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Health intervention with weighted blankets for frail older people with insomnia in nursing homes
Halmstad University, School of Health and Welfare.ORCID iD: 0000-0002-5925-8386
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Insomnia is a common health problem among frail older people in nursing homes. An alternative method of dealing with insomnia has been developed through weighted blankets. The overall aim was to explore and describe how older people with insomnia living in nursing homes are affected in terms of sleep, quality of life, ADL ability, nutritional status and medication after an intervention using a weighted blanket. The study uses a qualitative and quantitative approach to explore the experiences and outcomes of using the weighted blankets. It increases the opportunity to integrate different perspectives and methods to understand the weighted blanket sufficiently. Study I aimed to explore how frail older people insomnia living in nursing homes experience the use of a weighted blanket. Study II aimed to explore nursing staff’s experiences of how a weighted blanket-based intervention influenced nursing home residents’ self-rated health. Study III investigated the effects of weighted blankets on the health of older people nursing home residents in terms of QoL, sleep, nutrition, cognition, ADL, and medication needs. Study IV examined how weighted blankets affect the sleep patterns of frail older people living in nursing homes. The studies suggest that weighted blankets improve the sleep of frail older people living in nursing homes by reducing the number of times they wake during the night. They can also improve overall well-being, emotional state, cognitive function, nutritional status, and daytime activity levels. However, it is essential to consider individual differences, as some users may find the blankets uncomfortable. Study IV revealed that weighted blankets can improve the sleep and quality of life of older people nursing home residents.  Their use constitutes a safe and non-pharmacological intervention, but more research is needed to explore the long-term effects.

Place, publisher, year, edition, pages
Halmstad: Halmstad University Press, 2024. , p. 104
Series
Halmstad University Dissertations ; 113
National Category
Health Sciences
Research subject
Health Innovation
Identifiers
URN: urn:nbn:se:hh:diva-53165ISBN: 978-91-89587-39-7 (electronic)ISBN: 978-91-89587-40-3 (print)OAI: oai:DiVA.org:hh-53165DiVA, id: diva2:1850942
Public defence
2024-05-03, S1022, Kristian IV väg 3, Halmstad, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2024-04-12 Created: 2024-04-11 Last updated: 2024-04-12Bibliographically approved
List of papers
1. Frail older people with insomnia experiences of using weighted blankets: a qualitative study
Open this publication in new window or tab >>Frail older people with insomnia experiences of using weighted blankets: a qualitative study
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background: Insomnia is common among frail older people living in nursing homes, and many are often prescribed medication. However, it may be beneficial to consider using a weighted blanket as an alternative intervention. 

Aim: The aim of the study was to explore how frail older people with insomnia experience the use of a weighted blanket when living in nursing homes. 

Methods: The study was conducted in nine nursing homes in five municipalities in the southwest of Sweden. Nineteen people were included aged 67 and older, four men and 15 women. The study had an inductive qualitative design. The semi-structured interviews were analysed with qualitative content analysis. 

Results: The results formed four categories: Experiencing proximity which raised older people's experiences of the weighted blankets' proximity that gave a sense of comfort or discomfort. Experiencing changes in sleeping patterns, raised older people's experiences of the weighted blanket influence in change sleep patterns. Experiencing conditions for use, frail older people experienced the right conditions surrounding and handling the weighted blanket. Experiencing stimulating senses: frail older people experience changes in their senses of worry, anxiety, and pain., 

Conclusions: Frail older people experience that weighted blankets can provide comfort, positively influence sleep patterns, and reduce anxiety. This intervention can be considered valuable and offers a possible alternative to medication for frail older people with insomnia. 

National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-53171 (URN)
Note

Som manuscript i avhandling/As manuscript in thesis

Available from: 2024-04-12 Created: 2024-04-12 Last updated: 2024-04-12Bibliographically approved
2. Nursing staff’s experiences of how weighted blankets influence resident’s in nursing homes expressions of health
Open this publication in new window or tab >>Nursing staff’s experiences of how weighted blankets influence resident’s in nursing homes expressions of health
2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2009203Article in journal (Refereed) Published
Abstract [en]

Purpose

The most common treatment for resident’s health problems is pharmacological. Little research has been done on how an intervention with a non-pharmacological method, such as a weighted blanket, Through the nursing staff view, we can learn how weighted blankets influence resident’s health in nursing homes. The aim of this study was to explore nursing staff’s experiences of how an intervention with weighted blankets influenced resident’s expressions of health.

Methods

The study had a descriptive qualitative design with semi-structured interviews with 20 nursing staff working in nursing homes, and an inductive content analysis was applied.

Results

The nursing staff expressed that the weighted blanket positively influenced resident’s health in the areas of sleep, physical activity, and psychological behaviour. The weighted blanket made them fall asleep faster, sleep was uninterrupted andthey felt more rested in the morning. The nursing staff observed an increased level of activity as the resident became more energetic . The nursing staff also experienced reduced negative psychological behaviours like anxiety and worrying.

Conclusion

This study indicated that the weighted blanket changed the health expression of resident in several crucial areas. Deep pressure treatment indicates an alternative health-improved treatment for resident in nursing homes. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2022
Keywords
Experiences, health problem, non-pharmacological intervention, nursing home, nursing staff, older person, sleep problems, sleep-promoting, weighted blanket
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-46516 (URN)10.1080/17482631.2021.2009203 (DOI)000729997800001 ()34904541 (PubMedID)2-s2.0-85121288591 (Scopus ID)
Funder
Swedish Foundation for Strategic Research
Note

Funding: The Mondian AB, Halmstad University och SSF.

Available from: 2022-03-24 Created: 2022-03-24 Last updated: 2024-04-12Bibliographically approved
3. Weighted Blankets’ Effect on the Health of Older People Living in Nursing Homes
Open this publication in new window or tab >>Weighted Blankets’ Effect on the Health of Older People Living in Nursing Homes
2022 (English)In: Geriatrics, E-ISSN 2308-3417, Vol. 7, no 4, article id 79Article in journal (Refereed) Published
Abstract [en]

Background: An increasingly aging population is a global phenomenon. While considered a positive step forward, vulnerability to age-related health problems increases along with the ageing population. The aim of the study was to investigate weighted blankets’ effect on health regarding quality of life (QoL), sleep, nutrition, cognition, activities of daily living ADL and medication in older people living in nursing homes. Methods: In total, 110 older people were involved in an intervention with weighted blankets, and 68 older people completed the intervention. Measures before and after were performed regarding quality of life; QoL-AD, EQ-VAS, sleep; MISS, nutrition; MNA, cognition; S -MMSE (ADL) and medication. Comparative statistical analyses were applied. Results: After intervention with weighted blankets, health in general, such as QoL, improved. Sleep also improved significantly, especially with respect to waking up during the night. Nutrition was enhanced, health as a cognitive ability improved, and medication in the psychoanaleptic group decreased. The effect size varied between small and large. Conclusions: A weighted blanket seems to be an effective and safe intervention for older people in nursing homes, as several improvements were made regarding the health of older people. © 2022 by the authors.

Place, publisher, year, edition, pages
Basel: MDPI, 2022
Keywords
health, nursing home, older people, weighted blanket
National Category
Geriatrics
Identifiers
urn:nbn:se:hh:diva-47990 (URN)10.3390/geriatrics7040079 (DOI)000847200100001 ()36005255 (PubMedID)2-s2.0-85136799592 (Scopus ID)
Note

Funding: Halmstad University 70% and Mondian AB 30%

Available from: 2022-08-31 Created: 2022-08-31 Last updated: 2024-04-12Bibliographically approved
4. The effect of weighted blanket on sleep in frail older people: A quasi-experimental study
Open this publication in new window or tab >>The effect of weighted blanket on sleep in frail older people: A quasi-experimental study
2024 (English)In: Sleep Health, ISSN 2352-7218, E-ISSN 2352-7226Article in journal (Refereed) Submitted
Abstract [en]

Objectives: Sleep problems are a common issue among frail older people living in nursing homes. Among other causes, these problems can be due to age-related changes and chronic medical conditions. Weighted blankets can be used as an alternative to medication in treatments aimed at improving the sleep of frail older people. This study aimed to investigate the effect of weighted blankets on sleep patterns in frail older people living in nursing home.

Methods: A quasi-experimental design was adopted. The study included 65 frail older people > 65 years of age who lived in nursing homes in southwestern Sweden. Sleep was measured using actigraphy, which helped monitor time in bed, total sleep time, sleep onset latency, wake after sleep onset, sleep efficiency (in per cent) and the number of nocturnal awakenings. Health was self-rated using the EuroQol visual analogue scale (EQ-VAS), and insomnia was self-rated using Minimal Insomnia Symptom Scale (MISS).

Results: Frail older people in nursing homes benefited from the use of weighted blankets to improve their sleep quality. Frail older people experienced fewer nocturnal awakenings and fell asleep faster. Weighted blankets also improved overall experience of health.

ConclusionS: Weighted blankets can improve the sleep quality and overall health of frail older people in nursing homes. More research is needed to understand the full effects of these blankets and establish individual guidelines for their use.

Place, publisher, year, edition, pages
New York: , 2024
Keywords
frail older people, insomnia, nursing home, sleep, weighted blanket
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-53169 (URN)
Note

Som manuscript i avhandling/As manuscript in thesis

Available from: 2024-04-12 Created: 2024-04-12 Last updated: 2024-04-12Bibliographically approved

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