Karim Azmat, Arora V K, Gupta M B
Santosh Medical College and Hospital, Ghaziabad, U.P., India.
Santosh Medical College and Hospital, Ghaziabad, U.P., India.
Indian J Tuberc. 2015 Oct;62(4):222-5. doi: 10.1016/j.ijtb.2015.12.002. Epub 2016 Jan 27.
The Epworth Sleepiness Scale (ESS) is a widely used scoring to measure excessive daytime sleepiness. This scale was designed to be self-completed by the subjects, but unfortunately in a developing country with low literacy this had affected its outcome interpretation. The Traditional ESS has been translated into a Modified Pictorial version for easy comprehension by the patients.
Subjects were evaluated for their competence to self-complete the ESS (Conventional and Pictorial) in Sleep Clinic at Respiratory Department of Santosh Medical College and Hospital, Ghaziabad. Modified Pictorial representations were designed along with 5 newer questions incorporated as sub-questions in 8 original domains prepared and labelled as Pictorial Scale. The Traditional (ESS) and Pictorial (Modified) representations were compared for agreement by receiver operating curve and the area under curve.
It was found that time taken to complete the Traditional ESS was significantly higher in comparison to Modified Pictorial Epworth Sleepiness Scale with reduced errors (Pictorial ESS 4.67min than Traditional ESS 14.43min).
Modified pictures scale showed statistically significant improvements over ESS and hence can be used as an alternative for subjects with low literacy level.
爱泼沃斯思睡量表（ESS）是一种广泛用于测量日间过度嗜睡的评分工具。该量表设计为由受试者自行填写，但不幸的是，在一个识字率较低的发展中国家，这影响了其结果解读。传统的ESS已被翻译成改良的图片版本，以便患者易于理解。
在加济阿巴德桑托什医学院和医院呼吸科睡眠诊所，对受试者自行完成ESS（传统版和图片版）的能力进行评估。设计了改良的图片表示形式，并在准备好的8个原始领域中纳入5个新问题作为子问题，并标记为图片量表。通过受试者工作曲线和曲线下面积比较传统（ESS）和图片（改良）表示形式的一致性。
发现与改良的图片版爱泼沃斯思睡量表相比，完成传统ESS所需的时间显著更长，且错误减少（图片版ESS为4.67分钟，传统ESS为14.43分钟）。
改良的图片量表在统计学上比ESS有显著改进，因此可作为识字水平较低受试者的替代工具。
