A Feasibility Randomized Controlled Crossover Trial of Home-Based Warm Footbath to Improve Sleep in the Chronic Phase of Traumatic Brain Injury

Hsiao Yean Chiu, En Yuan Lin, Hsiao Ting Chiu, Pin Yuan Chen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Sleep disturbance is a common complaint after traumatic brain injury (TBI). The aim of this study was to examine the effects of a home-based warm footbath intervention on sleep in patients with TBI. Methods: This was a randomized controlled crossover study, and 23 adults with TBI were recruited and randomized to receive first a 30-minute, 41°C warm footbath and then a usual care, or vice versa, with each lasting 3 days and separated by a 3-day washout. Sleep efficiency, sleep onset latency (SOL), total sleep time, and wake after sleep onset (WASO) were assessed by actigraphy. Results: We found that home-based warm footbath significantly had a reduced SOL (difference, -5.11 minutes) and a suppressed WASO (difference, -2.57 minutes) compared with those of usual care, but not in sleep efficiency and total sleep time. No adverse effect was reported. Conclusions: This study suggested that home-based warm footbath is practical and effective in relieving post-TBI sleep disturbances, particular in SOL and WASO. Nurses can use home-based warm footbath as an effective intervention for management of sleep disturbances after TBI.

Original languageEnglish
Pages (from-to)380-385
Number of pages6
JournalJournal of Neuroscience Nursing
Volume49
Issue number6
DOIs
Publication statusPublished - Dec 1 2017
Externally publishedYes

Fingerprint

Cross-Over Studies
Sleep
Randomized Controlled Trials
Traumatic Brain Injury
Actigraphy
Nurses

Keywords

  • alternative medicine
  • insomnia
  • sleep
  • traumatic brain injury
  • warm footbath

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

Cite this

A Feasibility Randomized Controlled Crossover Trial of Home-Based Warm Footbath to Improve Sleep in the Chronic Phase of Traumatic Brain Injury. / Chiu, Hsiao Yean; Lin, En Yuan; Chiu, Hsiao Ting; Chen, Pin Yuan.

In: Journal of Neuroscience Nursing, Vol. 49, No. 6, 01.12.2017, p. 380-385.

Research output: Contribution to journalArticle

@article{4d5c8706393e43969a44aa8e9dd3a764,
title = "A Feasibility Randomized Controlled Crossover Trial of Home-Based Warm Footbath to Improve Sleep in the Chronic Phase of Traumatic Brain Injury",
abstract = "Introduction: Sleep disturbance is a common complaint after traumatic brain injury (TBI). The aim of this study was to examine the effects of a home-based warm footbath intervention on sleep in patients with TBI. Methods: This was a randomized controlled crossover study, and 23 adults with TBI were recruited and randomized to receive first a 30-minute, 41°C warm footbath and then a usual care, or vice versa, with each lasting 3 days and separated by a 3-day washout. Sleep efficiency, sleep onset latency (SOL), total sleep time, and wake after sleep onset (WASO) were assessed by actigraphy. Results: We found that home-based warm footbath significantly had a reduced SOL (difference, -5.11 minutes) and a suppressed WASO (difference, -2.57 minutes) compared with those of usual care, but not in sleep efficiency and total sleep time. No adverse effect was reported. Conclusions: This study suggested that home-based warm footbath is practical and effective in relieving post-TBI sleep disturbances, particular in SOL and WASO. Nurses can use home-based warm footbath as an effective intervention for management of sleep disturbances after TBI.",
keywords = "alternative medicine, insomnia, sleep, traumatic brain injury, warm footbath",
author = "Chiu, {Hsiao Yean} and Lin, {En Yuan} and Chiu, {Hsiao Ting} and Chen, {Pin Yuan}",
year = "2017",
month = "12",
day = "1",
doi = "10.1097/JNN.0000000000000325",
language = "English",
volume = "49",
pages = "380--385",
journal = "Journal of Neuroscience Nursing",
issn = "0888-0395",
publisher = "American Association of Neuroscience Nurses",
number = "6",

}

TY - JOUR

T1 - A Feasibility Randomized Controlled Crossover Trial of Home-Based Warm Footbath to Improve Sleep in the Chronic Phase of Traumatic Brain Injury

AU - Chiu, Hsiao Yean

AU - Lin, En Yuan

AU - Chiu, Hsiao Ting

AU - Chen, Pin Yuan

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Introduction: Sleep disturbance is a common complaint after traumatic brain injury (TBI). The aim of this study was to examine the effects of a home-based warm footbath intervention on sleep in patients with TBI. Methods: This was a randomized controlled crossover study, and 23 adults with TBI were recruited and randomized to receive first a 30-minute, 41°C warm footbath and then a usual care, or vice versa, with each lasting 3 days and separated by a 3-day washout. Sleep efficiency, sleep onset latency (SOL), total sleep time, and wake after sleep onset (WASO) were assessed by actigraphy. Results: We found that home-based warm footbath significantly had a reduced SOL (difference, -5.11 minutes) and a suppressed WASO (difference, -2.57 minutes) compared with those of usual care, but not in sleep efficiency and total sleep time. No adverse effect was reported. Conclusions: This study suggested that home-based warm footbath is practical and effective in relieving post-TBI sleep disturbances, particular in SOL and WASO. Nurses can use home-based warm footbath as an effective intervention for management of sleep disturbances after TBI.

AB - Introduction: Sleep disturbance is a common complaint after traumatic brain injury (TBI). The aim of this study was to examine the effects of a home-based warm footbath intervention on sleep in patients with TBI. Methods: This was a randomized controlled crossover study, and 23 adults with TBI were recruited and randomized to receive first a 30-minute, 41°C warm footbath and then a usual care, or vice versa, with each lasting 3 days and separated by a 3-day washout. Sleep efficiency, sleep onset latency (SOL), total sleep time, and wake after sleep onset (WASO) were assessed by actigraphy. Results: We found that home-based warm footbath significantly had a reduced SOL (difference, -5.11 minutes) and a suppressed WASO (difference, -2.57 minutes) compared with those of usual care, but not in sleep efficiency and total sleep time. No adverse effect was reported. Conclusions: This study suggested that home-based warm footbath is practical and effective in relieving post-TBI sleep disturbances, particular in SOL and WASO. Nurses can use home-based warm footbath as an effective intervention for management of sleep disturbances after TBI.

KW - alternative medicine

KW - insomnia

KW - sleep

KW - traumatic brain injury

KW - warm footbath

UR - http://www.scopus.com/inward/record.url?scp=85034416230&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85034416230&partnerID=8YFLogxK

U2 - 10.1097/JNN.0000000000000325

DO - 10.1097/JNN.0000000000000325

M3 - Article

C2 - 29117034

AN - SCOPUS:85034416230

VL - 49

SP - 380

EP - 385

JO - Journal of Neuroscience Nursing

JF - Journal of Neuroscience Nursing

SN - 0888-0395

IS - 6

ER -