Effectiveness of Non Pharmacological Intervention for Insomnia: A Systematic Review and Meta Analysis
Objectives: As chronic sleep deprivation can have devastating effects, sleep disturbances in older adult warrants investigation. This study aims to evaluate the effectiveness of non pharmacological interventions for insomnia. Methods/ Statistical Analysis: A systematic literature review was used to examine the effectiveness of non pharmacological therapies on sleep disturbance. We conducted a literature search of Korean and international electronic databases. We reviewed selected 343 publications, 37 studies were analyzed in the meta analysis. Comprehensive Meta Analysis software was used to analyze the effect size. Findings: The meta analysis based on the random effect model showed that the applied interventions improved sleep in older adults (Z 5.63; 95% CI: 0.55 1.15) Subgroup analysis revealed that exercise was the most effective (95% CI: 0.35 0.88, Z 4.55) followed by music therapy (95% CI: 0.30 1.16, Z 3.36) On the contrary, behavior, laughter, massage, and supplementary therapy were not effective. Improvements/Applications: These findings provide comprehensive evidence regarding the efficacy and use of non pharmacological sleep interventions. Thus, these interventions are available to improve quality of sleep in older adults.