ArticleNPJ digital medicine2025
Active components in digital health interventions for sleep among adolescents: a systematic review and meta-analysis of randomized controlled trials.
Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed.
- Behavioral Sleep Treatment in ADHD Across Child and Adolescent Development: Recent Findings, Integration with Existing Interventions, and Emerging Directions.Current sleep medicine reports · 2026Article
- Digital communication tools used to promote healthy lifestyles: an overview of reviews from the BRIDGE project.Frontiers in digital health · 2026Review
- Age Differences in Factors Associated With Insomnia Severity: A Comparative Study of Questionnaire Scores and Heart Rate Variability Parameters.Depression and anxiety · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Digital health interventions (DHIs) offer scalable, accessible approaches to promote healthy sleep in adolescents and to prevent or treat poor sleep and insomnia. Given the high prevalence of sleep problems and their bidirectional links with mental health, this systematic review and meta-analysis examined the effectiveness and active components of DHIs for adolescent sleep. We searched six databases, which included 18 randomised controlled trials (RCTs). Eligible participants were aged 10-24 years. Eighteen RCTs (N = 13,296; mean age 19.0; 71% female) met inclusion criteria: ten evaluated digital cognitive behavioral therapy for insomnia (dCBT-I) and eight targeted sleep promotion (education, hygiene, or holistic programs). Most DHIs were unguided (55.5%) or provided minimal online support (33.3%). Pooled analyses showed that dCBT-I significantly reduced insomnia severity (SMD = -3.32, 95% CI - 5.09 to -1.56) and modestly improved sleep quality (SMD = -0.32, 95% CI - 0.53 to -0.11), with secondary benefits for mental health outcomes. Educational and lifestyle interventions yielded mixed effects. Active components included cognitive restructuring, mindfulness, stimulus control, and sleep restriction. dCBT-I appears most beneficial for adolescents with insomnia or poor sleep. Future research should refine digital delivery, ensure intervention fidelity, and clarify which active ingredients drive sustained improvements in sleep and mental health.
Identifiers
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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.