Supplementary Information files for Behavioural, medical & environmental interventions to improve sleep quality for mental health inpatients in secure settings: a systematic review & meta-analysis

Supplementary files for article Behavioural, medical &amp; environmental interventions to improve sleep quality for mental health inpatients in secure settings: a systematic review &amp; meta-analysis <br> Despite the bidirectional relationship between sleep and mental health, the effect of interventions to improve sleep quality for inpatients from secure psychiatric settings has not been examined. The current work aimed to identify the effect of interventions for improving sleep quality for these inpatients and identify moderating factors. Eligible studies involved secure psychiatric inpatients (adult) and included a quantitative measure of sleep as primary outcome. The Cochrane Library, Scopus, PubMed and ProQuest were searched; last searched October 2021. 12,409 abstracts were screened for inclusion. The systematic review included 38 studies. The meta-analysis included 22 studies (36 trials).Sleep Quality, Insomnia Severity, Total Sleep Time and Sleep Efficiency were outcomes. The total pooled effect size for all interventions (random-effects model) was d=0.54, (p&lt;0.0001,95% CI:0.30,0.77). Subset-analyses indicated the pooled effect sizes for behavioural interventions as d=0.65, (p&lt;0.01,95% CI:0.16,1.14), medical interventions as d=0.58, (p&lt;0.001,95% CI:0.25,0.91),environmental interventions as d=0.19, (p=0.38,95% CI:-0.24,0.62). Based upon duration, interventions of a five-to-ten-week period were most effective, d=0.92, (p&lt;0.005,95% CI:0.29,1.55). Males reported a greater improvement in sleep than females. Sleep quality interventions in this population are effective. Behavioural interventions: Cognitive Behavioural Therapy for insomnia and physical activity, are most impactful. Clinical practitioners should consider implementing behavioural interventions, of a five-to-ten-week period.

本数据集为论文《封闭环境下精神科住院患者睡眠质量改善的行为、医疗与环境干预：系统综述与元分析》的补充材料。
尽管睡眠与精神健康存在双向关联，但目前尚未有针对封闭精神科住院患者的睡眠质量改善干预效果的相关研究。本研究旨在评估此类患者的睡眠质量改善干预效果，并明确其调节因素。纳入本研究的需为成年封闭精神科住院患者，且以睡眠量化指标作为主要结局指标。
本研究检索了Cochrane图书馆、Scopus、PubMed及ProQuest数据库，最终检索时间为2021年10月。共筛选12409篇摘要以纳入相关研究，最终系统综述纳入38项研究，元分析纳入22项研究（共36项试验）。
本次研究的结局指标包括睡眠质量、失眠严重程度、总睡眠时间及睡眠效率。所有干预措施的合并总效应量（随机效应模型）为d=0.54（p<0.0001，95%置信区间：0.30~0.77）。亚组分析结果显示：行为干预的合并效应量为d=0.65（p<0.01，95%置信区间：0.16~1.14），医疗干预为d=0.58（p<0.001，95%置信区间：0.25~0.91），环境干预为d=0.19（p=0.38，95%置信区间：-0.24~0.62）。
按干预时长划分亚组时，5~10周的干预措施效果最佳，合并效应量为d=0.92（p<0.005，95%置信区间：0.29~1.55）。男性患者的睡眠改善程度优于女性患者。
针对该人群的睡眠质量干预措施具有有效性，其中以失眠认知行为疗法与身体活动为代表的行为干预效果最为显著。临床从业者可考虑实施5~10周时长的行为干预方案。