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Weighted Blankets as a Sleep Intervention: A Scoping Review.
Suzanne Dawson1, Kimberly Charlton2, Lorraine Ng3
1Suzanne Dawson, PhD, MClinSc, BAppSc (OT), is Practitioner Fellow, Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia, and is Principal Occupational Therapist, Mental Health Services, Southern Adelaide Local Health Network, Adelaide, South Australia, Australia; Suzanne.dawson@flinders.edu.au.
Weighted blankets may improve sleep and mood in adults, with mixed results for children. Occupational therapists can use this evidence to guide recommendations for individuals experiencing sleep difficulties.
Area of Science:
- Sleep science
- Occupational therapy
- Nonpharmacological interventions
Background:
- Sleep disorders negatively impact health and daily functioning.
- Weighted blankets present a potential nonpharmacological sleep aid.
- Evidence on their effectiveness requires synthesis.
Purpose of the Study:
- To conduct a scoping review of literature on weighted blanket use.
- To summarize instrumentation and outcomes of overnight weighted blanket use.
- To inform clinical decision-making for sleep interventions.
Main Methods:
- Scoping review following PRISMA guidelines.
- Searched multiple databases including MEDLINE, PsycINFO, and Scopus.
- Included studies reporting overnight weighted blanket use; critical appraisal performed.
Main Results:
- Eighteen studies met inclusion criteria.
- Adults showed improved sleep, mood, and reduced medication use.
- Children's sleep outcomes were mixed, but occupational performance improved; parental feedback was positive.
- Methodological quality varied; intervention details were often lacking.
Conclusions:
- Weighted blankets show promise as a sleep intervention across age groups.
- More evidence supports effectiveness in adults than in children.
- Occupational therapists play a key role in implementation; practice guidelines are needed.
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