Cochrane · systematic review · CD011881
Non‐pharmacological interventions for sleep disturbances in people with dementia
Wilfling, D, Calo, S, Dichter, MN, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Dementia and Cognitive ImprovementAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
35
current version
GRADE rated
24
No studies
11
Included studies
NR
No studies 11 · 31.4%Ungraded 0 · 0%Very low 6 · 17.1%Low 15 · 42.9%Moderate 3 · 8.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings table ‐ Light therapy compared to usual care for sleep disturbances in people with dementia
Population: sleep disturbances in people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total nocturnal sleep time (minutes) Summary of findings table ‐ Light therapy vs usual care | no estimate extracted | 4 studies · 82 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Consolidated sleep ‐ not measured Summary of findings table ‐ Light therapy vs usual care | no estimate extracted | NR | No studies |
Sleep efficiency Summary of findings table ‐ Light therapy vs usual care | no estimate extracted | 7 studies · 133 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Total wake time at night (minutes) Summary of findings table ‐ Light therapy vs usual care | no estimate extracted | 3 studies · 205 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Number of nocturnal awakenings Summary of findings table ‐ Light therapy vs usual care | no estimate extracted | 4 studies · 136 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Sleep onset latency Summary of findings table ‐ Light therapy vs usual care | no estimate extracted | 3 studies · 3 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Summary of findings table ‐ Light therapy vs usual care | no estimate extracted | 7 studies · 318 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Summary of findings table ‐ Physical activities compared to usual care for sleep disturbances in people with dementia
Population: sleep disturbances in people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total nocturnal sleep time (minutes) Summary of findings table ‐ Physical activities vs usual care | no estimate extracted | 2 studies · 167 participants | Low Downgraded: risk of bias, imprecision |
Consolidated sleep ‐ not measured Summary of findings table ‐ Physical activities vs usual care | no estimate extracted | NR | No studies |
Sleep efficiency Summary of findings table ‐ Physical activities vs usual care | no estimate extracted | 2 studies · 167 participants | Low Downgraded: risk of bias, imprecision |
Total wake time at night (minutes) Summary of findings table ‐ Physical activities vs usual care | no estimate extracted | 1 study · 65 participants | Low Downgraded: risk of bias, imprecision |
Number of nocturnal awakenings Summary of findings table ‐ Physical activities vs usual care | no estimate extracted | 1 study · 65 participants | Low Downgraded: risk of bias, imprecision |
Sleep onset latency Summary of findings table ‐ Physical activities vs usual care | no estimate extracted | 1 study · 1 participants | Moderate Downgraded: imprecision |
Adverse events Summary of findings table ‐ Physical activities vs usual care | no estimate extracted | 2 studies · 167 participants | Moderate Downgraded: risk of bias, imprecision |
Summary of findings table ‐ Social activities compared to usual care for sleep disturbances in people with dementia
Population: sleep disturbances in people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total nocturnal sleep time (minutes) Summary of findings table ‐ Social activities vs usual care | no estimate extracted | 2 studies · 236 participants | Low Downgraded: risk of bias, imprecision |
Consolidated sleep ‐ not measured Summary of findings table ‐ Social activities vs usual care | no estimate extracted | NR | No studies |
Sleep efficiency Summary of findings table ‐ Social activities vs usual care | no estimate extracted | 2 studies · 236 participants | Low Downgraded: risk of bias, imprecision |
Total wake time at night (minutes) ‐ not reported Summary of findings table ‐ Social activities vs usual care | no estimate extracted | NR | No studies |
Number of nocturnal awakenings ‐ not reported Summary of findings table ‐ Social activities vs usual care | no estimate extracted | NR | No studies |
Sleep onset latency ‐ not reported Summary of findings table ‐ Social activities vs usual care | no estimate extracted | NR | No studies |
Adverse events Summary of findings table ‐ Social activities vs usual care | no estimate extracted | 2 studies · 236 participants | Low Downgraded: risk of bias, imprecision |
Summary of findings table ‐ Carer interventions compared to usual care for sleep disturbances in people with dementia
Population: sleep disturbances in people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total nocturnal sleep time (minutes) Summary of findings table ‐ Carer interventions vs usual care | no estimate extracted | 1 study · 33 participants | Low Downgraded: risk of bias, imprecision |
Consolidated sleep ‐ not measured Summary of findings table ‐ Carer interventions vs usual care | no estimate extracted | NR | No studies |
Sleep efficiency Summary of findings table ‐ Carer interventions vs usual care | no estimate extracted | 1 study · 33 participants | Low Downgraded: risk of bias, imprecision |
Total wake time at night (minutes) Summary of findings table ‐ Carer interventions vs usual care | no estimate extracted | 1 study · 33 participants | Low Downgraded: risk of bias, imprecision |
Number of nocturnal awakenings ‐ not reported Summary of findings table ‐ Carer interventions vs usual care | no estimate extracted | NR | No studies |
Sleep onset latency ‐ not reported Summary of findings table ‐ Carer interventions vs usual care | no estimate extracted | NR | No studies |
Adverse events Summary of findings table ‐ Carer interventions vs usual care | no estimate extracted | 2 studies · 2 participants | Moderate Downgraded: risk of bias |
Summary of findings table ‐ Multimodal interventions compared to usual care for sleep disturbances in dementia
Population: sleep disturbances in dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total nocturnal sleep time (minutes) Summary of findings table ‐ Multimodal interventions vs usual care | no estimate extracted | 3 studies · 272 participants | Low Downgraded: risk of bias, imprecision |
Consolidated sleep ‐ not measured Summary of findings table ‐ Multimodal interventions vs usual care | no estimate extracted | NR | No studies |
Sleep efficiency Summary of findings table ‐ Multimodal interventions vs usual care | no estimate extracted | 5 studies · 485 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Total wake time at night (minutes) Summary of findings table ‐ Multimodal interventions vs usual care | no estimate extracted | 2 studies · 102 participants | Low Downgraded: risk of bias, imprecision |
Number of nocturnal awakenings Summary of findings table ‐ Multimodal interventions vs usual care | no estimate extracted | 4 studies · 404 participants | Low Downgraded: risk of bias, inconsistency |
Sleep onset latency ‐ not reported Summary of findings table ‐ Multimodal interventions vs usual care | no estimate extracted | NR | No studies |
Adverse events Summary of findings table ‐ Multimodal interventions vs usual care | no estimate extracted | 7 studies · 589 participants | Low Downgraded: risk of bias, imprecision |