE (p = 0.006), ISI (p <0.001), SB (p = 0.002) with significant differences between groups. Conclusions: Expressive therapies were effective in hyperfrequent elderly, mitigating sleep disorders. Thus, by reducing sleep disorders in the group of hyperfrequent elderly people using non-pharmacological intervention in PHC, it is possible to improve sleep quality and, consequently, decrease the use of health services, reducing financial costs for the public health system.