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  • Overview
  • Pre-Assessment
  • Activity
  • Post-Test
  • Evaluation
  • Claim Credit
Safely and Effectively Managing Sleep Maintenance Insomnia in Older Adults

Safely and Effectively Managing Sleep Maintenance Insomnia in Older Adults


Meeting Coverage

Time to Complete

45 minutes


June 21, 2019


June 20, 2020
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Maximum Credits

0.75 AMA PRA Category 1 Credit(s)TM

Accredited Providers

This activity is jointly provided by Atlanta Progressive CME (APCME) and RMEI Medical Education, LLC.

Commercial Supporter

This activity is supported by an independent educational grant from Eisai Inc. and Imbrium Therapeutics LP.

Program Description

Sleep maintenance insomnia is the most common form of sleep disturbance encountered and carries the greatest personal and societal burden, especially in older adults. Despite this, there is a huge unmet need associated with managing sleep maintenance insomnia, as shorter-acting agents are ineffective in maintaining sleep and longer-acting agents, especially those that act on the GABA receptor, result in next-day residual and hangover effects, which place older adults at risk for falls. Recently, new agents have begun to emerge that act on orexin receptors and have been demonstrated to have fewer residual effects. Clinicians need to be aware of these, and their distinct mechanism of action, so that sleep maintenance insomnia sufferers are more optimally treated with fewer risks of side effects. In this activity, you will learn about the impact and management of sleep maintenance insomnia, including current approaches as well as novel and emerging treatments.

Intended Audience

This activity has been designed to meet the educational needs of healthcare providers, including psychiatry physicians, PAs, and NPs who diagnose and manage older adult patients with sleep maintenance insomnia.

Educational Objectives

After completing this activity, the participant will demonstrate the ability to:

  • Describe current challenges associated with managing sleep maintenance insomnia, especially in older and elderly patients
  • Utilize currently available and emerging treatments to manage sleep maintenance insomnia, including those that avoid residual next-day effects, especially in older and elderly populations

Conflict Of Interest Disclosure Policies

It is the policy of Atlanta Progressive CME to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. In accordance with the Accreditation Council for Continuing Medical Education’s (ACCME’s) Standards for Commercial Support, all persons in the position to control the CME content are required to disclose to the accredited provider their relevant financial relationships. An individual has a relevant financial relationship if he or she (or spouse/partner) has a financial relationship in any amount occurring in the last 12 months that create a conflict of interest. The ACCME considers financial relationships to create conflicts of interest in CME when individuals have both a financial relationship with a commercial interest and the opportunity to affect the content of CME about the products or services of that commercial interest. ACCME defines a commercial interest, as any entity producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on, patients.


Russell P. Rosenberg, PhD, DABSM
Founder and Director, Atlanta School of Sleep Medicine and Technology
Atlanta, GA

Dr. Rosenberg has affiliations with Eisai (Research); Jazz Pharmaceuticals (Advisory Board).

Heidi Riney, MD, Independent Content Reviewer, has disclosed no relevant financial relationships.

Accredited Provider Disclosures

The APCME planners and managers have nothing to disclose.
The RMEI Medical Education, LLC planners and managers have nothing to disclose.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Atlanta Progressive CME and RMEI Medical Education, LLC. APCME is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

This enduring activity has been approved for a maximum of 0.75 AMA PRA Category 1 Credit(s)TM .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in this educational activity are those of the faculty and do not necessarily express the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.




To obtain credit, a score of 75% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/Exam History, which you can access at any time.

*The expense for this gift card is solely funded by RMEI Medical Education. No supporter funding was used for the expense of this gift card.

This sweepstakes is managed by RMEI Medical Education, LLC (RMEI), a full-service medical education company. The winner will be selected via automated random drawing on a monthly basis from among all eligible entries and notified through the contact information provided. In accordance with our privacy policy, we do not share your information with any third parties. By entering the sweepstakes, you grant RMEI permission to use your e-mail address to reach you for notification and prize fulfillment. Only individuals who complete the evaluation forms and provide contact information will be eligible to win. Open to those who have a US postal address and who are 18 years or older. Only one prize per person and per household will be awarded. The prize will be a $100 Amazon gift card. If you would like to contact RMEI, please e-mail


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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