Development and validation of the PROMIS Pediatric Sleep Disturbance and Sleep-Related Impairment item banks
Development and validation of the PROMIS Pediatric Sleep Disturbance and Sleep-Related Impairment item banks
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DOI：
10.1093/sleep/zsy054
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发表时间：
2018-06-01
期刊：
影响因子：
5.6
通讯作者：
Bevans, Katherine B.
中科院分区：
文献类型：
--
作者：
Forrest, Christopher B.;Meltzer, Lisa J.;Bevans, Katherine B.
研究目的：开发和评估儿童报告和父母代理版本的患者报告结局测量信息系统（PROMIS）儿科睡眠障碍和睡眠相关损害项目库的测量属性。方法：全国1104名儿童的样本（8-17岁）和1477名5-17岁儿童的父母，对43个睡眠健康项目进行心理测量学评价。从儿科睡眠诊所招募的儿童和家长的方便样本，以提供证据的措施的有效性，多导睡眠图数据收集从一个亚组的这些children.Results：因素分析建议两个方面：睡眠障碍和白天睡眠相关的损害。最终的条目库包括15个睡眠障碍条目和13个睡眠相关障碍条目。使用项目反应理论的分级反应模型对项目进行校准。在这28个项目中，有16个项目被纳入了PROMIS成人睡眠健康指标。测量的可靠性超过0.90。有效性得到了现有儿科睡眠健康指标相关性的支持，睡眠问题儿童和慢性神经发育障碍儿童的睡眠障碍和睡眠相关障碍评分较高。睡眠健康措施不相关的结果从polysomnography.Conclusions：PROMIS儿科睡眠障碍和睡眠相关障碍项目银行提供主观评估的儿童的困难下降和保持睡眠，以及白天嗜睡及其对功能的影响。它们可能在未来的临床研究和实践中被证明是有用的。未来的研究应评估其对不同患者人群临床变化的反应。
Study Objectives: To develop and evaluate the measurement properties of child-report and parent-proxy versions of the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Sleep Disturbance and Sleep-Related Impairment item banks.Methods: A national sample of 1104 children (8-17 years old) and 1477 parents of children 5-17 years old was recruited from an internet panel to evaluate the psychometric properties of 43 sleep health items. A convenience sample of children and parents recruited from a pediatric sleep clinic was obtained to provide evidence of the measures' validity; polysomnography data were collected from a subgroup of these children.Results: Factor analyses suggested two dimensions: sleep disturbance and daytime sleep-related impairment. The final item banks included 15 items for Sleep Disturbance and 13 for Sleep-Related Impairment. Items were calibrated using the graded response model from item-response theory. Of the 28 items, 16 are included in the parallel PROMIS adult sleep health measures. Reliability of the measures exceeded 0.90. Validity was supported by correlations with existing measures of pediatric sleep health and higher sleep disturbance and sleep-related impairment scores for children with sleep problems and those with chronic and neurodevelopmental disorders. The sleep health measures were not correlated with results from polysomnography.Conclusions: The PROMIS Pediatric Sleep Disturbance and Sleep-Related Impairment item banks provide subjective assessments of child's difficulty falling and staying asleep as well as daytime sleepiness and its impact on functioning. They may prove useful in the future for clinical research and practice. Future research should evaluate their responsiveness to clinical change in diverse patient populations.