Sleep Health Enhancement in Older Adults to Address Frailty

Exclusion Criteria

• •Known untreated sleep disorder (such as sleep apnea or restless leg syndrome)
• •\>3 on the STOP BANG indicating increased risk of sleep apnea
• •Evidence of restless legs syndrome on RLS-Diagnosis Index
• •Evidence of circadian rhythm sleep-wake disorder
• •Evidence of parasomnia
• •Regular use (\>2x/week) of prescription or over-the-counter medications to improve sleep
• •Score of ≥15 on the Patient Health Questionnaire (PHQ-9) indicating severe depression or endorse any suicidal ideation (answer 1, 2 or 3 on #9 of the PHQ-9)
• •Score of ≥10 on the Generalized Anxiety Disorder (GAD-7) indicating moderate to severe anxiety
• •Self-report of current or history (up to 2 years) of drug or alcohol abuse based on the DSM-V criteria
• •History of nervous system disorder such as stroke or Parkinson's disease
• •Severe mental illness such as schizophrenia or bipolar disorder
• •Current or history (within 5 years) of shift work including hours of midnight-4am
• •Is currently receiving a behavioral sleep health intervention