0982 Content Analysis Of The Features And Claims Of Smartphone Applications For Children’s Sleep

Abstract

Introduction: Empirically supported treatments for pediatric sleep problems exist but many families turn to other sources for help with their child's sleep, such as smartphone applications (apps). Sleep apps are easy for families to access but little evidence exists regarding the validity of the services and information provided. The goal of this study was to examine the features and claims of sleep apps for children. Methods: A search of the Apple iTunes store and Google Play Store was conducted using the terms “kids sleep” and “baby sleep”. 635 apps were initially identified. Apps were excluded if they were not specifically for children (n=163), not for sleep (n=152), or if they had <100,000 downloads (n=246). Content analyses were used to assess the apps functions, claims, and evidence base. Results: A total of 74 apps were examined of which only 4% offered sleep improvement strategies. The majority were sound and light apps (77%) and 19% were bedtime games/stories. The apps were highly rated (average 4.4 out of 5) and most were free (54%); the price of paid apps ranged from $0.99 to $119.99 (annual subscription). Only 2 apps were identified as containing empirical evidence, and all of the apps featuring games and stories to be used as part of the bedtime routine are in opposition to the recommendation to avoid the melatonin-suppressing effect of electronics/ bright light before bedtime. Despite this, many apps boasted claims that they will help children “fall asleep instantly,” “cry less and sleep better,” or improve child development. Conclusion: A large variety of sleep applications exist aimed for use with children. Many boast claims that cannot be supported by empirical evidence, and indeed may be in opposition to research support. Collaboration between sleep researchers and technology developers may be beneficial for the creation of evidence-supported apps to help with children's sleep.