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Exploring Sleep Challenges and Interventions in Children with a Vision Impairment: A Scoping Review

Oakes E, Cushley LN, Peto T, Curran K

Children (Basel, Switzerland), 2025

Abstract

Highlights What are the main findings? Children with vision impairment (VI) experience a substantial burden of sleep problems, most commonly delayed sleep onset and non-24-h sleep–wake disorder. Evidence on interventions is limited, fragmented, and largely focused on melatonin; very few non-pharmacological or behavioural sleep interventions have been evaluated in this population. What are the implications of the main findings? There is a pressing need for robust, well-designed studies evaluating a broader range of sleep interventions tailored to the needs of children with VI, including behavioural and environmental strategies. Future research should prioritise inclusive, multidisciplinary approaches that consider the developmental, psychosocial, and family impacts of sleep disturbances, supporting the design of targeted and acceptable interventions. Abstract Background/Objectives: Sleep problems are highly prevalent among children with vision impairment and can negatively affect physical, emotional, and cognitive development. There is a need to identify and evaluate effective interventions in this population. This scoping review aimed to map the range of sleep challenges experienced by these children and to summarise the interventions evaluated to date. Methods: Systematic searches were performed in Embase, Medline, and Web of Science Core Collection. Screening was completed in Covidence, and data extraction and descriptive analysis were conducted using Microsoft Excel…

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