DOES THE PERCEIVED DOSAGE OF BZRAS DURING TAPERING AFFECT SLEEP QUALITY IN OLDER ADULTS?
2024

Does Perceived Dosage of BZRAs Affect Sleep Quality in Older Adults?

Sample size: 89 publication Evidence: moderate

Author Information

Author(s): Wong Sarah, Mitchell Michael, Camacho Karen, Nguyen Thien, Fung Constance

Primary Institution: Touro University California

Hypothesis

Does the perceived dosage of benzodiazepine receptor agonists (BZRAs) during tapering affect sleep quality in older adults?

Conclusion

Participants who perceived taking a higher dosage of BZRA reported better sleep quality.

Supporting Evidence

  • Pharmacokinetic measures were not significantly associated with dosage underestimation.
  • Dosage overestimation was associated with improved sleep efficiency.
  • Dosage underestimation was associated with worse sleep quality.

Takeaway

If older adults think they are taking more of their sleep medicine, they might sleep better, even if that's not true.

Methodology

Data from a masked tapering arm of a randomized clinical trial was used to investigate relationships among BZRA pharmacokinetics, perceived dosage, and sleep quality.

Potential Biases

Potential biases related to self-reported perceptions of dosage.

Limitations

The study may not account for all factors affecting sleep quality beyond perceived dosage.

Participant Demographics

67% male, mean age 69.2 years, 77.5% White.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3952

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