sidani, sourayaFox, MaryButler, JeffreyMaimets, Ilo-Katryn2024-05-142024-05-142022-04-01Sidani, S., Fox, M. T., Butler, J. I., & Maimets, I.-K. (2022). Development of a multi-component intervention to promote sleep in older persons with dementia transitioning from hospital to home. International Journal of Older People Nursing, 17, e12463. https://doi.org/10.1111/opn.124631748-3743https://doi.org/10.1111/opn.12463https://hdl.handle.net/10315/42043This is the peer reviewed version of the following article: Sidani, S., Fox, M. T., Butler, J. I., & Maimets, I.-K. (2022). Development of a multi-component intervention to promote sleep in older persons with dementia transitioning from hospital to home. International Journal of Older People Nursing, 17, e12463. https://doi.org/10.1111/opn.12463, which has been published in final form at https://doi.org/10.1111/opn.12463. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.Background and objectives: Hospitalized older persons with dementia are commonly discharged with intensified sleep disturbances. These disturbances can impede the recovery process. Nurses are well-positioned to assist persons with dementia and their family caregivers in managing sleep disturbances during the transition from hospital to home. In this paper, we describe the development of a multi-component intervention to promote sleep. Research design and methods: We applied three stages of the intervention mapping method to develop a non-pharmacological, multi-component sleep intervention. The first stage involved a review of the literature to generate an understanding of the determinants of sleep disturbances experienced by persons with dementia in hospital and home settings. The second stage consisted of a literature review to identify therapies for managing commonly reported determinants of sleep disturbances. The third stage entailed delineation of the intervention components. Results: The most common determinants of sleep disturbances experienced by persons with dementia in hospital and home settings were: physiological changes associated with aging, sleep environments non-conducive to sleep, limited exposure to light and engagement in physical activity, stress, and sleep-related beliefs and behaviors. Therapies found effective included: light therapy, physical activity therapy, sleep hygiene, and stimulus control therapy. These therapies were integrated into a multi-component sleep intervention to be provided using the teach-back technique, during and following hospitalization. Discussion and implications: Consistent with the principles of patient engagement, the multi-component sleep intervention will be evaluated for its acceptability and feasibility.enIntervention mappingSleep disturbancesDeterminantsOlder personsDementiaArticle