Article RETRACTED due to malpractice Sleep Hygiene Awareness and Practice Scale Among Healthcare Providers and Students in Saudi Arabia: A national cross-sectional Survey
DOI:
https://doi.org/10.47197/retos.v82.118454Keywords:
quality of life, health psychology, occupational health, cognitive behavioral interventionAbstract
Background: Poor sleep hygiene practices are associated with impaired cognitive functions, reduced academic and professional performance, and increased risk of chronic disease, especially among healthcare students and workers.
Objective: This study aimed to assess sleep hygiene awareness, caffeine knowledge, and sleep hygiene practices among healthcare providers and students in Saudi Arabia, identify demographic factors associated with these outcomes, and determine predictors of poor sleep hygiene practices.
Methods: A cross-sectional survey was conducted among healthcare students and providers. Data were collected on sleep hygiene knowledge, caffeine knowledge, and sleep hygiene practices using validated scales. Statistical analyses included descriptive statistics, Mann-Whitney U tests, t-tests, Spearman correlation, Kruskal-Wallis tests, and multiple linear regression modeling.
Results: A total of 652 participants were included. No significant differences were found between students and providers in sleep hygiene knowledge or caffeine knowledge. Students exhibited significantly poorer sleep hygiene practices (p=0.038). Older age, better caffeine knowledge, and better sleep hygiene knowledge were associated with healthier sleep practices. Regression analysis revealed that poor sleep hygiene knowledge, poor caffeine knowledge, and younger age predicted poorer sleep hygiene behaviors.
Conclusion: Healthcare students demonstrate a greater risk for poor sleep hygiene despite similar knowledge levels compared to providers. Targeted educational interventions are needed to improve sleep practices among healthcare students.
References
1. Gupta CC, Duncan MJ, Ferguson SA, Rebar A, Vandelanotte C, Sprajcer M, et al. Exploring the prioritisation of sleep, diet, and physical activity as pillars of health: correlates and associations with health behaviours in Australian adults. J Act Sedentary Sleep Behav [Internet]. 2023;2(1):26. Available from: http://dx.doi.org/10.1186/s44167-023-00035-3
2. National Academies of Sciences, Engineering, and Medicine. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington (DC): National Academies Press (US); 2006. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482512
3. Dzierzewski JM, Sabet SM, Ghose SM, Perez E, Soto P, Ravyts SG, et al. Lifestyle factors and sleep health across the lifespan. Int J Environ Res Public Health [Internet]. 2021;18(12):6626. Available from: http://dx.doi.org/10.3390/ijerph18126626
4. Lockley SW, Foster RG. Sleep: A Very Short Introduction. Oxford: Oxford University Press; 2012. p. 2. Available from: https://books.google.com/books/about/Sleep_A_Very_Short_Introduction.html?id=--rYCHAqZKUC
5. Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med [Internet]. 2015;11(1):69–74. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4265662/
6. Alshahrani NZ, Alarifi AM, Alotaibi WS, Alsayed AA, Alwasm KSL, Alhunti AA, et al. Prevalence and correlates of poor sleep quality among psychiatry physicians in Saudi Arabia: A cross-sectional study. Health Sci Rep [Internet]. 2024;7(11):e70170. Available from: http://dx.doi.org/10.1002/hsr2.70170
7. Nirupama AY, Vinoth Gnana Chellaiyan, Winnie Paulson, Amatullah Sana Qadeer, Sarva Priya Pandey, G Ravivarman. Cognitive function and shift work among healthcare professionals in India: Findings from the SNORE study. Hum Resour Health. [Internet]. 2025;22(1). Available from: http://dx.doi.org/10.1186/s12982-025-00742-z
8. Bani Issa W, Hijazi H, Radwan H, Saqan R, Al-Sharman A, Samsudin ABR, et al. Evaluation of the effectiveness of sleep hygiene education and FITBIT devices on quality of sleep and psychological worry: a pilot quasi-experimental study among first-year college students. Front Public Health [Internet]. 2023;11:1182758. Available from: http://dx.doi.org/10.3389/fpubh.2023.1182758
9. Buboltz WC Jr, Brown FC, Soper B. Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med. 2002;28(1):33–8. doi: 10.1080/08964280209596396. PMID: 12244643. Available from: https://www.researchgate.net/publication/11146301_Relationship_of_Sleep_Hygiene_Awareness_Sleep_Hygiene_Practices_and_Sleep_Quality_in_University_Students
10. Benjamin LS, Pasay-An E, Pangket P, Alqarni AS, Gonzales F, Sacgaca L, et al. Impact of sleep and psychological well-being on the academic and clinical performance of nursing students in Saudi Arabia. Psychol Res Behav Manag [Internet]. 2024;17:1355–64. Available from: http://dx.doi.org/10.2147/PRBM.S453685
11. Alruwaili A, Alanazy ARM. The effect of shift work on sleep patterns of paramedics in Saudi Arabia. J Multidiscip Healthc [Internet]. 2024;17:2857–69. Available from: http://dx.doi.org/10.2147/JMDH.S458512
12. Booker LA, Sletten TL, Barnes M, Alvaro P, Collins A, Chai-Coetzer CL, et al. The effectiveness of an individualized sleep and shift work education and coaching program to manage shift work disorder in nurses: a randomized controlled trial. J Clin Sleep Med [Internet]. 2022;18(4):1035–45. Available from: http://dx.doi.org/10.5664/jcsm.9782
13. Mahadule A, Mittal S, Khapre M, Goel A, Patil PM, Mohan L. Sleep quality and sleep hygiene in preclinical medical students of tertiary care center amidst COVID19 pandemic: a crosssectional observational study. J Rural Med. 2022;17(3):137–42. doi: 10.2185/jrm.2021-048. PMID: 35847749. Available from: https://pubmed.ncbi.nlm.nih.gov/35847749/
14. Al-Kandari S, Alsalem A, Al-Mutairi S, Al-Lumai D, Dawoud A, Moussa M. Association between sleep hygiene awareness and practice with sleep quality among Kuwait University students. Sleep health. 2017;3(5):342-7.
15. Ali RM, Zolezzi M, Awaisu A, Eltorki Y. Sleep Quality and Sleep Hygiene Behaviours Among University Students in Qatar. International Journal of General Medicine. 2023;16:2427-39.
16. Saintila J, Javier-Aliaga D, del Carmen Gálvez-Díaz N, Barreto-Espinoza LA, Buenaño-Cervera NA, Calizaya-Milla YE. Association of sleep hygiene knowledge and physical activity with sleep quality in nursing and medical students: a cross-sectional study. Frontiers in Sports and Active Living. 2025;7.
17. Sun, W., Pan, R., Song, X., Gu, T., Ni, Q., & Gu, Y. (2024). Knowledge, attitude, and practice toward sleep hygiene and cardiovascular health: a cross-sectional survey among healthcare workers. Frontiers in public health, 12, 1415849. https://doi.org/10.3389/fpubh.2024.1415849
18. Hulst, R. Y., Pillen, S., Voorman, J. M., Rave, N., Visser-Meily, J. M. A., & Verschuren, O. (2020). Sleep health practices and sleep knowledge among healthcare professionals in Dutch paediatric rehabilitation. Child: care, health and development, 46(6), 703–710. https://doi.org/10.1111/cch.12799
19. Lakshme, S. V., Sharranesh, R., Yong Khang, Y., & Arvinder-Singh, H. S. (2025). Sleep quality, sleep hygiene practices and their influencing factors among Malaysian university students: A cross-sectional study. Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia, 20, 22. https://doi.org/10.51866/oa.717
20. Devi SSL, Abilash SC, Basalingappa S. The rationale of caffeine consumption and its symptoms during preparatory and non-preparatory days: A study among medical students. Biomedical and Pharmacology Journal. 2018;11(2):1153-9.
21. Alqawasmi AA, Alsalhi NRI, Omar AA, Fattah HAA, Abuawad B, Zangana MA. Caffeine Consumption Patterns Among Medical Students: Implications for Health Education and Academic Performance. Journal of Natural Science, Biology and Medicine. 2024;15(3):561-9.
22.Khemissa M, Sabri GAI, Hamdoun B, Patni MA. Medical Uses and Health Benefits of Caffeine - A Study among the Students of Medical University in the United Arab Emirates. New Emirates Medical Journal. 2024;5.
23.Lee KH, Human GP, Fourie JJ, Louw WAN, Larson CO, Joubert G. Medical students' use of caffeine for 'academic purposes' and their knowledge of its benefits, side-effects and withdrawal symptoms. South African Family Practice. 2009;51(4):322-7.
24.Galhardo MV, Osaki BL, Violla PR, Rodrigues FP, da Silva AG, Costa T, et al. Caffeine ingestion by students at the Brazil faculty of medicine: a prospective observational cross-sectional study. International Journal of Nutrology. 2022;15.
25. Luebbe AM, Bell DJ. Mountain dew ® or mountain don't?: A pilot investigation of caffeine use parameters and relations to depression and anxiety symptoms in 5th- and 10th-grade students. Journal of School Health. 2009;79(8):380-7.
26. Annuar NA, Shia JKS, Yob NJ, Zakaria Y, Hussin SN. Caffeine Intake and Its Association with Mental Health Status among Pharmacy Students at UiTM Puncak Alam. Malaysian Journal of Medicine and Health Sciences. 2023;19(3):36-44.
27.Lemma S, Gelaye B, Berhane Y, Worku A, Williams MA. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study. BMC Psychiatry. 2012;12(1):237.
28.Alghamdi AS, AlOyyna NN, Alhusaini AA. Physical activities, sedentary behavior, sleep quality, and quality of life among female medical versus nonmedical college students: A cross-sectional study. Medicine. 2025;104(1).
29. Gellis LA, Park A, Stotsky MT, Taylor DJ. Associations between sleep hygiene and insomnia severity in college students: cross-sectional and prospective analyses. Behav Ther. 2014;45(6):806–816. doi:10.1016/j.beth.2014.05.
30. Lo JC, Ong JL, Leong RL, Gooley JJ, Chee MW. Cognitive Performance, Sleepiness, and Mood in Partially Sleep Deprived Adolescents: The Need for Sleep Study. Sleep. 2016;39(3):687-98.
31.Contreras, D. A., Williams, E., & Tucker, R. M. (2023). Equivalent Improvements in Sleep Duration and Sleep Quality Regardless of Program Delivery Modality: The SLeep Education for Everyone Program (SLEEP). Clocks & sleep, 5(2), 226–233. https://doi.org/10.3390/clockssleep5020018
32. Grandner M.A., Petrov M.E.R., Rattanaumpawan P., Jackson N., Platt A., Patel N.P. Sleep symptoms, race/ethnicity, and socioeconomic position. J. Clin. Sleep Med. JCSM Off. Public Am. Acad. Sleep Med. 2013;9:897–905. doi: 10.5664/jcsm.2990
33.Fox E.C., Wang K., Aquino M., Grandner M.A., Xie D., Branas C.C., Gooneratne N.S. Sleep debt at the community level: Impact of age, sex, race/ethnicity and health. Sleep Health. 2018;4:317–324. doi: 10.1016/j.sleh.2018.05.007.
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