Project Performance Site: Applied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA.
Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Sleep. 2018 Jun 1;41(6). doi: 10.1093/sleep/zsy054.
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.
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.
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.
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.
开发和评估儿童报告和父母代理版患者报告的结局测量信息系统（PROMIS）儿科睡眠障碍和睡眠相关障碍条目库的测量特性。
从互联网小组招募了 1104 名 8-17 岁的儿童和 1477 名 5-17 岁儿童的父母作为全国样本，以评估 43 项睡眠健康项目的心理测量特性。从儿科睡眠诊所招募了儿童和父母的便利样本，以提供这些措施有效性的证据；从这些孩子中收集了亚组的多导睡眠图数据。
因素分析表明有两个维度：睡眠障碍和白天睡眠相关障碍。最终的条目库包括睡眠障碍的 15 项和睡眠相关障碍的 13 项。使用项目反应理论的等级反应模型对项目进行校准。在 28 个项目中，16 个包含在平行的 PROMIS 成人睡眠健康测量中。该措施的可靠性超过 0.90。与儿童睡眠健康的现有测量以及睡眠问题和慢性和神经发育障碍儿童的更高睡眠障碍和睡眠相关障碍评分的相关性支持了有效性。睡眠健康措施与多导睡眠图的结果没有相关性。
PROMIS 儿科睡眠障碍和睡眠相关障碍条目库提供了儿童入睡和保持睡眠困难以及白天嗜睡及其对功能影响的主观评估。它们将来可能对临床研究和实践有用。未来的研究应评估它们对不同患者群体的临床变化的反应能力。
