期刊
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
卷 18, 期 11, 页码 -出版社
MDPI
DOI: 10.3390/ijerph18115533
关键词
sleep; sleep hygiene; effectiveness; program evaluation; public health; systematic review
资金
- Saudi Arabia Ministry of Education (Albaha University)
The umbrella review aimed to identify non-pharmacological sleep health interventions that have been evaluated among healthy populations and discuss their effectiveness. The results showed significant impacts of certain interventions (such as later school start times, behavior change methods, mind-body exercise) on improving sleep quality and duration, while other intervention types demonstrated inconsistent evidence.
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.
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