title: Sleep quality and depression of nursing home older adults in wheelchairs after exercises.
abstract: BACKGROUND
  Sleep disturbances and depression are costly and potentially disabling conditions that affect a considerable proportion of older adults. The purpose of this study was to test the effectiveness of 6 months of elastic band exercises on sleep quality and depression of wheelchair-bound older adults in nursing homes.
  
  
  METHODS
  One hundred twenty-seven older adults from 10 nursing homes participated in this cluster randomized controlled trial, and 114 completed the study. Participants were randomly assigned to two groups: experimental group (five nursing homes, n = 59) and control group (five nursing homes, n = 55). A 40-minute wheelchair-bound senior elastic band exercise program was implemented 3 times per week for 6 months. Sleep quality and depression of the participants were examined at baseline, after 3 months, and at the end of the 6-month study.
  
  
  CONCLUSIONS
  Participants in the experimental group had longer sleep durations, better habitual sleep efficiencies, and less depression than the control group at 3 months of the study and maintained them throughout the rest of the 6-month study.
  
  
  CONCLUSIONS
  Nursing home directors could recruit volunteers to learn the program and lead the elderly residents in wheelchairs in practicing the wheelchair-bound senior elastic band exercises regularly in the facilities.
authors.affiliation: College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: kmc@kmu.edu.tw.
authors.forename: Kuei-Min
authors.initials: KM
authors.lastname: Chen
authors.affiliation: College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Hsin-Ting
authors.initials: HT
authors.lastname: Huang
authors.affiliation: College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Yin-Yin
authors.initials: YY
authors.lastname: Cheng
authors.affiliation: Department of Nursing, Yuhing Junior College of Health Care and Management, Kaohsiung, Taiwan.
authors.forename: Chun-Huw
authors.initials: CH
authors.lastname: Li
authors.affiliation: College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Ya-Hui
authors.initials: YH
authors.lastname: Chang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016000:Cluster Analysis; D003866:Depressive Disorder / Q000517:prevention & control*; D005081:Exercise Therapy / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009735:Nursing Homes; D012893:Sleep Wake Disorders / Q000517:prevention & control*; D013624:Taiwan; D014910:Wheelchairs
keywords: Cluster randomized control trial; Depression; Elastic band; Nursing home; Older adults; Sleep quality; Wheelchair exercise