Sleep Well 24 (SWELL24) Healthy Sleep-Wake Behaviors in Older Adults

Sleep Well 24 (SWELL24): Promoting Healthy Sleep-wake Behaviors Across a 24-hour Cycle in Frail Older Adults

To finalize daytime intervention components for a comprehensive sleep-wake intervention for frail older adults and explore feasibility and acceptability using a pilot trial.

An enhanced intervention addressing both nighttime and daytime activities will be developed based on prior evidence and further informed by data. A successive cohort design will be utilized to evaluate and refine key intervention components and gather feedback on older adults' experiences.

Inclusion Criteria:

• Age 65 or over
• One or more outpatient primary care visits to Wake Forest Baptist Health in the prior 12 months
• Meets diagnostic criteria for Insomnia Disorder
• Less than 30 minutes of daily activity or less than 150 minutes total weekly activity for one month or longer, as reported on brief telephone screener
• Able to ambulate safely (with or without an assistive device)
• Able to follow study directions
• Able to communicate and follow study instructions
• English speaking

Exclusion Criteria:

• Untreated organic sleep disorder (e.g., central or obstructive sleep apnea, restless leg syndrome)
• Serious or unstable medical or psychiatric condition that would prevent participation in a behavioral intervention (e.g., terminal illness, uncontrolled psychiatric disorder, substance abuse disorder)
• Lack of decision-making capacity, as documented in medical record
• Referred to institutional care and/or currently residing in a nursing home or other residential facility