Sleep Health Enhancement in Older Adults to Address Frailty

Inclusion Criteria:

• ≥65 years old

• ≤ 7 on the RU-SATED self-report questionnaire

• MMSE ≥25 and AD8 <3

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 improvesleep

• Score of ≥15 on the Patient Health Questionnaire (PHQ-9) indicating severedepression 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 tosevere anxiety

• Self-report of current or history (up to 2 years) of drug or alcohol abuse based onthe 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