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Background <p>Sleep medicine diagnostics and therapies commonly assume that patients sleep horizontally on a bed in a bedroom environment. However, standard intake instruments rarely document habitual sleep location or sleep surface. We sought to characterize sleep location and sleep surface in a multi-site referral population and examine potential implications for both diagnostic evaluation and treatment implementation.</p> Methods <p>We conducted a prospective, multi-site, cross-sectional survey of adults presenting for an initial sleep consultation between January and February 2025 at sleep clinic sites in Minnesota, Arizona, Florida, and affiliated health system locations. Eligible patients completed an electronic survey assessing habitual sleep location, sleep surface, co-sleeping patterns, and factors influencing location choice.</p> Results <p>Of 2,992 eligible patients contacted, 114 responded; 98 were included in the analysis. 94% reported sleeping exclusively in a bedroom, while 6% reported sleeping outside a bedroom at least part of the time. Recliner and couch use within the prior month were reported by 4% and 7%, respectively. When both room and sleep-surface variability were considered together, 17% reported at least some deviation from exclusive bed-based bedroom sleep. 9% cited medical conditions as influencing sleep location, and 16% cited cultural or personal practices.</p> Conclusions <p>Even in a highly advantaged tertiary-care cohort, a measurable minority report nontraditional sleep environments. Because both diagnostic technologies and therapeutic strategies in sleep medicine commonly assume mattress-based, horizontal bedroom sleep, systematic documentation of habitual sleep location may improve test interpretation, device selection, and individualized treatment planning.</p>

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Habitual sleep location is not routinely assessed in sleep medicine intake: implications for diagnostic and therapeutic workflow

  • 期刊论文

  • 发表日期：

    2026年3月20日

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  • Joon Yong Moon,
  • Benjamin R. E. Harris,
  • Melissa C. Lipford,
  • Timothy I. Morgenthaler

摘要

Background

Sleep medicine diagnostics and therapies commonly assume that patients sleep horizontally on a bed in a bedroom environment. However, standard intake instruments rarely document habitual sleep location or sleep surface. We sought to characterize sleep location and sleep surface in a multi-site referral population and examine potential implications for both diagnostic evaluation and treatment implementation.

Methods

We conducted a prospective, multi-site, cross-sectional survey of adults presenting for an initial sleep consultation between January and February 2025 at sleep clinic sites in Minnesota, Arizona, Florida, and affiliated health system locations. Eligible patients completed an electronic survey assessing habitual sleep location, sleep surface, co-sleeping patterns, and factors influencing location choice.

Results

Of 2,992 eligible patients contacted, 114 responded; 98 were included in the analysis. 94% reported sleeping exclusively in a bedroom, while 6% reported sleeping outside a bedroom at least part of the time. Recliner and couch use within the prior month were reported by 4% and 7%, respectively. When both room and sleep-surface variability were considered together, 17% reported at least some deviation from exclusive bed-based bedroom sleep. 9% cited medical conditions as influencing sleep location, and 16% cited cultural or personal practices.

Conclusions

Even in a highly advantaged tertiary-care cohort, a measurable minority report nontraditional sleep environments. Because both diagnostic technologies and therapeutic strategies in sleep medicine commonly assume mattress-based, horizontal bedroom sleep, systematic documentation of habitual sleep location may improve test interpretation, device selection, and individualized treatment planning.