Content validity of the Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep Related Impairment item banks in adolescents

Content validity of the Patient-Reported Outcomes Measurement Information System Sleep Disturbance and Sleep Related Impairment item banks in adolescents
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DOI:
10.1186/s12955-016-0496-5
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发表时间:
2016-06-18
影响因子:
3.6
通讯作者:
van Litsenburg, Raphaele R. L.
van Litsenburg, Raphaele R. L.
中科院分区:
医学3区
文献类型:
--
作者:
van Kooten, Jojanneke A. M. C.;Terwee, Caroline B.;van Litsenburg, Raphaele R. L.

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背景:睡眠问题在青少年中很常见,并且会对日常功能和生活质量产生负面影响;因此,认识到睡眠问题很重要。PROMIS(患者报告结果信息系统)睡眠障碍(SD)和睡眠相关障碍(SRI)项目库是国际上使用的,经过良好验证的工具,为成人开发和测试。本研究评估了青少年promise - sd和promise - sri的自我和代理版本的内容效度。方法:专家(n = 6)、青少年(n = 24)、12 ~ 18岁青少年(n = 7)及其家长(n = 7)对题库的相关性和可理解性进行评价。结果:专家认为所有项目都是相关的,只有少数项目被青少年和家长认为是不相关的。大多数项目是可以理解的。父母报告青少年睡眠情况的能力是有限的。结论:promise - sd和promise - sri在青少年中具有足够的内容效度。考虑到它们的心理测量稳健性和计算机化自适应测试的可能性,这种测试既有效又对患者友好,这些题库可能在青少年睡眠评估中非常有用。然而,考虑到家长报告的困难,代理量表的有效性受到限制。需要对青少年的这些量表进行进一步的心理测量评估。
Background: Sleep problems are common in adolescents and can have a negative impact on daily functioning and quality of life; therefore recognition of sleep problems is important. The PROMIS (Patient-Reported Outcomes Information System) Sleep Disturbance (SD) and Sleep Related Impairment (SRI) items banks are internationally used, well-validated instruments developed for and tested in adults. This study evaluates the content validity of the self-and proxy versions of the PROMIS-SD and the PROMIS-SRI in adolescents.Methods: Experts (n = 6), adolescents (n = 24, 12-18 years) and their parents (n = 7) commented on the relevance and comprehensibility of the item banks.Results: Experts considered all items relevant, only a few items were found irrelevant by adolescents and parents. The majority of items were comprehensible. The ability of parents to report on their adolescent's sleep was limited.Conclusion: The PROMIS-SD and PROMIS-SRI have adequate content validity in adolescents. Considering their psychometric robustness and the possibility of Computerized Adaptive Testing, which is efficient as well as patient-friendly, these item banks could prove very useful in the evaluation of adolescent sleep. The validity of the proxy scales, however, is limited considering the difficulties reported by the parents. Further psychometric evaluation of these scales in adolescents is required.