Indian Journal of Respiratory Care

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VOLUME 13 , ISSUE 1 ( January-March, 2024 ) > List of Articles

Original Article

A Comparative Study of Sleep Hygiene Techniques’ Efficacy in Improving Sleep Quality: An Indo-Saudi Perspective

Saumy Johnson, Sami Al Abdulkareem

Keywords : Pittsburgh Sleep Quality Index, Sleep hygiene, Sleep quality

Citation Information : Johnson S, Abdulkareem SA. A Comparative Study of Sleep Hygiene Techniques’ Efficacy in Improving Sleep Quality: An Indo-Saudi Perspective. Indian J Respir Care 2024; 13 (1):23-27.

DOI: 10.5005/jp-journals-11010-1094

License: CC BY-NC 4.0

Published Online: 06-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Sleep quality is integral to overall health, with cultural practices potentially influencing sleep patterns. This comparative study assessed the effectiveness of sleep hygiene techniques in individuals from diverse cultural backgrounds, specifically in India and Saudi Arabia. A mixed-methods approach combined quantitative assessments and qualitative exploration. The study included 185 participants from each country, aged 18–60, experiencing poor sleep quality. Quantitative data included the Pittsburgh Sleep Quality Index (PSQI) for sleep assessment and a customized sleep hygiene questionnaire. Qualitative data were gathered through in-depth interviews exploring cultural influences, barriers, and facilitators to sleep hygiene practices. Results showed no significant difference in PSQI scores between India (7.4 ± 1.9) and Saudi Arabia (6.8 ± 1.5). However, sleep hygiene scores were significantly higher in Saudi Arabia (3.6 ± 0.8) compared to India (3.2 ± 0.9). Thematic analysis of qualitative data revealed cultural influences on sleep hygiene practices, with traditional practices in India and religious rituals in Saudi Arabia shaping participants’ routines. Family dynamics and societal expectations were also influential. Barriers included work-related stress and electronic device use, while supportive family environments and educational awareness campaigns facilitated adherence to sleep hygiene. Cultural perceptions varied, with Indian participants attributing positive sleep outcomes to traditional practices, while Saudi Arabian participants were open to evidence-based techniques. Limitations included sampling bias and reliance on self-report measures. Recommendations for future research include longitudinal studies, objective measures, and culturally adapted interventions. This study emphasizes the need for culturally sensitive sleep interventions, recognizing cultural influences on sleep patterns. Personalized, culturally tailored strategies can enhance sleep quality and overall well-being. Continued research should explore cultural nuances and develop targeted interventions for diverse populations.

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  1. Alvaro PK, Roberts RM, Harris JK. A systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression. Sleep 2013;36(7):1059–1068. DOI: 10.5665/sleep.2810
  2. Grandner MA, Patel NP, Gehrman PR, et al. Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. Sleep Med Rev 2010;14(4):239–247. DOI: 10.1016/j.smrv.2009.08.001
  3. Steffey MA, Scharf VF, Risselada M, et al. A narrative review of the pathophysiology and impacts of insufficient and disrupted sleep. Can Vet J 2023;64(6):579–587.
  4. Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health 2015;1(4):233–243. DOI: 10.1016/j.sleh.2015.10.004
  5. Alotaibi AD, Alosaimi FM, Alajlan AA, et al. The relationship between sleep quality, stress, and academic performance among medical students. J Family Community Med 2020;27(1):23–28. DOI: 10.4103/jfcm.JFCM_132_19
  6. Jeon M, Dimitriou D, Halstead EJ. A systematic review on cross-cultural comparative studies of sleep in young populations: the roles of cultural factors. Int J Environ Res Public Health 2021;18(4). DOI: 10.3390/ijerph18042005
  7. Worley SL. The extraordinary importance of sleep: the detrimental effects of inadequate sleep on health and public safety drive an explosion of sleep research. P T 2018;43(12):758–763.
  8. Ramar K, Malhotra RK, Carden KA, et al. Sleep is essential to health: an American Academy of Sleep Medicine position statement. J Clin Sleep Med 2021;17(10):2115–2119. DOI: 10.5664/jcsm.9476
  9. Irish LA, Kline CE, Gunn HE, et al. The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev 2015;22:23–36. DOI: 10.1016/j.smrv.2014.10.001
  10. Alamer WM, Qutub RM, Alsaloumi EA, et al. Prevalence of sleep disorders among patients with type 2 diabetes mellitus in Makkah city: a cross-sectional study. Cureus 2022;14(12):e33088. DOI: 10.7759/cureus.33088
  11. Grandner MA, Patel NP, Gehrman PR, et al. Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Med 2010;11(5):470–478. DOI: 10.1016/j.sleep.2009.10.006
  12. Cheung BY, Takemura K, Ou C, et al. Considering cross-cultural differences in sleep duration between Japanese and Canadian university students. PLoS One 2021;16(4):e0250671. DOI: 10.1371/journal.pone.0250671
  13. Robbins R, Duncan DT, Kawachi I, et al. The Social Epidemiology of Sleep. New York: Oxford Academic; 2019.
  14. Kong YJ, Shaver LG, Shi FY, et al. Belief and usage of traditional Chinese medicine as preventative measure against COVID-19 infection during the pandemic among Chinese immigrants in Canada. Ann Epidemiol 2020;52:105. DOI: 10.1016/j.annepidem.2020.08.027
  15. Hilton BA, Grewal S, Popatia N, et al. The desi ways: traditional health practices of South Asian women in Canada. Health Care Women Int 2001;22(6):553–567. DOI: 10.1080/07399330127195
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