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Sleep Health Promotion Interventions and Their Effectiveness: An Umbrella Review

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  • Uthman Albakri

    (Department of Health Promotion, Care and Public Health Research Institute (CAPHRI), NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6200 MD Maastricht, The Netherlands
    Department of Public Health, Faculty of Applied Medical Sciences, Albaha University, Albaha 65779, Saudi Arabia)

  • Elizabeth Drotos

    (Department of Health Promotion, Care and Public Health Research Institute (CAPHRI), NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6200 MD Maastricht, The Netherlands)

  • Ree Meertens

    (Department of Health Promotion, Care and Public Health Research Institute (CAPHRI), NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6200 MD Maastricht, The Netherlands)

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.

Suggested Citation

  • Uthman Albakri & Elizabeth Drotos & Ree Meertens, 2021. "Sleep Health Promotion Interventions and Their Effectiveness: An Umbrella Review," IJERPH, MDPI, vol. 18(11), pages 1-39, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5533-:d:559573
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Susan Koch & Emily Haesler & Adriana Tiziani & Jacinda Wilson, 2006. "Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(10), pages 1267-1275, October.
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    Cited by:

    1. Hamermesh, Daniel S. & Pfann, Gerard A., 2022. "The variability and volatility of sleep: An ARCHetypal behavior," Economics & Human Biology, Elsevier, vol. 47(C).
    2. Vlad Sever Neculicioiu & Ioana Alina Colosi & Carmen Costache & Alexandra Sevastre-Berghian & Simona Clichici, 2022. "Time to Sleep?—A Review of the Impact of the COVID-19 Pandemic on Sleep and Mental Health," IJERPH, MDPI, vol. 19(6), pages 1-22, March.
    3. Nicola Magnavita, 2023. "Workplace Health Promotion Embedded in Medical Surveillance: The Italian Way to Total Worker Health Program," IJERPH, MDPI, vol. 20(4), pages 1-11, February.
    4. Elizabeth M. Harrison & Emily A. Schmied & Suzanne L. Hurtado & Alexandra P. Easterling & Gena L. Glickman, 2022. "The Development, Implementation, and Feasibility of a Circadian, Light, and Sleep Skills Program for Shipboard Military Personnel (CLASS-SM)," IJERPH, MDPI, vol. 19(5), pages 1-15, March.

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