ArticleBMJ open2019
Pilot evaluation of the Sleep Ninja: a smartphone application for adolescent insomnia symptoms.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 7 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
44 citing papers in PubMed, 7 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Sleep Interventions and the Prevention of Pediatric Anxiety: A Systematic Review.Current psychiatry reports · 2026Pooled it
- Effectiveness of current digital cognitive behavioural therapy for insomnia interventions for adolescents with insomnia symptoms: A systematic review and meta-analysis.Journal of sleep research · 2025Pooled it
- Personalization variables in digital mental health interventions for depression and anxiety in adolescents and youth: a scoping review.Frontiers in digital health · 2025Pooled it
- Exploring the Role of Mobile Apps for Insomnia in Depression: Systematic Review.Journal of medical Internet research · 2024Pooled it
- User Engagement With mHealth Interventions to Promote Treatment Adherence and Self-Management in People With Chronic Health Conditions: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Neuroscience-informed classification of prevention interventions in substance use disorders: An RDoC-based approach.Neuroscience and biobehavioral reviews · 2024Pooled it
- Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis.Journal of medical Internet research · 2021Pooled it
- Open pilot study of a guided digital self-help intervention targeting sleep and the biological clock in university students using a pre-test post-test design.Scientific reports · 2025Trial
- The influence of sleep education supported and unsupported with social media reminders on the sleep quality in adolescents aged 14-18: a three-center, parallel-arm, randomized controlled study.Sleep & breathing = Schlaf & Atmung · 2024Trial
- A Person-Based Web-Based Sleep Intervention Aimed at Adolescents (SleepWise): Randomized Controlled Feasibility Study.JMIR formative research · 2024Trial
- Evaluating a Peer-Support Mobile App for Mental Health and Substance Use Among Adolescents Over 12 Months During the COVID-19 Pandemic: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- The effects of a sleep-focused smartphone application on insomnia and depressive symptoms: a randomised controlled trial and mediation analysis.Journal of child psychology and psychiatry, and allied disciplines · 2023Trial
- Longitudinal associations among insomnia, stigma, social support, and depressive symptoms in tuberculosis: evidence from RI-CLPM and LGCM.BMC public health · 2026Article
- Inclusivity in Insomnia: Adolescents' Perspectives on the Sleep Solved App: Qualitative Interview Study.JMIR formative research · 2026Article
- Management of adult insomnia in Australia: a joint position statement of the Australasian Sleep Association, Sleep Health Foundation, Royal Australian College of General Practitioners, Australian Psychological Society, Pharmaceutical Society of Australia, and Australian Primary Health Care Nurses Association.Sleep advances : a journal of the Sleep Research Society · 2026Review
- Predicting adherence to fully-automated, chatbot-delivered digital cognitive behavioral therapy for insomnia (dCBT-I) using machine learning: A pilot real-world study.PLOS digital health · 2026Article
- Exploring the Usability and Acceptability of the FoodMATS-Youth App for Monitoring Food Marketing Exposures: Mixed Methods Study.JMIR formative research · 2025Article
- Evaluation and treatment of sleep disorders in adolescents with depression; a scoping review.BMC psychiatry · 2025Article
- The future of paediatric sleep medicine: a blueprint for advancing the field.Journal of sleep research · 2025Review
- A co-designed program for better sleep in Australian First Nations adolescents: protocol for the Let's Yarn About Sleep adolescent sleep health program.Sleep advances : a journal of the Sleep Research Society · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to test the feasibility, acceptability and preliminary effects of a recently developed smartphone application, Sleep Ninja, for adolescent sleep difficulties.
settingThe study was conducted online with Australian individuals recruited through the community.
participantsParticipants were 50 young people aged 12-16 years with sleep difficulties.
designA single-arm pre-post design was used to evaluate feasibility, acceptability and sleep and mental health variables at baseline and postintervention.
interventionCognitive-behavioural therapy for insomnia informed the development of the Sleep Ninja. The core strategies covered by the app are psychoeducation, stimulus control, sleep hygiene and sleep-related cognitive therapy. It includes six training sessions (lessons), a sleep tracking function, recommended bedtimes based on sleep guidelines, reminders to start a wind-down routine each night, a series of sleep tips and general information about sleep. Users progress through each training session and conclude the 6-week programme with a black belt in sleep. OUTCOME MEASURES: Feasibility was evaluated based on consent rates, adherence and attrition, acceptability was assessed using questionnaires and a poststudy interview, and sleep, depression and anxiety variables were assessed at baseline and postintervention.
resultsData indicated that the Sleep Ninja is a feasible intervention and is acceptable to young people. Findings showed that there were significant improvements on sleep variables including insomnia (within-group effect size d=-0.90), sleep quality (d
conclusionsThe Sleep Ninja is a promising intervention that could assist adolescents who experience sleep difficulties. A follow-up randomised controlled trial is now warranted. TRIAL REGISTRATION NUMBER: ACTRN12617000141347.
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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.