TY - JOUR
T1 - Assisted Relaxation Therapy for Insomnia in Older Adults With Mild Cognitive Impairment
T2 - A Pilot Study
AU - McPhillips, Miranda V.
AU - Li, Junxin
AU - Petrovsky, Darina V.
AU - Brewster, Glenna S.
AU - Ward, E. John
AU - Hodgson, Nancy
AU - Gooneratne, Nalaka S.
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2023/7
Y1 - 2023/7
N2 - Insomnia symptoms are prevalent in older adults with mild cognitive impairment (MCI) and can pose treatment challenges. We tested the feasibility, acceptability, and preliminary efficacy of assisted relaxation therapy (ART) to improve insomnia symptoms in community-dwelling older adults with MCI. In this pilot RCT, 25 participants were assigned to intervention or control groups for 2 weeks. The final sample (n = 20) consisted of all Black, primarily female (70%) older adults (mean age 69.10; SD = 7.45) with mean Montreal Cognitive Assessment scores of 21.10 (SD = 2.49). Recruitment was timely; attrition was low (80%). Participants were able to use ART (average use 7.00; SD = 5.07 days). Participants in the ART group improved on Insomnia Severity Index (ISI) (− 7.10; 95% CI [−11.63, −2.55]; p =.004) compared to baseline. There were clinically meaningful mean change scores on ISI for the intervention group compared to the control (− 7.10 vs. − 4.33). Results provide justification for testing ART in a fully powered clinical trial.
AB - Insomnia symptoms are prevalent in older adults with mild cognitive impairment (MCI) and can pose treatment challenges. We tested the feasibility, acceptability, and preliminary efficacy of assisted relaxation therapy (ART) to improve insomnia symptoms in community-dwelling older adults with MCI. In this pilot RCT, 25 participants were assigned to intervention or control groups for 2 weeks. The final sample (n = 20) consisted of all Black, primarily female (70%) older adults (mean age 69.10; SD = 7.45) with mean Montreal Cognitive Assessment scores of 21.10 (SD = 2.49). Recruitment was timely; attrition was low (80%). Participants were able to use ART (average use 7.00; SD = 5.07 days). Participants in the ART group improved on Insomnia Severity Index (ISI) (− 7.10; 95% CI [−11.63, −2.55]; p =.004) compared to baseline. There were clinically meaningful mean change scores on ISI for the intervention group compared to the control (− 7.10 vs. − 4.33). Results provide justification for testing ART in a fully powered clinical trial.
KW - behavioral intervention
KW - insomnia
KW - mild cognitive impairment
KW - older adults
KW - sleep
UR - http://www.scopus.com/inward/record.url?scp=85140213505&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85140213505&partnerID=8YFLogxK
U2 - 10.1177/00914150221132163
DO - 10.1177/00914150221132163
M3 - Article
C2 - 36259123
AN - SCOPUS:85140213505
SN - 0091-4150
VL - 97
SP - 65
EP - 80
JO - International Journal of Aging and Human Development
JF - International Journal of Aging and Human Development
IS - 1
ER -