title: Improving sleep hygiene behavior in adults living with HIV/AIDS: a randomized control pilot study of the SystemCHANGE(TM)-HIV intervention.
abstract: OBJECTIVE
  The aim of this study was to test the feasibility of a novel, evidence-based intervention SystemCHANGE-HIV on sleep outcomes.
  
  
  BACKGROUND
  Insomnia and sleep disturbances affect an estimated 74% of people living with HIV (PLWH) and is a distressing consequence of HIV disease.
  
  
  METHODS
  We conducted a two-group randomized control study with 40 PLWH. Outcomes included change in: sleep duration, sleep fragmentation index, sleep efficiency, and self-reported sleep quality.
  
  
  RESULTS
  Participants rated the intervention as highly feasible. The intervention group experienced a 10minute/night increase in sleep time, a 2.3%-point increase in sleep efficiency, a 2.0%-point decrease in sleep fragmentation, relative to the control group, based on the model estimates of the treatment effect.
  
  
  CONCLUSIONS
  A behavioral change intervention focusing on sleep is feasible in PLWH. The intervention group had improved sleep compared to the control group. Future work should test the efficacy of a refined SystemCHANGE-HIV on sleep.
authors.affiliation: Frances Payne Bolton School of Nursing Case Western Reserve University, 10900 Euclid Avenue Cleveland, OH 44106-4904, USA. allison.webel@case.edu
authors.forename: Allison R
authors.initials: AR
authors.lastname: Webel
authors.forename: Shirley M
authors.initials: SM
authors.lastname: Moore
authors.forename: Jan E
authors.initials: JE
authors.lastname: Hanson
authors.forename: Sanjay R
authors.initials: SR
authors.lastname: Patel
authors.forename: Brian
authors.initials: B
authors.lastname: Schmotzer
authors.forename: Robert A
authors.initials: RA
authors.lastname: Salata
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D055318:Evidence-Based Nursing; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012893:Sleep Wake Disorders / Q000150:complications*