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Sleepiness is common in middle and high school classrooms; many adolescents struggle to receive sufficient, well\u2010timed sleep.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Theory<\/jats:title>\n                    <jats:p>We provide a discussion of theory and policy ramifications of adolescent sleep science. We provide a unified overview of sleep's benefits for physical and mental health, safety, alertness, learning, and school performance. We outline the developmental biological\u2013social\u2013societal interplay influencing sleep in adolescents. We discuss the impact of changing school start times on sleep health and factors relating to school\u2010related sleep equity. We discuss the success of changing school start times, sleep\u2010health education, and how science\u2010informed policies can combine later start times with educational and behavioral supports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Ignoring sleep compromises students' and schools' success. Improving the opportunity for sleep, primarily through altering school start times, yields healthier and more productive students. Whether action manifests in the classroom, school, district, or state, the health of students\u2014and schools\u2014improves when policies offer adolescents opportunities to obtain the sleep they need.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Underscoring sleep's critical role in school performance, the evidence calls on educators and policymakers to address chronic sleep deprivation and its consequences for adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70251","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:20:45Z","timestamp":1791876045000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sleep Is Integral to School Health and Adolescent Wellbeing: An Evidence\u2010Based Call to Action"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8547-0161","authenticated-orcid":false,"given":"Jared M.","family":"Saletin","sequence":"first","affiliation":[{"name":"COBRE Center for Sleep and Circadian Rhythms in Child and Adolescent Mental Health, Emma Pendleton Hospital  East Providence Rhode Island USA"},{"name":"Department of Psychiatry and Human Behavior Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terra D.","family":"Ziporyn","sequence":"additional","affiliation":[{"name":"Start School Later, Inc.  Severna Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy R.","family":"Wolfson","sequence":"additional","affiliation":[{"name":"Department of Psychology Loyola University Maryland  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie J.","family":"Crowley","sequence":"additional","affiliation":[{"name":"Biological Rhythms Research Laboratory, Department of Psychiatry and Behavioral Sciences Rush University Medical Center  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2011.00632.x"},{"key":"e_1_2_11_3_1","unstructured":"National Sleep Foundation's \u201cSleep in America Poll: Teens' Sleep and Mental Health are Strongly Connected \u201d 2025accessed August 30 2025 https:\/\/www.thensf.org\/wp\u2010content\/uploads\/2025\/07\/NSF\u2010Sleep\u2010in\u2010America\u20102024\u2010Report_final.pdf."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3345\/kjp.2011.54.1.29"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2014.12.010"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101425"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3298"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010017\u201003171\u20104"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2011.03.003"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2018.06.001"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(08)70013-3"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23616"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2816"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00660.2005"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1417.033"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S219594"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-016-0428-0"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2019.104521"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S000711452200160X"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-020-00728-8"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-1591(02)00003-X"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1096\/fasebj.3.8.2785942"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/s42003-021-02825-4"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.12.1471-a"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2008.505"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2020.101409"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2018.01.012"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-014-0260-0"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0000000000001727"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000151"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-017-0832-x"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.5665\/SLEEP.1132"},{"issue":"1","key":"e_1_2_11_33_1","article-title":"Current State of Sleep\u2010Related Performance Optimization Interventions for the E\u2010Sports Industry","volume":"1","author":"Brager A. 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