Related Experiment Video
Updated: Dec 6, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Perceived Determinants of Children's Inadequate Sleep Health. A Concept Mapping Study among Professionals
Laura S Belmon1,2, Fay B Brasser1,2, Vincent Busch2
1Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands.
Insights
Inadequate sleep in children is a growing concern. Key factors include psychosocial issues, evening screen time, and inconsistent bedtime routines, impacting children
Area of Science:
- Pediatrics
- Sleep Medicine
- Child Psychology
Background:
- Childhood inadequate sleep negatively impacts health and development.
- Understanding sleep determinants is crucial for effective interventions.
- Expert perceptions offer valuable insights into children's sleep issues.
Purpose of the Study:
- To explore perceived determinants of inadequate sleep in children aged 4-12 years.
- To identify key factors influencing children's sleep quality from a professional standpoint.
- To gather expert consensus on the most significant contributors to poor sleep in children.
Main Methods:
- Online concept mapping study involving 27 healthcare professionals (doctors, nurses, sleep experts).
- Participants generated, sorted, and rated determinants of inadequate sleep.
- Data analyzed using multidimensional scaling and hierarchical cluster analysis, validated by 16 additional professionals.
Main Results:
- Identified a wide range of determinants for children's inadequate sleep.
- Top perceived determinants include psychosocial factors (worrying, life changes), daytime/evening activities (screen time, physical activity), and pedagogical factors (inconsistent schedules, lack of routines).
Conclusions:
- Psychosocial, activity-related, and pedagogical factors are critical determinants of inadequate sleep in children.
- Expert-identified determinants provide a foundation for future research and intervention development.
- Addressing screen time, physical activity, and consistent routines is vital for promoting healthy sleep in children.
Abstract:
An increasing number of children experience inadequate sleep, which negatively effects their health. To promote healthy sleep among children, it is essential to understand the underlying determinants. This online concept mapping study therefore explores potential determinants of children's inadequate sleep as perceived by professionals with expertise in the sleep health of children aged 4-12 years. Participants (n = 27) were divided in three groups: (1) doctors (n = 9); (2) nurses (n = 11); (3) sleep experts (n = 7). Participants generated potential determinants (i.e., ideas) of children's inadequate sleep. Subsequently, they sorted all ideas by relatedness and rated their importance. These data were analysed using multidimensional scaling and hierarchical cluster analysis. The results of all three groups were combined and validated by an additional group of professionals (n = 16). A large variety of perceived determinants were identified. The most important determinants perceived by all groups belonged to the categories psychosocial determinants (i.e., worrying, a change in daily life), daytime and evening activities (i.e., screen use before bedtime, stimulating game play before bedtime, inadequate amount of daytime physical activity), and pedagogical determinants (i.e., inconsistent sleep schedule, lack of a bedtime routine). These perspectives are valuable for future longitudinal studies on the determinants of children's sleep and the development of future healthy sleep interventions.
More Related Videos
Related Concept Videos
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Insomnia
Multiple factors contribute...
Understanding Sleep
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
Cause and Effect

