The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring

The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring
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DOI:
10.5665/sleep.1642
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发表时间:
2012-02-01
期刊:
影响因子:
5.6
通讯作者:
Morin, Charles M.
Morin, Charles M.
中科院分区:
医学2区
文献类型:
--
作者:
Carney, Colleen E.;Buysse, Daniel J.;Morin, Charles M.

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研究目的:提出一个专家共识的、标准化的、患者知情的睡眠日记。方法与结果:收集并回顾匹兹堡评估会议(1)原专家组25名与会者的睡眠日记。一小部分专家组成了一个委员会,审查汇编的日记。被认为是必要的项目被包括在核心睡眠日记中,而那些被认为是可选的被保留在一个扩展日记中。其次,可选项目将在其他版本中提供。核心草案和备选版本连同反馈问卷已发送给匹兹堡评估会议的成员。小组的反馈被整合,日记草稿被提交给6个焦点小组,这些小组由睡眠良好者、失眠症患者和睡眠呼吸暂停患者组成。这些数据被总结为主题,并根据焦点小组的意见对草稿进行了修改。产生的草案由另一个焦点小组进行评估,并进行弹性分析。弹性分析表明,核心日记的指导是六年级的阅读水平,核心日记的写作是三年级的阅读水平。结论:共识睡眠日记是失眠专家和潜在用户合作的结果。采用标准的失眠睡眠日记将促进研究之间的比较,并推动该领域的发展。建议的日记是作为一个活生生的文档,仍然需要测试、完善和验证。
Study Objectives: To present an expert consensus, standardized, patient-informed sleep diary.Methods and Results: Sleep diaries from the original expert panel of 25 attendees of the Pittsburgh Assessment Conference(1) were collected and reviewed. A smaller subset of experts formed a committee and reviewed the compiled diaries. Items deemed essential were included in a Core sleep diary, and those deemed optional were retained for an expanded diary. Secondly, optional items would be available in other versions. A draft of the Core and optional versions along with a feedback questionnaire were sent to members of the Pittsburgh Assessment Conference. The feedback from the group was integrated and the diary drafts were subjected to 6 focus groups composed of good sleepers, people with insomnia, and people with sleep apnea. The data were summarized into themes and changes to the drafts were made in response to the focus groups. The resultant draft was evaluated by another focus group and subjected to lexile analyses. The lexile analyses suggested that the Core diary instructions are at a sixth-grade reading level and the Core diary was written at a third-grade reading level.Conclusions: The Consensus Sleep Diary was the result of collaborations with insomnia experts and potential users. The adoption of a standard sleep diary for insomnia will facilitate comparisons across studies and advance the field. The proposed diary is intended as a living document which still needs to be tested, refined, and validated.