Empirical research evaluating the effects of non-traditional approaches to enhancing sleep in typical and clinical children and young people.
Study Goal
The researchers aimed to evaluate the effectiveness of non-traditional interventions, including bright light therapy, for improving sleep in children and young people (0-18 y).
Results Summary
Bright light therapy returned some positive results, though the evidence was not conclusive, and further rigorous research is warranted. The study noted that poorer quality studies were more likely to report positive outcomes.
Population
Children and young people aged 0-18 years.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
aromatherapy | increase | sleep | children and young people (0-18 y) | - | promising indications | #1 |
ketogenic diets | increase | sleep | children and young people (0-18 y) | - | promising indications | #2 |
an elimination diet (few foods diet) | increase | sleep | children and young people (0-18 y) | - | promising indications | #3 |
elimination of cow's milk | increase | sleep | children and young people (0-18 y) | - | promising indications | #4 |
avoidance of caffeine | increase | sleep | children and young people (0-18 y) | - | promising indications | #5 |
tryptophan with adenosine and uridine | increase | sleep | children and young people (0-18 y) | - | promising indications | #6 |
omega-3 and omega-6 | increase | sleep | children and young people (0-18 y) | - | promising indications | #7 |
valerian | increase | sleep | children and young people (0-18 y) | - | promising indications | #8 |
music | increase | sleep | children and young people (0-18 y) | - | promising indications | #9 |
osteopathic manipulation | increase | sleep | children and young people (0-18 y) | - | promising indications | #10 |
white noise | increase | sleep | children and young people (0-18 y) | - | promising indications | #11 |
bright light therapy | increase | sleep | children and young people (0-18 y) | - | returned some positive results | #12 |
massage | increase | sleep | children and young people (0-18 y) | - | returned some positive results | #13 |
acupressure or acupuncture | no change | sleep | children and young people (0-18 y) | - | limited or no evidence to support | #14 |
other diets or dietary supplements | no change | sleep | children and young people (0-18 y) | - | limited or no evidence to support | #15 |
exercise | no change | sleep | children and young people (0-18 y) | - | limited or no evidence to support | #16 |
weighted blankets | no change | sleep | children and young people (0-18 y) | - | limited or no evidence to support | #17 |
This paper examines the effects of non-traditional (non-behavioural and non-prescription pharmaceutical) approaches to sleep in children and young people (0-18 y). A systematic search identified 79 studies that met inclusion criteria. Seventeen percent of the studies were rated as having a conclusive level of evidence, forty-two percent with preponderant evidence and forty-one percent with only suggestive evidence. There were promising indications, with certain populations only, for aromatherapy, ketogenic diets, an elimination diet (few foods diet), elimination of cow's milk, avoidance of caffeine, tryptophan with adenosine and uridine, omega-3 and omega-6, valerian, music, osteopathic manipulation and white noise. Bright light therapy and massage returned some positive results. All of these interventions warrant further, more rigorous research. There was limited or no evidence to support acupressure or acupuncture, other diets or dietary supplements, exercise or weighted blankets. Caution is needed in interpreting some studies because poorer quality studies were more likely to return positive results. Suggestions are made for the improvement of large and smaller scale research, especially conceptualization around multiple physiological measures of sleep and the adoption of research methods which are of use in clinical settings.