This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

Sleep in dementia caregivers and the effect of a nighttime monitoring system


Rowe, Meredeth A., Kairalla, John A., McCrae, Christina S.


Journal Of Nursing Scholarship: An Official Publication Of Sigma Theta Tau International Honor Society Of Nursing / Sigma Theta Tau, Volume: 42, No.: 3, Pages.: 338-347

Year of Publication



Purpose: The purpose of this study was to determine if a nighttime home monitoring system, designed to track the movements of a care recipient with dementia, would relieve worry and improve sleep in caregivers of persons with dementia.; Design and Methods: In this controlled clinical trial, 49 dementia caregivers were followed for up to 1 year. Sleep was measured for 7-day intervals at nine points in time using actigraphy and a sleep diary.; Findings: Although the experimental caregivers generally reported that the system was “of great help” in relieving worry about nighttime activity, no significant group differences were found using multilevel modeling analyses. With regard to total sleep time, time awake after sleep onset, and sleep quality, multilevel models did not demonstrate any changes in sleep between groups, either averaged over time or for the interaction of group and time.; Conclusions: Since previous analysis of our qualitative data suggested improvements in caregiver worry and sleep, problems other than night awakenings may be perpetuating the sleep problem. Future studies should include testing of multimodal sleep interventions.; Clinical Relevance: Caregivers have high amounts of unwanted wake time during the night and additional research is needed to identify effective interventions to improve their sleep.;

Bibtex Citation

@article{Rowe_2010, doi = {10.1111/j.1547-5069.2010.01337.x}, url = {}, year = 2010, month = {mar}, publisher = {Wiley-Blackwell}, volume = {42}, number = {3}, pages = {338--347}, author = {Meredeth A. Rowe and John A. Kairalla and Christina S. McCrae}, title = {Sleep in Dementia Caregivers and the Effect of a Nighttime Monitoring System}, journal = {Journal of Nursing Scholarship} }


actigraphy, adult, aged, aged, 80 and over, analysis of variance, attitude to health, caregivers, cost of illness, dementia, etiology, family, female, home, home nursing, humans, linear models, male, methods, middle aged, monitoring, nighttime, nursing, nursing methodology research, prevention & control, psychology, qualitative research, sleep, sleep deprivation

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Non randomised controlled trial

Type of Outcomes

Carers’ Mental Health, Other carer outcomes (e.g. financial burden and more)



Type of Interventions

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

Carer Focussed Interventions



Remote monitoring – telemonitoring, telecare