![]() ![]() ![]() A similar enhanced effect pattern was found for pain (ES = 0.41 versus 0.15 for the Brief Pain Inventory). No significant group differences were found for this small sleep latency subsample however, the pre-post effect sizes (ES) of active AVS versus placebo were greatly increased for the subsample relative to the total sample for sleep (ES = 0.41 versus 0.18 for the Insomnia Severity Index, and 0.60 versus 0.03 for the Pittsburgh Sleep Quality Index, respectively). A posthoc analysis examined the effects of AVS in the 11 subjects who reported sleep latency complaints (≥30 min). After AVS use, improvements in sleep, pain, and depression were reported for both groups but between-group comparisons were non-significant. ![]() This study examined sleep and pain in 30 community-dwelling older adults with comorbid insomnia and osteoarthritis pain randomized to two weeks of 30 min of bedtime active (n = 15, mean age 66.7 ± 5.2) or placebo control (n = 15, mean age 68.9 ± 5.0) Audiovisual Stimulation (AVS). While cognitivebehavioral therapy for insomnia is the recommended first-line treatment for insomnia, alternative efficacious non-pharmacological options are needed. Osteoarthritis is commonly comorbid with insomnia in older adults.
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