1205 Feasibility of Sleep Hygiene–Based Multidisciplinary Sleep Management Guided by Non-Contact Monitoring in a Long-Term Care Facility

Abstract Introduction Sleep disturbances are highly prevalent among residents of long-term care facilities and are frequently driven by circadian disruption, environmental stimulation, and inconsistent care practices. Although sleep hygiene is a fundamental component of sleep medicine, its structured and sustained implementation in institutional settings remains limited, partly due to the lack of objective feedback and specialist supervision. This pilot study evaluated the feasibility of a sleep hygiene–centered, multidisciplinary sleep management model guided by continuous non-contact sleep monitoring in a geriatric care facility. Methods An observational feasibility study was conducted in a long-term care facility using a non-contact sleep monitoring system (Paramount Bed Connect®). Three residents with persistent nocturnal sleep fragmentation were longitudinally monitored. Objective sleep-related parameters, including nocturnal sleep duration, sleep fragmentation, and day–night activity patterns, were continuously assessed. The intervention was centered on sleep hygiene education and implementation, designed and supervised by a board-certified sleep dentist and delivered by trained long-term care staff. Sleep hygiene components included regulation of nocturnal light and television exposure, optimization of bathing timing, enhancement of daytime activity, regularization of daily schedules, reduction of nighttime stimulation, and oral care–related guidance such as nighttime denture management. Changes in sleep patterns before and after intervention were descriptively analyzed. Results Across all participants, monitoring data demonstrated consistent trends toward improved nocturnal sleep consolidation following the intervention. Reductions in nighttime awakenings and clearer differentiation between daytime and nighttime activity were observed. Objective sleep visualization facilitated timely identification of sleep-disrupting factors and supported coordinated care adjustments among nursing, caregiving, and oral care staff. The monitoring-guided sleep hygiene approach was feasible to implement and well integrated into routine care workflows. Conclusion This pilot study demonstrates the feasibility of a sleep hygiene–based, multidisciplinary sleep management model guided by non-contact monitoring in a long-term care setting. The findings highlight the importance of structured sleep hygiene education as a core, non-pharmacological strategy and underscore the role of sleep-trained dental specialists in supervising and operationalizing sleep hygiene interventions within institutional care teams. Larger studies are warranted to evaluate the clinical effectiveness of this approach in improving sleep quality and circadian organization among institutionalized older adults. Support (if any)