Piloting I-SLEEP: a patient-centered education and empowerment intervention to improve patients' in-hospital sleep

Noah R Mason; Nicola M Orlov; Samantha Anderson; Maxx Byron; Christine Mozer; Vineet M Arora

doi:10.1186/s40814-021-00895-z

Piloting I-SLEEP: a patient-centered education and empowerment intervention to improve patients' in-hospital sleep

Pilot Feasibility Stud. 2021 Aug 19;7(1):161. doi: 10.1186/s40814-021-00895-z.

Authors

Noah R Mason¹, Nicola M Orlov², Samantha Anderson³, Maxx Byron³, Christine Mozer¹, Vineet M Arora⁴

Affiliations

¹ Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
² Department of Pediatrics, University of Chicago Medicine, Chicago, IL, USA.
³ Department of Medicine, University of Chicago Medicine, 5841 S Maryland Ave, MC 2007, Chicago, IL, 60637, USA.
⁴ Department of Medicine, University of Chicago Medicine, 5841 S Maryland Ave, MC 2007, Chicago, IL, 60637, USA. varora@medicine.bsd.uchicago.edu.

Abstract

Background: Sleep disturbances in hospitalized patients are linked to poor recovery. In preparation for a future randomized controlled trial, this pilot study evaluated the feasibility and acceptability of a multi-component intervention (I-SLEEP) that educates and empowers inpatients to advocate for fewer nighttime disruptions in order to improve sleep during periods of hospitalization.

Methods: Eligible inpatients received I-SLEEP, which included an educational video, brochure, sleep kit, and three questions patients can ask their team to reduce nighttime disruptions. Following I-SLEEP, inpatients were surveyed on the primary feasibility outcomes of satisfaction with and use of I-SLEEP components. Inpatients were also surveyed regarding empowerment and understanding of intervention materials. Patient charts were reviewed to collect data on nighttime (11 PM-7 AM) vital sign and blood draws disruptions.

Results: Ninety percent (n = 26/29) of patients were satisfied with the brochure and 87% (n = 27/31) with the video. Nearly all (95%, n = 36/37) patients felt empowered to ask their providers to minimize nighttime disruptions and 68% (n = 26/37) intended to alter sleep habits post-discharge. Forty-nine percent (n = 18/37) of patients asked an I-SLEEP question. Patients who asked an I-SLEEP question were significantly more likely to experience nights with fewer disruptions due to nighttime vitals (19% vs. 2.1%, p = 0.008).

Conclusion: This pilot study found that I-SLEEP was well-accepted and enabled hospitalized patients to advocate for less disrupted sleep. Educating patients to advocate for reducing nighttime disruptions may be a patient-centered, low-cost strategy to improve patients' care and in-hospital experience. These results suggest that I-SLEEP is ready to be evaluated against routine care in a future randomized controlled trial.

Trial registration: ClinicalTrials.Gov NCT04151251 .

Keywords: Hospitalized patients; Nighttime disruptions; Patient education; Patient empowerment; Sleep.

Associated data

ClinicalTrials.gov/NCT04151251

Abstract

Associated data

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