Given the critical role of sleep in enhancing neural recovery, motor learning, neuroprotection, and neuroplasticity, interventions to enhance sleep that target sleep could improve recovery and rehabilitation outcomes for stroke patients. In this proposal, a multidisciplinary group of researchers with expertise in rehabilitation medicine, sleep medicine, nursing, physical therapy, wearable technologies, and implementation science will adapt, implement and evaluate a state-of-the-art intervention to promote sleep for stroke patients undergoing acute rehabilitation. SIESTA-Rehab, adapted from a previous unit-based intervention, bundles two sleep-promoting interventions to address the unique sleep challenges stroke patients face during acute rehabilitation: (1) nursing education and empowerment to reduce unnecessary disruptions; (2) a systematic protocol to screen, diagnose, and treat sleep-disordered breathing if present during acute stroke rehabilitation.
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Quality Indicator (QI) Score
Timeframe: Up to 3 months
Karolinska Sleep Diary
Timeframe: Daily during inpatient stay starting with study admission. Average length of stay is 17 days.
Modified Potential Disruptions of Hospital Sleep Questionnaire (PDHSQ)
Timeframe: Daily during inpatient stay starting with study admission. Average length of stay is 17 days.
Change in total sleep time as measured by Actigraphy
Timeframe: Overnight for first and last three nights of their stay. Average length of stay is 17 days.