Development and Validation of Patient-Reported Outcome Measures for Sleep Disturbance and Sleep-Related Impairments
Development and Validation of Patient-Reported Outcome Measures for Sleep Disturbance and Sleep-Related Impairments
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DOI：
10.1093/sleep/33.6.781
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发表时间：
2010-06-01
期刊：
影响因子：
5.6
通讯作者：
Pilkonis, Paul A.
中科院分区：
文献类型：
--
作者：
Buysse, Daniel J.;Yu, Lan;Pilkonis, Paul A.
研究目的：开发一个评估睡眠障碍和睡眠相关损害（SRI）的自我报告问题档案，从这个档案中开发项目库，并在临床和社区参与者的样本中使用经典验证技术和项目反应理论分析来验证和校准项目库。设计：横断面自我报告研究。设置：学术医疗中心和参与者家庭。参与者：1993名成年人从互联网民意调查样本和259名成年人从医疗，精神病和睡眠clinics.Interventions招募：无测量和结果：这项研究是PROMIS（患者报告的结果信息系统），美国国立卫生研究院的路线图倡议的一部分。通过文献检索、项目收集和分类、专家内容审查、定性患者研究和试点测试的迭代过程开发了自我报告项目库。内部一致性，收敛效度，探索性和验证性因素分析，在所产生的题库进行了检查。因子分析确定了2个初步的条目库，睡眠障碍和SRI。项目反应理论分析和专家内容审查将试题库分别缩小到27和16个项目。有效性的项目银行支持中度到高度相关性与现有的规模和睡眠障碍和SRI分数之间的显着差异，参与者和没有sleep disorders.Conclusions：PROMIS睡眠障碍和SRI项目银行具有良好的测量性能，并可能被证明是有用的，用于评估一般方面的睡眠和SRI与不同的患者和干预措施。
Study Objectives: To develop an archive of self-report questions assessing sleep disturbance and sleep-related impairments (SRI), to develop item banks from this archive, and to validate and calibrate the item banks using classic validation techniques and item response theory analyses in a sample of clinical and community participants.Design: Cross-sectional self-report study.Setting: Academic medical center and participant homes.Participants: One thousand nine hundred ninety-three adults recruited from an Internet polling sample and 259 adults recruited from medical, psychiatric, and sleep clinics.Interventions: None.Measurements and Results: This study was part of PROMIS (Patient-Reported Outcomes Information System), a National Institutes of Health Roadmap initiative. Self-report item banks were developed through an iterative process of literature searches, collecting and sorting items, expert content review, qualitative patient research, and pilot testing. Internal consistency, convergent validity, and exploratory and confirmatory factor analysis were examined in the resulting item banks. Factor analyses identified 2 preliminary item banks, sleep disturbance and SRI. Item response theory analyses and expert content review narrowed the item banks to 27 and 16 items, respectively. Validity of the item banks was supported by moderate to high correlations with existing scales and by significant differences in sleep disturbance and SRI scores between participants with and without sleep disorders.Conclusions: The PROMIS sleep disturbance and SRI item banks have excellent measurement properties and may prove to be useful for assessing general aspects of sleep and SRI with various groups of patients and interventions.