Sleep Health Promotion Interventions and Their Effectiveness: An Umbrella Review

U. Albakri*, E. Drotos, R. Meertens

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

7 Citations (Web of Science)

Abstract

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.
Original languageEnglish
Article number5533
Number of pages39
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number11
DOIs
Publication statusPublished - 1 Jun 2021

Keywords

  • sleep
  • sleep hygiene
  • effectiveness
  • program evaluation
  • public health
  • systematic review
  • COGNITIVE-BEHAVIORAL THERAPY
  • IMPROVE SLEEP
  • NONPHARMACOLOGICAL INTERVENTIONS
  • EDUCATION-PROGRAMS
  • OLDER-ADULTS
  • METAANALYSIS
  • QUALITY
  • CHILDREN
  • DURATION
  • PERFORMANCE

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