@article{ref1,
title="School-based sleep education programs for short sleep duration in adolescents: a systematic review and meta-analysis",
journal="Journal of school health",
year="2017",
author="Chung, Ka-Fai and Chan, Man-Sum and Lam, Ying-Yin and Lai, Cindy Sin-Yee and Yeung, Wing-Fai",
volume="87",
number="6",
pages="401-408",
abstract="BACKGROUND: Insufficient sleep among students is a major school health problem. School-based sleep education programs tailored to reach large number of students may be one of the solutions. A systematic review and meta-analysis was conducted to summarize the programs' effectiveness and current status. <br><br>METHODS: Electronic databases were searched up until May 2015. Randomized controlled trials of school-based sleep intervention among 10- to 19-year-old students with outcome on total sleep duration were included. <br><br>METHODological quality of the studies was assessed using the Cochrane's risk of bias assessment. <br><br>RESULTS: Seven studies were included, involving 1876 students receiving sleep education programs and 2483 attending classes-as-usual. Four weekly 50-minute sleep education classes were most commonly provided. <br><br>METHODological quality was only moderate, with a high or an uncertain risk of bias in several domains. Compared to classes-as-usual, sleep education programs produced significantly longer weekday and weekend total sleep time and better mood among students at immediate post-treatment, but the improvements were not maintained at follow-up. <br><br>CONCLUSIONS: Limited by the small number of studies and methodological limitations, the preliminary data showed that school-based sleep education programs produced short-term benefits. Future studies should explore integrating sleep education with delayed school start time or other more effective approaches.<br><br>© 2017, American School Health Association.<p /> <p>Language: en</p>",
language="en",
issn="0022-4391",
doi="10.1111/josh.12509",
url="http://dx.doi.org/10.1111/josh.12509"
}