Cochrane · systematic review · CD009467

Later school start times for supporting the education, health, and well‐being of high school students

Marx, R, Tanner‐Smith, EE, Davison, CM, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Public HealthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Early versus delayed school starts

Population: students aged 13‐19
6 questions
OutcomeEffectEvidenceStatus / GRADE
Student academic outcomes
Early vs delayed school starts
no estimate extracted4 studies · 254743 participantsVery low
Downgraded: risk of bias, inconsistency
Amount or quality of sleep
Early vs delayed school starts
no estimate extracted8 studies · 52340 participantsVery low
Downgraded: risk of bias, inconsistency
Mental health outcomes
Early vs delayed school starts
no estimate extracted1 study · 1200 participantsVery low
Downgraded: risk of bias, inconsistency
Truancy or attendance outcomes
Early vs delayed school starts
no estimate extracted4 studies · 255122 participantsVery low
Downgraded: risk of bias, inconsistency
Alertness
Early vs delayed school starts
no estimate extracted4 studies · 2735 participantsVery low
Downgraded: risk of bias, inconsistency
Adverse events/unintended consequences
Early vs delayed school starts
no estimate extracted4 studies · 207576 participantsVery low
Downgraded: risk of bias, inconsistency