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Reducing dangerous nighttime events in persons with dementia by using a nighttime monitoring system


Rowe, Meredeth A., Kelly, Annette, Horne, Claydell, Lane, Steve, Campbell, Judy, Lehman, Brandy, Phipps, Chad, Keller, Meredith, Pe Benito, Andrea


Alzheimer's & Dementia: The Journal of the Alzheimer's Association, Volume: 5, No.: 5, Pages.: 419-426

Year of Publication



Background: Nighttime activity, a common occurrence in persons with dementia, increases the risk for injury and unattended home exits and impairs the sleep patterns of caregivers. Technology is needed that will alert caregivers of nighttime activity in persons with dementia to help prevent injuries and unattended exits. Methods: As part of a product development grant, a controlled pilot study was conducted to test the effectiveness of a new night monitoring system designed for informal caregivers to use in the home. Data from 53 subjects were collected at nine points in time during a 12-month period regarding injuries and unattended home exits that occurred while the caregiver slept. Nighttime activity frequently resulted in nursing home placement. Results: The night monitoring system proved a reliable adjunct to assist caregivers in managing nighttime activity. A total of nine events (injuries or unattended home exits) occurred during the study, with 6 events occurring in the control group. With intent-to-treat analysis, there was no difference between the groups. However, in a secondary analysis that was based on use of the intervention, experimental subjects were 85% less likely to sustain an event than control subjects. Conclusions: When nighttime activity occurred, it resulted in severe injuries sometimes associated with subsequent nursing home placement. The night monitoring system represents a new technology that caregivers can use to assist them in preventing nighttime injuries and unattended home exits in care recipients with dementia. (PsycINFO Database Record (c) 2015 APA, all rights reserved). (journal abstract)

Bibtex Citation

@article{Rowe_2009, doi = {10.1016/j.jalz.2008.08.005}, url = {}, year = 2009, month = {sep}, publisher = {Elsevier {BV}}, volume = {5}, number = {5}, pages = {419--426}, author = {Meredeth A. Rowe and Annette Kelly and Claydell Horne and Steve Lane and Judy Campbell and Brandy Lehman and Chad Phipps and Meredith Keller and Andrea Pe Benito}, title = {Reducing dangerous nighttime events in persons with dementia by using a nighttime monitoring system}, journal = {Alzheimer{textquotesingle}s {&} Dementia} }


caregiver burden, caregivers, dementia, injuries, injury, injury prevention, monitorig, monitoring, night monitoring system, nightime, nighttime activity, prevention, service, sleep, technology, unattended home exits

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cost and service use study, Non randomised controlled trial

Type of Outcomes

Prevention and/or management of co-morbidities, Service use or cost reductions (incl. hospital use reduction, care home admission delay)


Extra Care Housing

Type of Interventions

Intervention for Carers, Technology (telephone, telecare, telehealth, robots, GPS)

Carer Focussed Interventions



Remote monitoring – telemonitoring, telecare