Phelps Colton, Bellon Sarah, Hinkey Michelle, Nash Anthony, Boyd Jada, Cook Chad E, Garcia Alessandra N
Duke University Division of Physical Therapy, Duke Department of Orthopaedic Surgery, Durham, NC, USA.
Duke University Division of Physical Therapy, Duke Department of Orthopaedic Surgery, Durham, NC, USA.
Sleep Med. 2020 Oct;74:315-331. doi: 10.1016/j.sleep.2020.06.028. Epub 2020 Jul 2.
To provide a comprehensive overview of the measurement properties of patient-reported outcome measures (PROMs) used to assess sleep quality in adult patients with prevalent pain-related conditions.
Without language restrictions PubMed, Scopus, and Embase were searched from their inception to January 2020. Independent reviewers screened and selected studies, extracted data, assessed the methodological quality using the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) Risk of Bias checklist, and performed an evidence synthesis for each measurement property. The results were classified as sufficient, insufficient, inconsistent, or indeterminate, and quality of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
Nineteen studies were included investigating twelve PROMs and six pain-related conditions. Reliability, internal consistency, structural and construct validity were the most prevalent measurement properties investigated across the studies. Three questionnaires were investigated in more than one study (Jenkins Sleep Scale [JSS] and Pittsburgh Sleep Quality Scale [PSQI] and the Medical Outcomes Study-Sleep Scale [MOS-SS]). High-quality evidence was reported for sufficient content validity in the JSS and indeterminate responsiveness in the MOS-SS. Moderate to high evidence was reported for sufficient structural validity in the MOS-SS and PSQI and sufficient and insufficient construct validity in the JSS And MOS-SS. Low to high evidence was reported for sufficient internal consistency in the MOS-SS and PSQI, while low to moderate evidence for sufficient reliability in the JSS, MOS-SS, and PSQI.
Studies reporting the most measurement properties included the JSS, MOS-SS, and PSQI in multiple prevalent pain-related conditions. Given this, not all measurement properties have been reported for these as well as other questionnaires, and much investigation is needed to ensure the quality of these questionnaires within high prevalence chronic pain conditions.
CRD42019136623.
全面概述用于评估患有常见疼痛相关疾病的成年患者睡眠质量的患者报告结局测量指标（PROMs）的测量属性。
不受语言限制，检索了自成立至2020年1月的PubMed、Scopus和Embase。独立评审员筛选并选择研究、提取数据、使用基于共识的健康测量工具选择标准（COSMIN）偏倚风险清单评估方法学质量，并对每个测量属性进行证据综合。结果分为充分、不足、不一致或不确定，并使用推荐分级评估、制定和评价（GRADE）方法评估证据质量。
纳入了19项研究，调查了12种PROMs和6种疼痛相关疾病。可靠性、内部一致性、结构和构想效度是各项研究中最常调查的测量属性。有三项问卷在不止一项研究中被调查（詹金斯睡眠量表[JSS]、匹兹堡睡眠质量量表[PSQI]和医学结局研究睡眠量表[MOS-SS]）。报告了JSS中充分内容效度的高质量证据和MOS-SS中不确定反应性的证据。报告了MOS-SS和PSQI中充分结构效度的中等到高质量证据，以及JSS和MOS-SS中充分和不足构想效度的证据。报告了MOS-SS和PSQI中充分内部一致性的低到高质量证据，而JSS、MOS-SS和PSQI中充分可靠性的证据为低到中等质量。
报告测量属性最多的研究包括在多种常见疼痛相关疾病中的JSS、MOS-SS和PSQI。鉴于此，这些问卷以及其他问卷并非所有测量属性都有报告，需要进行大量调查以确保这些问卷在高患病率慢性疼痛疾病中的质量。
国际前瞻性系统评价注册库（PROSPERO）：CRD42019136623。
