A systematic review of patient-reported outcome measures used to assess sleep in postpartum women using Consensus Based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines.
A systematic review of patient-reported outcome measures used to assess sleep in postpartum women using Consensus Based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines.
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使用健康测量仪器选择共识标准 (COSMIN) 指南对用于评估产后妇女睡眠的患者报告的结果测量进行系统回顾。
作者：
Sultan,P;Ando,K;Sultan,E;Hawkins,J;Blake,L;Barwick,F;Kawai,M;Carvalho,B
研究目的我们进行了一项系统性综述，以确定女性产后睡眠的最佳患者报告结局指标（PROM）。方法我们在四个数据库中搜索了用于评估产后睡眠的经验证的PROM。研究被认为是，如果他们评估至少一个心理测量的PROM属性。根据COSMIN标准，为每个PROM的每个心理测量属性分配一个整体性能评级。一个修改后的GRADE方法被用来评估证据的水平和建议，然后为每个PROM.ResultsWe确定了15个验证研究的8个PROM，在9,070产后妇女。通过五种PROM评估足够数量的睡眠领域：卑尔根失眠量表（BIS）、匹兹堡睡眠质量指数（PSQI）、一般睡眠障碍量表（GSDS）、雅典失眠量表（AIS）和睡眠症状检查表（SSC）。BIS和GSDS是仅有的证明了足够的内容有效性和足够的内部一致性的低水平证据的PROM，导致A类建议。BIS是唯一的PROM，这是很容易获得和免费使用的非商业研究，达到了A类recommendation.ConclusionThe BIS是目前最好的PROM产后睡眠。然而，这个PROM未能评估几个重要的领域，如睡眠时间（和效率），时钟类型，睡眠呼吸障碍和药物使用。未来的研究应侧重于评估BIS在北美环境和不同文化群体中的心理测量特性，或制定更具体的产后睡眠PROM。
Study ObjectivesWe performed a systematic review to identify the best patient-reported outcome measure (PROM) of postpartum sleep in women.MethodsWe searched four databases for validated PROMs used to assess postpartum sleep. Studies were considered if they evaluated at least one psychometric measurement property of a PROM. An overall performance rating was assigned for each psychometric measurement property of each PROM based upon COSMIN criteria. A modified GRADE approach was used to assess the level of evidence and recommendations were then made for each PROM.ResultsWe identified 15 validation studies of eight PROMs, in 9,070 postpartum women. An adequate number of sleep domains was assessed by five PROMs: Bergen Insomnia Scale (BIS), Pittsburgh Sleep Quality Index (PSQI), General Sleep Disturbance Scale (GSDS), Athens Insomnia Scale (AIS), and the Sleep Symptom Checklist (SSC). BIS and GSDS were the only PROMs to demonstrate adequate content validity and at least a low level of evidence of sufficient internal consistency, resulting in Class A recommendations. The BIS was the only PROM, which is easily accessible and free to use for noncommercial research, that achieved a Class A recommendation.ConclusionThe BIS is the best currently available PROM of postpartum sleep. However, this PROM fails to assess several important domains such as sleep duration (and efficiency), chronotype, sleep-disordered breathing and medication usage. Future studies should focus on evaluating the psychometric measurement properties of BIS in the North American setting and in different cultural groups, or to develop a more specific PROM of postpartum sleep.