Sleep Health Promotion Interventions and Their Effectiveness: An Umbrella Review

Sleep is receiving increasing attention in public health. The aim of this umbrella review is to determine what non-pharmacological sleep health interventions have been evaluated among healthy populations, by examining target groups, settings, and effectiveness in improving sleep quality and duration...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-05, Vol.18 (11), p.5533
Main Authors: Albakri, Uthman, Drotos, Elizabeth, Meertens, Ree
Format: Article
Language:English
Subjects:
Attention
Educational Status
Exercise
Health care
Health education
Health Promotion
Heterogeneity
Intervention
Laboratories
Life span
Literature reviews
Low income groups
Meta-analysis
Physical fitness
Populations
Public health
Quality assessment
Review
Reviews
Schools
Search strategies
Sleep
Systematic review
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Summary:Sleep is receiving increasing attention in public health. The aim of this umbrella review is to determine what non-pharmacological sleep health interventions have been evaluated among healthy populations, by examining target groups, settings, and effectiveness in improving sleep quality and duration. Comprehensive searches were conducted in five electronic databases (January 1975-February 2019), yielding 6505 records. Thirty-five articles were selected meeting the following eligibility criteria: (1) systematic reviews or meta-analyses of (2) sleep health interventions in (3) primarily healthy populations. Two reviewers independently screened for inclusion, extracted the data, and assessed the review quality. This umbrella review was registered with PROSPERO (CRD42019126291). Eleven intervention types were defined, and their effectiveness discussed. Substantial evidence demonstrated the effectiveness of later school start times, behavior change methods, and mind-body exercise. Other intervention types, including sleep education or relaxation techniques, demonstrated some promising impacts on sleep, but with less consistent evidence. Results were limited by high heterogeneity between studies, mixed results, and variable review quality. Nevertheless, this umbrella review is a first step towards understanding the current state of sleep health promotion and gives an overview of interventions across the lifespan.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18115533