Effectiveness of school-based sleep promotion programs for adolescents: a systematic review

Article type
Authors
Duque F1, Santos D2, Pinto D3, Almeida I3, Vidinha T2, Veríssimo C3, Cardoso D4, Cardoso A4, Rodrigues R4
1The Health Sciences Research Unit: Nursing/nursing School Of Coimbra, Portugal, Portugal; University of Coimbra, Portugal
2The Health Sciences Research Unit: Nursing/nursing School Of Coimbra, Portugal, Portugal; Centro Hospitalar e Universitário de Coimbra, Unidade Local de Saúde de Coimbra, Portugal
3The Health Sciences Research Unit: Nursing/nursing School Of Coimbra, Portugal, Portugal
4The Health Sciences Research Unit: Nursing/nursing School Of Coimbra, Portugal, Portugal; Portugal Centre for Evidence Based Practice: A JBI Centre of Excellence, Portugal
Abstract
Background: Inadequate sleep hours in adolescents have a negative impact on health and well-being. Factors such as peers and school pressure, stress and anxiety, or the excessive use of electronic devices at bedtime may affect adolescents sleep pattern and have negative consequences at physical, psychological, social, and neurological level. School-based programs have been developed to promote sleep and manage the burden of a poor sleep in adolescents with positive outcomes on sleep quality, knowledge, hygiene, behaviour, and efficiency. Assessing school-based sleep promotion programs effectiveness offers valuable knowledge to adolescents, families, healthcare professionals, and school community to improve sleep and health.
Objectives: To assess the effectiveness of school-based sleep promotion programs on sleep knowledge, hygiene, quality, behaviour, and efficiency in adolescents.
Methods: Studies with adolescents (10-19 years old) enrolled in school-based sleep promotion programs were included. Nine databases and three sources of unpublished literature were used to identify relevant studies, published in English, Spanish, and Portuguese from inception. Two independent reviewers performed the study selection, critical appraisal, and data extraction using JBI tools. Studies will, where possible, be pooled using meta-analysis.
Results: Thirty-four studies from 4721 were considered for critical appraisal, data extraction and synthesis. Of these, 16 were experimental studies (15 randomized controlled trials and one Solomon experimental design); 17 was quasi-experimental studies and one feasibility study. Seventeen studies measured sleep quality, 25 measured sleep knowledge, 18 measured sleep hygiene, 27 measured sleep behaviour, 12 measured sleep efficiency, three measured health-related quality of life and 21 measured depressive and/or anxiety symptoms.
Conclusions: Synthetize evidence, about the impact of school-based sleep promotion programs in adolescents, is crucial to improve health outcomes, and thus impact positively in sleep health on adolescents.

Statement:
There was no involvement of public and/or consumers in the project or study submitted.