SynthesisJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2018
Cognitive and Behavioral Interventions to Improve Sleep in School-Age Children and Adolescents: A Systematic Review and Meta-Analysis.
Synthesis in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses 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
43 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Measures of Sleep-Related Fears in Children: A Systematic Review of Psychometric Properties Using COSMIN.Clinical child and family psychology review · 2025Pooled it
- Cognitive factors and processes in models of insomnia: A systematic review.Journal of sleep research · 2023Pooled it
- Sleep Health Promotion Interventions and Their Effectiveness: An Umbrella Review.International journal of environmental research and public health · 2021Pooled it
- Does Delivery Mode Matter? A Randomised Controlled Trial of the Sleeping Sound Intervention: Predicting Sleep Outcomes in Children With ADHD.Journal of attention disorders · 2026Trial
- Preliminary outcomes of healthy sleep practices and mind-body integrative health intervention among urban youth: Feasibility, acceptability, and initial impact.Sleep health · 2025Trial
- A sleep promotion program for insufficient sleep among adolescents: a pilot feasibility randomized controlled trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Trial
- Preliminary study: cognitive behavioural therapy for insomnia in adolescents with anorexia nervosa.Eating and weight disorders : EWD · 2024Trial
- The Promoting Healthy Sleep E-Learning Professional Development Program for Health Care Providers: Mixed Methods Usability Study.JMIR formative research · 2026Article
- Community-engaged and Implementation Science-informed Pediatric Sleep Intervention Research.Current sleep medicine reports · 2026Review
- Good nights sleep program: design and preliminary findings from a randomized clinical trial to improve child and parent sleep in low-income families.Frontiers in sleep · 2026Article
- Feasibility and acceptability of a sleep health intervention among adolescents in Ugandan schools: A prospective pilot intervention study.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Can Sleep Quality be Associated With Positional Vertigo in Children With Dizziness?Brain and behavior · 2025Article
- Health service utilization among autistic youth in Aotearoa New Zealand: A nationwide cross-sectional study.Autism : the international journal of research and practice · 2025Article
- Developmental links between ethnic and racial discrimination and sleep.Child development perspectives · 2024Article
- Re-Evaluating Recommended Optimal Sleep Duration: A Perspective on Sleep Literacy.Children (Basel, Switzerland) · 2024Review
- Sleeping Healthy, Living Healthy: Using Iterative, Participatory Processes to Develop and Adapt an Integrated Sleep Hygiene/Mind-Body Integrative Health Intervention for Urban Adolescents.Health promotion practice · 2024Article
- Internet-delivered cognitive behavioral therapy for adolescents with insomnia: Feasibility and preliminary efficacy.Clinical child psychology and psychiatry · 2024Article
- Article
- Sleep quality impacts the link between reactivity to uncertain threat and anxiety and alcohol use in youth.Psychophysiology · 2024Article
- The role of sleep in prospective associations between parent reported youth screen media activity and behavioral health.Child and adolescent mental health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesSleep problems are common in children and adolescents and can aggravate comorbid disorders. This meta-analysis examined the effect of cognitive and behavioral sleep interventions (with four or more treatment sessions) from randomized controlled trials on school-age children and adolescents.
methodsIn a systematic literature search, six randomized controlled trials were identified (n = 528; mean age = 14.6 years; female = 63%) that reported total sleep time (TST), sleep onset latency (SOL), wake after sleep onset, and daytime sleepiness from ratings and actigraphy.
resultsAfter intervention, no effect was seen on self-reported TST, but when measured with actigraphy, an effect favoring the intervention group was observed (+11.47 minutes,
conclusionsCognitive and behavioral sleep interventions are indicated to improve sleep in school-age children and adolescents. However, because treatment protocols were heterogeneous and risk of bias high, results should be interpreted with caution. Large and rigorous trials are needed.
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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.