Indian Journal of Sleep Medicine

Register      Login

VOLUME 18 , ISSUE 1 ( January-March, 2023 ) > List of Articles


Knowledge, Attitude, Practices, and Training of Pediatricians in India Regarding Sleep Disorders in Children: A Need to Wake Up!

KR Bharath K Reddy, Barnali Bhattacharya

Keywords : Education, Healthcare, Pediatric, Sleep, Sleep lab

Citation Information : Reddy KB, Bhattacharya B. Knowledge, Attitude, Practices, and Training of Pediatricians in India Regarding Sleep Disorders in Children: A Need to Wake Up!. Indian Sleep Med 2023; 18 (1):15-17.

DOI: 10.5005/jp-journals-10069-0113

License: CC BY-NC 4.0

Published Online: 15-07-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: Sleep disorders are prevalent in children. Pediatricians being the first point of contact for parents need adequate knowledge in the management of sleep disorders. This study was undertaken to understand the knowledge, attitude, practices, and training of pediatricians in India regarding sleep in children. Methodology: About 510 pediatricians across India completed a 24-item web-based survey. The domains assessed included sleep physiology, infant sleep, obstructive sleep apnea (OSA), and parasomnias. The respondents consisted of general pediatricians (85.42%), pediatric pulmonologists (4.40%), and pediatric neurologists (1.39%). Results: The mean knowledge score of the respondents was 54% (±17%). Pediatric pulmonologists scored above 90% in all questions compared with others. Only 203 (39.8%) respondents routinely asked questions regarding sleep patterns and sleep-related problems. About 22 (4.3%) respondents used a screening tool or sleep questionnaire in clinical practice, and 51 (10%) respondents were confident about managing sleep problems. About 19 (3.7%) respondents had referred a child for polysomnography (PSG). About 474 (93%) respondents said they did not receive any formal training in pediatric sleep medicine. Conclusion: The knowledge and practices among pediatricians in India on pediatric sleep disorders were found to be poor, similar to studies in other countries. This study hence highlights the increased need for awareness and education among pediatricians in India in pediatric sleep medicine.

  1. Ednick M, Cohen AP, McPhail GL, et al. A review of the effects of sleep during the first year of life on cognitive, psychomotor, and temperament development. Sleep 2009;32(11):1449–1458. DOI: 10.1093/sleep/32.11.1449.
  2. Beebe DW. Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents. Pediatr Clin North Am 2011;58(3):649–665. DOI: 10.1016/j.pcl.2011.03.002.
  3. Gupta R, Goel D, Kandpal SD, et al. Prevalence of sleep disorders among primary school children. Indian J Pediatr 2016;83(11):1232–1236. DOI: 10.1007/s12098-016-2138-7.
  4. Bharti B, Malhi P, Kashyap S. Patterns and problems of sleep in school going children. Indian Pediatr 2006;43(1):35–38. PMID: 16465004.
  5. Dement WC, Mitler MM. Waking up to the importance of sleep disorders: A commentary. JAMA 1993;269(12):1548–1550. PMID: 8445820.
  6. Gozal D, Tan HL, Kheirandish-Gozal L. Treatment of obstructive sleep apnea in children: Handling the unknown with precision. J Clin Med 2020;9(3):888. DOI: 10.3390/jcm9030888.
  7. Gruber R, Constantin E, Frappier JY, et al. Training, knowledge, attitudes and practices of Canadian health care providers regarding sleep and sleep disorders in children. Paediatr Child Health 2017;22(6):322–327. DOI: 10.1093/pch/pxx069.
  8. Owens JA. The practice of pediatric sleep medicine: Results of a community survey. Pediatrics 2001;108(3):1–16. DOI: 10.1542/peds.108.3.e51; Rosen RC, Rosekind M, Rosevear C, et al. Physician education in sleep and sleep disorders: A National Survey of U.S. Medical Schools. Sleep 1993;16(3):249–254. DOI: 10.1093/sleep/16.3.249.
  9. Oliviero B, Cristiano V, Anna L, et al. The Sleep Knowledge of Pediatricians and Child Neuropsychiatrists. Sleep and Hypnosis 2004; 6(3):130–138.
  10. Jodi AM, Alex B, Norrashidah AW, et al. Sleep education in medical school curriculum: A glimpse across countries. Sleep Med 2011;12(9):928–931.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.