title: Sleep in pediatric primary care: A review of the literature.
abstract: Primary care is a critical setting for screening and management of pediatric sleep difficulties. This review summarizes studies examining the prevalence of sleep problems in primary care settings as well as current practices in screening, diagnosis, and management, including behavioral recommendations and medications. Potential barriers to effectively addressing sleep are also reviewed. Despite the high prevalence of pediatric sleep problems in primary care, rates of screening and management are low. Primary care providers receive minimal sleep training and have resulting gaps in knowledge and confidence. Parents similarly have gaps in knowledge and many factors contribute to their identification of sleep as problematic. Recommendations to improve the provision of sleep services in pediatric primary care are made in the areas of research, practice, and education.
authors.affiliation: Department of Pediatrics, Indiana University School of Medicine, 705 Riley Hospital Drive, ROC 4270, Indianapolis, IN 46202, USA. Electronic address: smhonake@iupui.edu.
authors.forename: Sarah Morsbach
authors.initials: SM
authors.lastname: Honaker
authors.affiliation: Department of Pediatrics, National Jewish Health, 1400 Jackson Street, G311, Denver, CO 80206, USA. Electronic address: meltzerl@njhealth.org.
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Meltzer
mesh_terms: D002648:Child; D006266:Health Education; D006801:Humans; D007223:Infant; D010372:Pediatrics; D010818:Practice Patterns, Physicians'; D015995:Prevalence; D011320:Primary Health Care; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000628:therapy; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000628:therapy
keywords: Adolescent; Child; Diagnosis; Insomnia; Management; Obstructive sleep apnea; Pediatric; Primary care; Screening; Sleep