ArticleSleep health2020
Adapting sleep hygiene for community interventions: a qualitative investigation of sleep hygiene behaviors among racially/ethnically diverse, low-income adults.
Article in Sleep health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
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- Effects of Aquatic Exercise on Sleep Quality in Patients with Chronic Diseases: A Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Self-Efficacy is Key: Examining the Role of Motivation to Engage in Healthy Lifestyle Behaviors for Dementia Prevention in Midlife.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- 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
- Rest assured: Promoting sleep health in undergraduate education.Sleep medicine: X · 2025Article
- "No rest for me tonight": A social-ecological exploration of insomnia in rural Appalachian women.Sleep health · 2025Article
- Understanding sleep health in Black American adults: A qualitative analysis of barriers, facilitators, and perspectives on sleep interventions.Sleep health · 2025Article
- Exploring academic achievement and relevant risk factors among a community sample of adolescents with chronic pain compared to peers.Journal of pediatric psychology · 2025Article
- Reflections on resilience.Development and psychopathology · 2024Article
- Enhancing sleep health in urban American Indian/Alaska Native adolescents: Implications for culturally tailored interventions.Journal of adolescence · 2024Article
- Racial/ethnic and sex differences in the association between light at night and actigraphy-measured sleep duration in adults: NHANES 2011-2014.Sleep health · 2024Article
- The Sleep Environment, Napping, and Sleep Outcomes among Urban Children With and Without Asthma.Behavioral sleep medicine · 2024Article
- Photovoice for leveraging traditional, complementary, and integrative medicine amongst black adults to improve sleep health and overall health.Frontiers in public health · 2024Article
- Associations between Recession Hardships and Subjective and Objective Sleep Measures in the Midlife in the United States Study: Race and Gender Differences.Frontiers in sleep · 2024Article
- Attitudes and beliefs about sleep health among a racially and ethnically diverse sample of overweight/obese adults.Sleep health · 2023Article
- Feasibility, appropriateness, and acceptability of a mobile mindfulness meditation intervention to improve sleep quality among a racially/ethnically diverse population.Sleep health · 2023Article
- Barriers to Optimal Child Sleep among Families with Low Income: A Mixed-Methods Study to Inform Intervention Development.International journal of environmental research and public health · 2023Article
- Examining the barriers and recommendations for integrating more equitable insomnia treatment options in primary care.Frontiers in sleep · 2023Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDespite the high prevalence of inadequate sleep in racially/ethnically diverse, low-income adults, there is scant research targeting sleep health interventions among underserved populations. Sleep hygiene (SH) recommendations may help promote sleep health for the general population; however, they likely require tailoring to optimize uptake and effectiveness in the "real world" given socio-contextual factors. As an initial step to developing contextually appropriate and effective community-based SH interventions, we conducted qualitative research to understand SH behaviors, beliefs, and barriers in a low-income, ethnically diverse sample of adults.
methodsWe recruited 24 racially/ethnically diverse adults from an affordable housing community who self-reported sleeping ≤6 hours on average. Participants were invited to either an individual interview (n = 5) or a focus group (n = 3). A deductive, thematic-analysis approach was employed. Data collection and interpretation were informed by the Socio-Contextual Model of Behavior Change.
resultsThere was evidence of high acceptability of SH and interest in improving sleep health. Barriers to implementing SH were multifaceted, including individual (knowledge, motivation, habits, medical issues, stress, trauma), interpersonal (caregiving), organizational (job strain), and environmental (noise) factors.
conclusionsFuture strategies for adapting behavioral SH interventions should target knowledge, skill development, and behavioral change domains, such as motivation, social support, and self-efficacy. In addition, adapting SH beyond the clinical context for a high-need community population requires attention to multilevel sociocontextual factors that contribute to sleep health, particularly chronic stress, prior trauma, and adverse sleeping environments. Development of novel trauma-informed SH interventions may promote effective and safe implementation.
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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.