What It Means
A bedtime routine is the set of quiet steps a child follows in the same order every night before falling asleep. The American Academy of Pediatrics (AAP) sums up one version for young children as Brush, Book, Bed: brush teeth, read a book or two, and go to bed at a regular time. A predictable routine helps a child know what comes next, which the AAP says can ease the stress some families feel at bedtime.
Try It: Work Out When the Bedtime Routine Starts
Pick your child's age group and wake-up time. The tool counts back the lowest number of hours in the AASM range to find the latest lights-out, then starts the routine 30 minutes earlier, the lead time the AAP's Brush, Book, Bed uses.
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AASM range for ages 6 to 12: 9 to 12 hours. An earlier lights-out gives more of it.
AASM range for ages 13 to 18: 8 to 10 hours. An earlier lights-out gives more of it.
How It Sounds at Home
- "Teeth, book, lights out."
- "Two stories tonight, then sleep."
- "Bath time means bedtime's coming."
The Breakdown
How to build one
- Set a bedtime from the wake-up time, using the sleep hours for your child's age (the tool above does the counting).
- Start the routine at the same time every night. The AAP's Brush, Book, Bed materials suggest beginning 30 minutes before bedtime so there's room for every step.
- Brush teeth. For children under 3, the AAP program says a smear of fluoride toothpaste the size of a grain of rice; for ages 3 to 6, about the size of a small pea.
- Read together. One or two favorite books is the AAP's suggestion.
- Lights out at the same time, with the house as quiet and calm as you can make it.
- Turn off screens ahead of time. The American Academy of Sleep Medicine (AASM) suggests at least 30 minutes before lights out.
Try it today. Tonight, set a timer for 30 minutes before bedtime and run the three steps in the same order: brush, book, bed.
Sleep hours for school-age kids
| Age | Hours per 24 hours (AASM) |
|---|---|
| 6 to 12 years | 9 to 12 |
| 13 to 18 years | 8 to 1010,000 stepsA popular daily step goal that began as the name of a 1960s Japanese pedometer; later studies find health benefits begin well below it. See more |
Where It Comes From
Brush, Book, Bed is a program of the American Academy of Pediatrics aimed at families of children from birth to 6. It ties together three messages: daily toothbrushing, reading aloudReading aloudReading a book out loud with a child, from birth on. The AAP advises it because shared reading builds language, early literacy skills and the parent-child bond. See more and a regular bedtime.
Good to Know
The AASM recommends 9 to 12 hours of sleep per 24 hours for ages 6 to 12 and 8 to 10 hours for ages 13 to 18, and the AAP endorsed those ranges in 2016. HealthyChildren.org's back-to-school advice is to set a consistent bedtime and keep it every night. For toddlersToddlerA child from 1 to 3 years old, the stage CDC's parenting guidance places between infancy and the preschool years. See more and preschoolersPreschoolerA child from 3 to 5 years old, the age band the CDC uses for its preschool parenting guidance. See more, naps count toward the daily total, so ask your pediatrician about the right schedule. If bedtime keeps turning into a fight, Buhata's bedtime battlesBedtime battlesThe nightly struggle when a child stalls, protests or keeps getting out of bed instead of settling down to sleep at bedtime. See more page covers what the AAP and AASM suggest, and if your child seems tired during the day despite enough time in bed, talk with your pediatrician.
FAQ
What is Brush, Book, Bed?
An American Academy of Pediatrics routine for young children: brush teeth, read a book or two, and go to bed at a regular time. It's meant for children from birth to age 6.
When should a bedtime routine start?
The AAP's Brush, Book, Bed materials say to start the routine 30 minutes before bedtime, at the same time every night.
How long before bed should screens go off?
The American Academy of Sleep Medicine suggests turning electronics off at least 30 minutes before lights out. The AAP's Family Media PlanFamily media planA written set of family rules about screens and media, such as screen-free times and places, that each household makes to fit its own routines and values. See more goes further and suggests no screens in the hour before bed.
Do It in Buhata
Reminders, Tasks
Set a daily Reminder in Buhata for 30 minutes before your child's bedtime that says "Brush, book, bed," so the routine starts at the same time each night.
Open BuhataRelated Terms and Categories
- Bedtime battles
The nightly struggle when a child stalls, protests or keeps getting out of bed instead of settling down to sleep at bedtime.
- Sleep schedule
The set times a person goes to bed and gets up each day, planned so they get the hours of sleep recommended for their age.
- Wind-down routine
A set of calm, screen-free activities in the last part of the evening that helps you shift from being awake to falling asleep.
- Family routines
The regular, predictable ways a household handles the repeating parts of the day, such as mornings, meals, homework, chores and bedtime.
- Routine chart
A chart, often with pictures, listing the steps of one routine in order, such as getting ready for school or bed, that a child checks off as they go.
- Screen-free time
Set times or places in a family's day, like meals, bedrooms or the hour before bed, when phones, TVs, tablets and games stay off.
Sources
HealthyChildren.org (American Academy of Pediatrics), "Brush, Book, Bed: How to Structure Your Child's Nighttime Routine"; American Academy of Pediatrics, "Brush, Book, Bed" bookmark (2023); American Academy of Pediatrics, "A Routine to Structure Your Child's Bedtime" handout (2023); American Academy of Sleep Medicine, Sleep Education, "Back to school sleep tips every parent should know"; American Academy of Sleep Medicine, Sleep Education, "Back to school sleep tips for kids"; HealthyChildren.org (American Academy of Pediatrics), "Back-to-School Tips for Families"; HealthyChildren.org (American Academy of Pediatrics), "Bedtime Routines for School-Aged Children"; HealthyChildren.org (American Academy of Pediatrics), "How to Make a Family Media Plan"
- www.healthychildren.org/English/healthy-living/oral-health/Pages/Brush-Book-Bed.aspx
- downloads.aap.org/AAP/PDF/BBB_bookmarks_Jan2023.pdf
- downloads.aap.org/AAP/PDF/BBB_handout_Jan2023.pdf
- sleepeducation.org/back-to-school-sleep-tips-every-parent-should-know
- sleepeducation.org/back-to-school-sleep-tips-for-kids
- www.healthychildren.org/English/ages-stages/gradeschool/school/Pages/back-to-school-tips.aspx
- www.healthychildren.org/English/healthy-living/sleep/Pages/Bedtime-Routines-for-School-Aged-Children.aspx
- www.healthychildren.org/English/family-life/Media/Pages/How-to-Make-a-Family-Media-Use-Plan.aspx
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