School‐Based Sleep Education Programs for Short Sleep Duration in Adolescents: A Systematic Review and Meta‐Analysis

• Published in: The Journal of school health 2017-06, Vol.87 (6), p.401-408
• Main Authors: Chung, Ka‐Fai, Chan, Man‐Sum, Lam, Ying‐Yin, Lai, Cindy Sin‐Yee, Yeung, Wing‐Fai
• Format: Article
• Language: English
• Subjects: Adolescent; adolescent health; Bias; Care and treatment; Child; Classes; Clinical trials; Delayed; Education; Educational programs; Evidence-based medicine; Health aspects; Health Behavior; Health Education - organization & administration; Health Knowledge, Attitudes, Practice; Health problems; Humans; Literature Reviews; Meta Analysis; Nursing; Program Descriptions; Program Effectiveness; Psychological Patterns; Randomized Controlled Trials; Randomized Controlled Trials as Topic; Research methodology; Risk; Risk assessment; School based intervention; School Health Services - organization & administration; School Schedules; school‐based sleep education; Sleep; Sleep disorders; sleep knowledge; sleep research; Students; Systematic review; Teaching Methods; Teenagers; Time Factors; Youth
• ISSN: 0022-4391; 1746-1561
• DOI: 10.1111/josh.12509

ABSTRACT BACKGROUND Insufficient sleep among students is a major school health problem. School‐based sleep education programs tailored to reach large number of students may be one of the solutions. A systematic review and meta‐analysis was conducted to summarize the programs' effectiveness and current status. METHODS Electronic databases were searched up until May 2015. Randomized controlled trials of school‐based sleep intervention among 10‐ to 19‐year‐old students with outcome on total sleep duration were included. Methodological quality of the studies was assessed using the Cochrane's risk of bias assessment. RESULTS Seven studies were included, involving 1876 students receiving sleep education programs and 2483 attending classes‐as‐usual. Four weekly 50‐minute sleep education classes were most commonly provided. Methodological quality was only moderate, with a high or an uncertain risk of bias in several domains. Compared to classes‐as‐usual, sleep education programs produced significantly longer weekday and weekend total sleep time and better mood among students at immediate post‐treatment, but the improvements were not maintained at follow‐up. CONCLUSIONS Limited by the small number of studies and methodological limitations, the preliminary data showed that school‐based sleep education programs produced short‐term benefits. Future studies should explore integrating sleep education with delayed school start time or other more effective approaches.