ArticleSleep health2016
Sleep health literacy in head start families and staff: exploratory study of knowledge, motivation, and competencies to promote healthy sleep.
Article in Sleep health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared Determinants of Poor Sleep, Obesity and Adiposity in Adolescents Aged 8-18-Years: A Systematic Review.Journal of sleep research · 2025Pooled it
- Use of a serious game simulation to build early childhood staff capacity for reducing unintentional childhood injuries.Journal of safety research · 2022Trial
- Effects of a Sleep Health Education Program for Children and Parents on Child Sleep Duration and Difficulties: A Stepped-Wedge Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Promoting Sleep Health Among Families of Young Children in Head Start: Protocol for a Social-Ecological Approach.Preventing chronic disease · 2016Trial
- The cumulative bridge: how long-term physical activity and social engagement gradually enhance sleep health in aging adults.BMC public health · 2026Article
- Development and reliability and validity test of the sleep health literacy scale for college students.BMC public health · 2025Article
- Identifying gaps in technology-based intervention prevention programs and ways to foster learning and engagement with parents using serious games.Frontiers in public health · 2025Review
- Re-Evaluating Recommended Optimal Sleep Duration: A Perspective on Sleep Literacy.Children (Basel, Switzerland) · 2024Review
- Maternal Perceptions of Evidence-Based Early Childhood Sleep Health Promotion Recommendations: An Explanatory Sequential Study.Behavioral sleep medicine · 2024Article
- Sleep hygiene behaviours mediate the association between health/e-health literacy and mental wellbeing.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- School-Based Sleep Education Program for Children: A Cluster Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2023Article
- Pediatric sleep health: It matters, and so does how we define it.Sleep medicine reviews · 2021Review
- Relationship between parents' health literacy and children's sleep problems in Japan.BMC public health · 2021Article
- Identifying Modifiable Factors Linking Parenting and Sleep in Racial/Ethnic Minority Children.Journal of pediatric psychology · 2020Article
- How Well Do Children Understand the Vocabulary of Sleep?Health literacy research and practice · 2019Article
- Association of health literacy and sleep problems with mental health of Chinese students in combined junior and senior high school.PloS one · 2019Article
- Environmental Scan of Sleep Health in Early Childhood Programs.Behavioral sleep medicineArticle
- Trying to Do What's Best: Maternal Perspectives About Toddler Sleep Health Among an Underresourced Sample of Mothers With Diverse Racial and Ethnic Identities.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
- Sleep problem screening of young children by speech-language pathologists: A mixed-methods feasibility study.Autism & developmental language impairmentsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
contextHealthy child development requires sufficient, quality sleep. Sleep problems in early childhood impair social-emotional and cognitive function and increase obesity risk. From a health literacy framework, "sleep health literacy" denotes the knowledge, motivation, and competencies to promote healthy sleep and to recognize a sleep problem.
designTo explore the untapped potential of early childhood education (ECE) programs to promote sleep health literacy, we surveyed staff (n=63) and parents (n=196) in Head Start about sleep-related knowledge, attitudes/beliefs, sleep hygiene, and sleep problems. Head Start is the largest ECE program in the United States.
resultsMost parents believed that their child had healthy sleep habits (81%); few believed that he or she had a sleep problem (10%). Yet, unhealthy bedtime practices and insufficient sleep for age were reported in 50% and 33% of children, respectively. Between 10% and 12% of children had 1 or more sleep onset or awakening problems. Every unhealthy bedtime practice but one was associated with a sleep problem; parental presence at bedtime was associated with the most problems. Insufficient sleep was significantly associated with unhealthy sleep practices. More children with late vs early bedtimes (48% vs14%,
conclusionAmong parents, there is a "disconnect" between actual and perceived sleep hygiene. Similarly, staff perceived a gap between their competencies to promote healthy sleep in families and their capacity to address sleep problems. US health literacy goals include the need to embed accurate, accessible, and actionable health information in ECE programs. Study findings strongly support the need to work toward sleep health literacy in ECE programs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.