ArticleSleep2023
Healthy sleep practices for shift workers: consensus sleep hygiene guidelines using a Delphi methodology.
Article in Sleep, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 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
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shift workers' experiences and views of sleep disturbance, fatigue and healthy behaviors: a systematic review and qualitative evidence synthesis.Scandinavian journal of work, environment & health · 2025Pooled it
- Improving sleep health in paramedics through an app-based intervention: a randomised waitlist control pilot trial.BMC public health · 2024Trial
- Sleeping without borders: Gaps in contextualizing sleep duration guidelines for adults in low-income countries.Sleep medicine: X · 2026Article
- Coffee consumption patterns and sleep quality among Saudi Youth: A cross-sectional study.Sleep medicine: X · 2026Article
- Fatigue and Driving Safety in Early Parenthood: Developing Feasible Risk-Reduction Strategies Through Co-Design.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Sleep Hygiene Among People With CKD.Kidney international reports · 2026Article
- Night shift work and dietary behaviors: a comparative analysis of European night shift and day workers from the SHIFT2HEALTH online survey.Nutrition journal · 2026Article
- Article
- Supporting paramedic sleep and fatigue: a qualitative exploration of education considerations from the early-career paramedic perspective.BMC health services research · 2026Article
- Dissociation between subjective sleep quality and lipid dysregulation in underground miners: night shift work as an independent risk factor for hypercholesterolemia.Frontiers in public health · 2026Article
- Sleep-inducing algorithms: can artificial intelligence help shiftworkers and those working nonstandard hours sleep better?Sleep advances : a journal of the Sleep Research Society · 2026Article
- Sleep-Related Factors in Shift Workers: A Cross-Sectional Cohort Pilot Study to Inform Online Group Therapy for Insomnia.International journal of environmental research and public health · 2025Article
- Occupational and Driving Challenges Within Sleep Medicine.Journal of sleep research · 2025Review
- Sleep environment is associated with sleep control in fly-in, fly-out mining shift workers.Sleep & breathing = Schlaf & Atmung · 2025Article
- SleepShifters: The Co-Development of a Preventative Sleep Management Programme for Shift Workers and Their Employers.International journal of environmental research and public health · 2025Article
- The experiences of night shift workers following three different dietary weight loss interventions: a qualitative study using behaviour change theory.The international journal of behavioral nutrition and physical activity · 2025Article
- Comparison of Tailored Versus Standard Group Cognitive Behavioral Therapy for Shift Worker Insomnia: A Randomized Controlled Trial.Clocks & sleep · 2025Article
- Determining the influence of a sleep improvement intervention on medical students' sleep and fatigue: protocol of the PROMESS-Sleep clinical trial.BMC medical education · 2025Article
- Enhancing emotional intelligence through sleep therapy in high-stress professionals: a case-control study on efficacy and predictive factors.Frontiers in psychiatry · 2025Article
- Synergistic acupuncture and neuromodulation for chronic insomnia: a structured narrative review with systematic search and future directions.Frontiers in neurology · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesThe unique requirements of shift work, such as sleeping and working at variable times, mean that current sleep hygiene guidelines may be inappropriate for shift workers. Current guidelines may also contradict fatigue management advice (e.g. advising against daytime napping). The present study utilized a Delphi methodology to determine expert opinion regarding the applicability of current guidelines for shift workers, the appropriateness of the term "sleep hygiene," and develop tailored guidelines for shift workers.
methodsThe research team reviewed current guidelines and existing evidence to draft tailored guidelines. Seventeen individual guidelines, covering sleep scheduling, napping, sleep environment, bedtime routine, substances, light exposure, diet, and exercise were drafted. Experts from sleep, shift work, and occupational health fields (n = 155) were invited to review the draft guidelines using a Delphi methodology. In each round, experts voted on individual guidelines, with 70% agreement considered consensus. Where consensus was not reached, written feedback from experts was discussed and incorporated into subsequent iterations.
resultsOf the experts invited, 68 (44%) agreed to participate, with 55 (35%) completing the third (final) round. Most experts (84%) agreed that tailored guidelines were required for shift workers. Consensus was reached on all guidelines after three rounds. One additional guideline (sleep inertia) and an introductory statement were developed, resulting in a final set of 18 individual guidelines, termed "healthy sleep practices for shift workers."
conclusionsThis is the first study to develop tailored sleep hygiene guidelines for shift workers. Future research should investigate the acceptability and effectiveness of these guidelines amongst shift workers.
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.