目的:就基于屏幕的数字媒体(1)是否一般达成共识,(2)通过睡前内容,和(3)通过睡前光线损害(a)儿童的睡眠健康,(b)青春期,(c)成年。此外,研究是否采用行为策略和干预措施可以减少屏幕对睡眠健康的潜在负面影响。
方法:国家睡眠基金会召集了一个由16人组成的多学科专家小组(“小组”)。在整个2023年,小组成员几乎举行了5次会议,在此期间,他们遵循了改良的DelphiRAND/UCLA适当性方法,以达成共识。
结果:专家组从2209篇文章开始进行了文献综述,缩小到522篇相关实证文章和52篇相关综述文章。该搜索经过完善,包括35项实验/干预研究,这些研究检查了基于屏幕的数字媒体与睡眠之间是否存在因果关系。此外,小组成员回顾了最近的5篇相关系统综述文章.在回顾了总结的现有文献后,小组成员就10项关于屏幕使用是否损害睡眠健康的候选陈述进行了投票。小组几乎开会讨论第一轮投票的结果,随后进行了第二轮投票,最终就10项声明中的5项达成共识。
结论:小组达成共识,(1)屏幕使用会损害儿童和青少年的睡眠健康,(2)睡前使用屏幕的内容损害儿童和青少年的睡眠健康,(3)行为策略和干预措施可能会减弱屏幕使用对睡眠健康的负面影响。
OBJECTIVE: To achieve
consensus on whether screen-based digital media (1) in general, (2) via prebedtime content, and (3) via prebedtime light impairs sleep health in (a) childhood, (b) adolescence, and (c) adulthood. Furthermore, to address whether employing behavioral strategies and interventions may reduce the potential negative effects of screens on sleep health.
METHODS: The National Sleep Foundation convened a 16-person multidisciplinary expert panel (\"Panel\"). Panelists met virtually 5 times throughout 2023, during which they followed a modified Delphi RAND/UCLA Appropriateness Method to reach
consensus.
RESULTS: The Panel conducted a literature review starting with 2209 articles, narrowed down to 522 relevant empirical articles and 52 relevant review articles. The search was refined to include 35 experimental/intervention studies that examined whether there was a causal link between screen-based digital media and sleep. In addition, panelists reviewed 5 recent relevant systematic review articles. After reviewing the summarized current literature, panelists voted on 10 candidate statements about whether screen use impairs sleep health. The Panel met virtually to discuss the results of the first round of votes, which was then followed by a second round of voting, ultimately achieving
consensus on 5 out of the 10 statements.
CONCLUSIONS: The Panel achieved
consensus that (1) in general, screen use impairs sleep health among children and adolescents, (2) the content of screen use before sleep impairs sleep health of children and adolescents, and (3) behavioral strategies and interventions may attenuate the negative effects of screen use on sleep health.