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Sleep by Cleveland Clinic 2

Evidence Tier:DOCUMENTED

Published in academic literature

For:General Public & EnthusiastsPatients & Caregivers

App Summary

Sleep by Cleveland Clinic 2 is a screening tool that uses validated questionnaires to help adults assess their personal risk for common sleep disorders like sleep apnea, insomnia, and shift work disorder. The associated research (N=4,188 assessments) found a high prevalence of sleep disorder risk among users, with a majority of respondents indicating they would discuss their scores with a healthcare provider. The authors conclude the app is a favorable tool for assessing sleep disorder risk, helping individuals identify when to seek further evaluation from a provider.

App Screenshots

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Detailed Description

Functionality & Mechanism

Developed by Cleveland Clinic sleep experts, this application facilitates preliminary risk assessment for common sleep disorders. The interface administers a series of validated screening instruments, including the Cleveland Clinic sleep apnea probability score, the Insomnia Severity Index (ISI), and a shift work disorder questionnaire. The system immediately calculates and presents risk scores with corresponding explanations for each assessed disorder. It also integrates educational content on sleep hygiene and provides pathways for users to connect with sleep specialists for comprehensive evaluation.

Evidence & Research Context

  • An analysis of data from 4,188 completed in-app assessments demonstrated a high prevalence of risk for common sleep disorders among users.
  • The application integrates established, validated instruments, including the Cleveland Clinic sleep apnea probability score, the Insomnia Severity Index (ISI), and a validated shift work disorder (SWD) tool.
  • Among respondents, 66.1% were identified as high risk for obstructive sleep apnea (OSA), and a combined 49.4% showed moderate or severe insomnia risk.
  • User feedback from a subset of respondents (N≈400) indicated favorable usability, with 61% reporting they would discuss their scores with a healthcare provider.

Intended Use & Scope

This application is designed for the general public as an educational and preliminary risk-screening tool. Its primary utility is to facilitate identification of potential risk for sleep disorders and to promote informed consultation with healthcare professionals. The system does not provide a clinical diagnosis and is not a substitute for comprehensive medical evaluation by a qualified provider.

Studies & Publications

1 publication

Peer-reviewed research associated with this app.

Survey/Cross-sectional

Sleep by Cleveland Clinicâ"¢: A Mobile Application to Screen for Sleep Disorders (P9-4.006)

Johnson et al. (2025) · Neurology

The app effectively screened users for common sleep disorders using validated assessment tools.
Objective: To evaluate the risk of sleep disorders using a mobile application. Background: Seventy million Americans suffer from sleep disorders, but few are diagnosed and treated due to limited sleep education among healthcare providers and access to sleep experts. We developed a free mobile application to assess the risk of common sleep disorders. Design/Methods: Sleep by Cleveland Clinic™ is an iOS and android mobile application that offers risk assessments for common sleep disorders. It includes the Cleveland Clinic sleep apnea probability score validated by polysomnography (Katzan IL, 2016), Insomnia severity index (ISI) (Morin CM, 2011), total sleep duration, and a validated shift work disorder (SWD) instrument (Barger LK, 2012). Users can access educational resources and nearby accredited sleep centers. Results: As of August 2024, the application had 5,195 downloads from 5,187 unique users, predominantly female (65.4%), mean (SD) age of 52 (±15) years. Users were employed full-time: 56.6%, part-time: 9.7%, retired: 24.1%, and unemployed: 9.6%. Of those employed, 87% worked day, 4.5% night, 3.3% evening and 5.2% rotating shifts. Regular sleep schedules were reported by 56.2% and sleep aid use by 40.3%. Of 4,188 completed assessments, 2,770 (66.1%) were high risk for OSA, 771 (18.4%) were high risk for moderate-severe OSA. Median (IQR) ISI was 14 (10,19), with 32.9%, 35.8% and 13.6% experiencing mild, moderate or severe insomnia risk respectively. 44.3% of 444 respondents were at high risk of SWD. Median (IQR) sleep duration was 8.1 hours (7.3, 9.0) and 11.9% slept less than 7 hours. 66.5% of 409 respondents found the application easy to use, and 61% of 400 indicated they would discuss their scores with healthcare provider. Conclusions: Using a free mobile application with validated sleep disorder screening instruments, we found a high prevalence of common disorders. User feedback was favorable. This tool assesses sleep disorder risk at individual and population levels.
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Sleep by Cleveland Clinic 2

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