Evidence map›Paper›PMID 30606643›Full record

ArticleSleep medicine2019

"Let's talk about sleep": a qualitative examination of levers for promoting healthy sleep among sleep-deprived vulnerable adolescents.

Mirja Quante, Neha Khandpur, Emily Z Kontos, Jessie P Bakker, Judith A Owens, Susan Redline

Open access · greenAbstract read
In one paragraph

Article in Sleep medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 62 citations in OpenAlex.

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  7. Adolescents' Suggestions on how to Support Their Sleep: A Focus Group Study.The Journal of school nursing : the official publication of the National Association of School Nurses · 2024
    Article
  8. A system dynamics approach to understand Dutch adolescents' sleep health using a causal loop diagram.The international journal of behavioral nutrition and physical activity · 2024
    Article
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  13. Health Disparities in Pediatric Sleep.Sleep medicine clinics · 2023
    Review
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  16. "I Want to Sleep, but I Can't": Adolescents' Lived Experience of Sleeping Difficulties.The Journal of school nursing : the official publication of the National Association of School Nurses · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Mirja QuanteDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham & Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Department of Neonatology, University of Tuebingen, Tuebingen, Germany. Electronic address: mirja.quante@med.uni-tuebingen.de.
Neha KhandpurDepartment of Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, Brazil; Harvard T.H. Chan School of Public Health, Department of Nutrition, Boston, MA, USA.
Emily Z KontosHarvard T.H. Chan School of Public Health, Department of Social and Behavioral Sciences, Boston, MA, USA.
Jessie P BakkerDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham & Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Judith A OwensHarvard Medical School, Boston, MA, USA; Boston Children's Hospital, Boston, MA, USA.
Susan RedlineDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham & Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Harvard University · USBeth Israel Deaconess Medical Center · USCircadian (United States) · USUniversity of Tübingen · DE

Funding

Phenotypic and Molecular Signatures for Sleep Apnea and Related MorbiditiesR35HL135818 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2017 to 2023
$7.2M
Adapting Sleep and Yoga Interventions for Maximal Effectiveness in Low Income PopulationsR34AT008923 · NCCIH · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2015 to 2017
$815k
NCCIH NIH HHS R34 AT008923NHLBI NIH HHS R35 HL135818
6 · The paper itself

Abstract

objectiveDeficient sleep is highly prevalent in disadvantaged adolescents and contributes to a range of adverse health and behavioral outcomes. We examined mediating mechanisms and strategies that adolescents adopt to improve sleep, and possible levers for promoting sleep in this population.

methodsWe conducted three focus groups (N = 27 total, age 14-18 years) in adolescents living in low- and middle-income racially/ethnically diverse neighborhoods of Boston, Massachusetts. Participants completed a survey on their sleep and health habits prior to the moderator-led discussions. Discussions were audio-recorded, transcribed, and thematically analyzed.

resultsThe study population did not meet the minimum sleep recommendations, and we found a high prevalence of "social jet-lag." We also identified a disconnect between the acknowledgment of the importance of sleep and actual behavior, especially for electronic use. Phone use and screen time were the most commonly cited barriers to a good night's sleep, along with caffeine consumption, which was also high in this sample. There was also a general lack of awareness of sleep hygiene practices and recommendations. Participants reported regulating food intake and physical activity, using allopathic sleep aids, creating a comfortable sleeping environment, and a routine as some strategies to improve sleep.

conclusionResults from this study suggest facilitating the linkage between participant-generated mediating factors and strategies for better-designed interventions. These include making the negative impact of sleep on health more explicit, improving youth awareness about sleep hygiene, targeting caffeine consumption and electronic use, and introducing sleep recommendations through appropriate and effective channels.

Indexed as

Sleep DeprivationAdolescentAwarenessBostonCaffeineCell PhoneExerciseFemaleFocus GroupsHumansMalePovertyQualitative ResearchScreen TimeSleep HygieneSurveys and QuestionnairesCaffeineAdolescentsFocus group discussionMinoritiesSleep hygiene

Identifiers

PMID30606643
PMCPMC6571071
OpenAlexW2905240342

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.