Graduation Year


Document Type


Degree Type

Open Access Capstone

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy


Background: Insufficient sleep contributes to human health and performance deficits with Active Duty US Army soldiers being at highest risk for poor sleep and subsequent sleep disorders. Research in this area continues to grow and has focused on pathology and intervention, often related to deployment, yet it is vital to understand the barriers to sufficient sleep in healthy soldiers (the majority) in the garrison context, where they will spend most of their time. Purpose: Explore the current state of literature regarding barriers to sufficient sleep in healthy US Army active duty service members in the garrison setting. Theoretical Framework. Biopsychosocial Model Methods. A scoping review was selected to explore and map the literature using the Population Context Content (PCC) and PRIMSA-ScR within Arskey and O’Malley’s five stage framework. Results.Twenty-nine articles were included in the final synthesis with the majority being observational research from self-report surveys. Findings support numerous biopsychosocial factors related to sleep including but not limited to functional impairment, injury, overweight/obesity, mood and anxiety, leadership, training environment, work schedule and physical environment. Conclusions: Sleep is a complex interaction of biopsychosocial factors, is vital to understand the lived experience of soldiers and how Army publications are being integrated into the formations to effectively address this issue.

Faculty Mentor

Dana M. Howell, PhD, OTD, OTR/L

Department Affiliation

Occupational Therapy

Committee Member

Cheryl Carrico, Ph.D, OT/L

Department Affiliation

Occupational Therapy

Department Affiliation

Occupational Therapy