Table 7.11 Sleep Hygiene Interventions for the Management of Fatigue and Sleep Disorders Post ABI
| Author Year Country Study Design Sample Size | Methods | Outcome |
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Makley et al., (2020) USA RCT PEDro=4 NInitial=22, NFinal=18 |
Population: TBI=22; Intervention Group (Sleep hygiene protocol, SHP; n=9): Mean Age=26.0±9.7yr; Gender: male=7, female=2; Mean Time Post Injury=28.6±19.5d; severity: Mean GCS=6.9±3.5. Control Group (Standard of care, SOC; n=9): Mean Age=33.6±9.0yr; Gender: Male=7, Female=2; Mean Time Post Injury=25.9±13.8d; Severity: Mean GCS=8.6±4.1. Intervention: Participants were randomly allocated to receive a sleep hygiene protocol (SHP) or usual care (standard TBI rehabilitation). The sleep hygiene protocol involved 6 components: 1. Improved sleep environment 2. Increased daytime activation 3. Enhanced circadian stimuli 4. Consistent morning wake time and daily routine 5. 30 minutes of blue-light therapy 6. No caffeine intake after 12:00pm Outcome measures were assessed at baseline, 1wk, 2wk and 3wk. Outcome Measures: Total Sleep Time (TST), Sleep Efficiency (SE), Wakefulness After Sleep Onset (WASO), Disability Rating Scale (DRS), Length of Stay (LOS). | 1. No significant differences in actigraphy sleep metrics were observed between groups (TST, p>.05; SE, p>.05; WASO, p>.05) 2. Significant improvements in actigraphy sleep metrics from 1 wk to 3 wk were observed within the SHP group (TST, p=.028; SE, p=.008; WASO, p=.008); but not within the SOC group (TST, SE, WASO, p>.05). No significant differences in rehabilitation outcomes between groups (DRS, p>.05; LOS, p>.05). |