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.

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