School-Based Sleep Education Programs for Short Sleep Duration in Adolescents: A Systematic Review and Meta-Analysis

Ka Fai Chung, Man Sum Chan, Ying Yin Lam, Cindy Sin Yee Lai, Wing Fai Yeung

Research output: Journal article publicationJournal articleAcademic researchpeer-review

35 Citations (Scopus)


School-based sleep education programs tailored to reach large number of students may be one of the solutions. A systematic review and meta-analysis was conducted to summarize the programs' effectiveness and current status. METHODS: Electronic databases were searched up until May 2015. Randomized controlled trials of school-based sleep intervention among 10- to 19-year-old students with outcome on total sleep duration were included. Methodological quality of the studies was assessed using the Cochrane's risk of bias assessment. RESULTS: Seven studies were included, involving 1876 students receiving sleep education programs and 2483 attending classes-as-usual. Four weekly 50-minute sleep education classes were most commonly provided. Methodological quality was only moderate, with a high or an uncertain risk of bias in several domains. Compared to classes-as-usual, sleep education programs produced significantly longer weekday and weekend total sleep time and better mood among students at immediate post-treatment, but the improvements were not maintained at follow-up. CONCLUSIONS: Limited by the small number of studies and methodological limitations, the preliminary data showed that school-based sleep education programs produced short-term benefits. Future studies should explore integrating sleep education with delayed school start time or other more effective approaches.
Original languageEnglish
Pages (from-to)401-408
Number of pages8
JournalJournal of School Health
Issue number6
Publication statusPublished - 1 Jun 2017


  • adolescent health
  • school-based sleep education
  • sleep knowledge
  • sleep research

ASJC Scopus subject areas

  • Education
  • Philosophy
  • Public Health, Environmental and Occupational Health


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