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Effectiveness of sleep education programs to improve sleep hygiene and/or
sleep quality in college students: a systematic review.
JBI Database System Rev Implement Rep. 2016 Sep;14(9):108-134
Authors: Dietrich SK, Francis-Jimenez CM, Knibbs MD, Umali IL,
Truglio-Londrigan M
Abstract
BACKGROUND: Sleep health is essential for overall health, quality of life
and safety. Researchers have found a reduction in the average hours of
sleep among college students. Poor sleep has been associated with deficits
in attention, reduction in academic performance, impaired driving,
risk-taking behaviors, depression, impaired social relationships and poorer
health. College students may have limited knowledge about sleep hygiene and
the behaviors that supports sleep health, which may lead to poor sleep
hygiene behavior.
OBJECTIVES: To identify, appraise and synthesize the best available
evidence on the effectiveness of sleep education programs in improving
sleep hygiene knowledge, sleep hygiene behavior and/or sleep quality versus
traditional strategies.
INCLUSION CRITERIA TYPES OF PARTICIPANTS: All undergraduate or graduate
college students, male or female, 18 years and older and of any culture or
ethnicity.
TYPES OF INTERVENTIONS: Formal sleep education programs that included a
curriculum on sleep hygiene behavior. Educational delivery methods that
took place throughout the participants' college experience and included a
variety of delivery methods.
TYPES OF STUDIES: Randomized controlled trials (RCTs) and
quasi-experimental studies.
OUTCOMES: Sleep hygiene knowledge, sleep hygiene behavior and/or sleep
quality.
SEARCH STRATEGY: Literature including published and unpublished studies in
the English language from January 1, 1980 through August 17, 2015. A search
of CINAHL, CENTRAL, EMBASE, Academic Search Complete, PsychINFO,
Healthsource: Nursing/Academic edition, ProQuest Central, PubMed and ERIC
were conducted using identified keywords and indexed terms. A gray
literature search was also performed.
METHODOLOGICAL QUALITY: Quantitative papers were assessed by two reviewers
using critical appraisal instruments from the Joanna Briggs Institute
Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI).
DATA EXTRACTION: Data were extracted using the JBI-MAStARI data extraction
tool. Data extracted included interventions, populations, study methods and
outcomes of significance to the review question and objectives.
DATA SYNTHESIS: Meta-analysis was not possible due to limited studies and
variability of design and interventions; therefore, results are presented
in narrative form.
RESULTS: This systematic review yielded three RCTs and one
quasi-experimental study for inclusion. Two studies reported outcomes on
sleep hygiene knowledge; one showing a statistically significant
improvement (P = 0.025) and the other reported no difference (test of
significance not provided). Two studies reported on sleep hygiene behavior;
one showing no difference (P > 0.05) and the other reporting a
statistically significant improvement (P = 0.0001). Four studies reported
on sleep quality; three reporting no difference (P > 0.05) and the other
reporting a statistically significant improvement (P = 0.017).
CONCLUSION: This reviewed article identified insufficient evidence to
determine the effectiveness of sleep education on sleep hygiene knowledge,
sleep hygiene behavior or sleep quality in this population.
PMID: 27755323
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
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