Mindfulness-based therapy for insomnia for older adults with sleep difficulties: a randomized clinical trial.
Study Goal
The researchers aimed to compare the effectiveness of Mindfulness-Based Therapy for Insomnia (MBTI) with a Sleep Hygiene, Education, and Exercise Program (SHEEP) in improving sleep outcomes in older adults.
Results Summary
MBTI showed significant improvements in subjective and objective sleep quality, with sustained benefits at 6-month follow-up, while SHEEP only improved subjective sleep quality. MBTI also demonstrated greater reductions in insomnia severity and sleep medication use compared to SHEEP.
Population
Older adults aged 50-80 with poor sleep quality (PSQI score ≥5).
Effective Dosage
Not specified
Duration
Duration of intervention not explicitly stated, but assessments were done post-intervention and at 6-month follow-up.
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Mindfulness-Based Therapy for Insomnia (MBTI) | decrease | insomnia severity | older adults | Cohen's effect size d = 1.1 | reductions | #1 |
Sleep Hygiene, Education, and Exercise Program (SHEEP) | decrease | insomnia severity | older adults | Cohen's effect size d = 0.8 | reductions | #2 |
Mindfulness-Based Therapy for Insomnia (MBTI) | increase | subjective sleep quality | older adults | - | improved | #3 |
Mindfulness-Based Therapy for Insomnia (MBTI) | increase | objective sleep quality | older adults | - | improved | #4 |
Mindfulness-Based Therapy for Insomnia (MBTI) | increase | subjective sleep quality | older adults | - | effective at improving | #5 |
Mindfulness-Based Therapy for Insomnia (MBTI) | increase | objective sleep quality | older adults | - | effective at improving | #6 |
OBJECTIVE: Poor sleep is a modifiable risk factor for multiple disorders. Frontline treatments (e.g. cognitive-behavioral therapy for insomnia) have limitations, prompting a search for alternative approaches. Here, we compare manualized Mindfulness-Based Therapy for Insomnia (MBTI) with a Sleep Hygiene, Education, and Exercise Program (SHEEP) in improving subjective and objective sleep outcomes in older adults. METHODS: We conducted a single-site, parallel-arm trial, with blinded assessments collected at baseline, post-intervention and 6-months follow-up. We randomized 127 participants aged 50-80, with a Pittsburgh Sleep Quality Index (PSQI) score ⩾5, to either MBTI ( RESULTS: Intention-to-treat analysis showed reductions in insomnia severity in both groups [MBTI: Cohen's effect size CONCLUSIONS: MBTI is effective at improving subjective and objective sleep quality in older adults, and could be a valid alternative for persons who have failed or do not have access to standard frontline therapies.