Clinical recommendation	Evidence rating	References
Sleep hygiene is recommended as an initial intervention for all adults with insomnia.	C	26
Cognitive behavior therapy for insomnia is recommended for first-line treatment of primary insomnia in older adults.	C	9, 16, 26
Moderate-intensity exercise, tai chi, and low-impact aerobic exercise (not within 4 hours of bedtime) improve sleep quality in older adults.	C	16, 26, 37, 38
Short-term hypnotic treatment should be supplemented with behavioral and cognitive therapies whenever possible.	C	16