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Survey of Sleep Practices Among Clinicians Working With Pediatric Oncology Patients

Lauren C Daniel1, Thembile R Gola1, Elin Irestorm2,3

  • 1Rutgers University-Department of Psychology, Camden, New Jersey, USA.

Psycho-Oncology
|March 17, 2026
PubMed

Insights

Pediatric cancer clinicians often miss sleep issues by waiting for patient reports. Sleep hygiene is a common but likely ineffective treatment for pediatric oncology sleep disturbances.

Area of Science:

  • Pediatric Oncology
  • Sleep Medicine
  • Clinical Practice

Background:

  • Pediatric cancer patients face high risks of sleep disturbances.
  • Lack of clinical practice guidelines leads to inconsistent sleep management.
  • Current approaches to sleep assessment and treatment vary among clinicians.

Purpose of the Study:

  • To survey pediatric oncology clinicians on their methods for assessing and treating sleep disturbances.
  • To identify common sleep concerns and interventions used in pediatric oncology.

Main Methods:

  • A REDCap survey was distributed to 200 pediatric oncology clinicians.
  • The survey gathered data on the assessment and treatment of behavioral and medical sleep concerns.

Main Results:

  • Most clinicians (61%) assess sleep only when concerns are raised; 10% never assess sleep.
  • Sleep onset difficulties and insomnia were rated as the most significant concerns.
  • Sleep hygiene was the most frequently recommended intervention, despite potential ineffectiveness.

Conclusions:

  • Relying on patient/family reports may lead to missed early identification of sleep disturbances.
  • Sleep hygiene alone is likely insufficient for complex sleep issues in pediatric oncology.
  • Further research is needed to establish effective treatments and inform clinical guidelines.
Abstract

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