Evidence map›Paper›PMID 38154149›Full record

ArticleSleep medicine2024

Factors contributing to U.S. parents' decisions to administer melatonin to children.

Lauren E Hartstein, Michelle M Garrison, Daniel Lewin, Julie Boergers, Brandon K Hiraki, John R Harsh, Monique K LeBourgeois

Open access · greenAbstract read
In one paragraph

Article in Sleep medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
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

7 authors at 3 institutions in 1 country.

Lauren E HartsteinDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA. Electronic address: Lauren.Hartstein@colorado.edu.
Michelle M GarrisonDepartment of Public Health, Purdue University, West Lafayette, IN, USA.
Daniel LewinSleep Health and Wellness Center, Santa Barbara, CA, USA.
Julie BoergersDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Brandon K HirakiDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.
John R HarshDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.
Monique K LeBourgeoisDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.
University of Colorado Boulder · USBrown University · USPurdue University West Lafayette · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences Institute (CCTSI)UM1TR004399 · NCATS · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS, RONALD J. SOKOL · 2023 to 2026
$30.7M
Sensitivity of the Circadian Clock to Light in Early ChildhoodR01HD087707 · NICHD · UNIVERSITY OF COLORADO · PI WRIGHT, KENNETH P · 2017 to 2021
$2.9M
Sensitivity of the Circadian Clock to the Spectrum of Evening Light in Early ChildhoodF32HD103393 · NICHD · UNIVERSITY OF COLORADO · PI HARTSTEIN, LAUREN · 2021 to 2023
$216k
NCATS NIH HHS UL1 TR002535NCATS NIH HHS UM1 TR004399NICHD NIH HHS F32 HD103393NICHD NIH HHS R01 HD087707
6 · The paper itself

Abstract

objectivePediatric melatonin use is increasingly prevalent in the U.S. despite limited research on its efficacy and long-term safety. The current study investigated factors contributing to parents' decisions whether to give children melatonin.

methodsParents of children 1.0-13.9 years completed an online questionnaire on children's health, sleep, and melatonin use. Parents who reported giving melatonin to their child were asked open-ended follow-up questions on why their child takes melatonin and why they stopped (if applicable). Responses were assigned to categories through thematic coding.

resultsData were analyzed on 212 children who either consumed melatonin in the past 30 days (n = 131) or took melatonin previously (n = 81). Among children who recently took melatonin, 51.1 % exhibited bedtime resistance and 46.2 % had trouble falling asleep. Parents most commonly gave children melatonin to: help them fall asleep (49.3 %), wind down before bedtime (22.7 %), facilitate changes in their sleep routine (17.5 %), and/or change their circadian rhythm (11.4 %). Parents stopped giving melatonin because their child did not need it anymore (32.0 %), experienced negative side effects (9.3 %), and/or concerns about health and safety (13.3 %). Finally, parents initiated melatonin use on their own (50.0 %), were encouraged by a friend or family member (27.4 %), and/or followed the recommendation of a health provider (48.1 %).

conclusionsParents administered melatonin to children for a number of reasons and discontinued melatonin based on their own observations of a variety of effects. Parents frequently initiated use without the recommendation of a medical professional. Further research on indications and efficacy of melatonin and wider dissemination of guidelines are needed to help parents make informed decisions regarding children's sleep health.

Indexed as

MelatoninChildFamilyHumansParentsSleepMelatoninChildrenMelatoninParentsPediatricSleep problems

Identifiers

PMID38154149
PMCPMC10872239
OpenAlexW4390102072

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.