Web-based intervention for sleep in adults with gentle cognitive impairment

An internet-based intervention that includes daily reminders to fill out sleep diaries and wear Actiwatch may improve the sleep of older adults with mild cognitive impairment (MCI), according to older study results published in Alzheimer’s & Dementia.

Patients with MCI are at increased risk of insomnia, and internet-based interventions may help improve sleep in this population. With limited data on the role of technology in this population, this study aimed to use an Internet-provided cognitive behavioral therapy for insomnia, known as Sleep Healthy Over the Internet for Older Adult Patients with Insomnia and Insomnia (SHUti OASIS) . SHUti Oasis collects daily sleep diary data and delivers the automated intervention over 9 weeks.

In this ongoing study, researchers collected daily sleep diary data using wrist-worn actigraphs for 14 days prior to surgery and for 14 days after surgery. SHUTi OASIS sent emails every morning to remind attendees to complete the sleep diary and wear the Actiwatch at night.

The sample comprised 7 patients (mean age 76.0 years; women 4) and 4 spouses. All patients with MCI completed 10 sleep diaries within 14 days. Most have accessed the SHUTi OASIS program on a daily basis and wore the Actiwatch for between 5 and 14 days.

The automated e-mail reminders and registration for the SHUTi OASIS program can be combined with filling in the participants’ sleep diaries. Inconsistent use of actigraphy at night may be secondary to the early morning time of email reminders.

“The integration of technology to subjectively and objectively collect sleep data in this population shows promise, and future work should consider the frequency and timing of memories with multimodal technology,” concluded the study’s researchers.


Mattos MK, Barnes L., Davis EM, et al. Preliminary Feasibility of Using Technology in Internet Intervention: Improving Sleep in Older Adults with Mild Cognitive Impairments. Alzheimer’s dementia. Published online on December 7, 2020. doi: 10.1002 / alz.038831


Cognitive Impairment Neurocognitive Disorders Sleep Sleep Disorders Telemedicine

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