荷兰睡眠障碍问卷在伊朗人群中的心理测量学特性评估。
Assessment of the Psychometric Properties of the Holland Sleep Disorders Questionnaire in the Iranian Population.
作者信息
Khazaie Habibolah, Jalali Amir, Mohammadi Reza, Chehri Azita, Khazaie Amirhossein
机构信息
Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran.
Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Iran.
出版信息
Sleep Disord. 2022 Mar 14;2022:1367067. doi: 10.1155/2022/1367067. eCollection 2022.
BACKGROUND
Assessing sleep disorders and understanding their causes are essential for the proper treatment and management of the disorders. The Holland Sleep Disorders Questionnaire (HSDQ) is a self-assessment questionnaire that measures sleep problems and symptoms based on the six categories of sleep disorders described in the International Classification of Sleep Disorders-2 (ICSD-2). The aim of this study was at validating and assessing the psychometric properties of the HSDQ in Iranian adults.
METHOD
The study was carried out as a methodological and validation work. The guidelines for translation and cultural adaptation of patient-reported outcome measures were followed for the translation and the cultural validation of the tool. To examine construct validity, exploratory factor analysis (EFA) with 216 participants and confirmatory factor analysis (CFA) with 355 participants were used. As to the reliability, the test-retest method and, as to internal consistency, Cronbach's alpha were employed. Data analyses were done in SPSS-25 and LISREL-8.
RESULTS
The CFA and EFA results confirmed the tool with six factors and 31 items. The index of the model was 0.99, which indicated that 99% of changes in the dependent variable (adults' sleep problem) were attributed to the independent variable (the 31 items). In other words, 0.99 of the changes in the dependent variable were due to the independent variables. The main indices of CFA ( /DF = 2.65, CFI = 0.91NNFI/TLI = 0.92GFI = 0.81, REMSEA = 0.043, = 0.99) were acceptable. In addition, a correlation coefficient below 0.05 was considered as significant. Reliability of the tool based on internal correlation (Cronbach's alpha) was in the 0.701-0.924 range for the subscales and equal to 0.789 for the whole tool.
CONCLUSION
In general, the results showed that the Farsi version of HSDQ (six factors and 31 items) had acceptable and applicable indices and it can be used as a valid tool in the Iranian society. The tool can be used as a reliable tool in different fields of medical sciences.
背景
评估睡眠障碍并了解其成因对于这些疾病的恰当治疗和管理至关重要。荷兰睡眠障碍问卷（HSDQ）是一种自我评估问卷，它基于《国际睡眠障碍分类第2版》（ICSD - 2）中描述的六类睡眠障碍来衡量睡眠问题和症状。本研究的目的是验证和评估HSDQ在伊朗成年人中的心理测量特性。
方法
本研究作为一项方法学和验证性工作开展。遵循患者报告结局测量的翻译和文化适应指南对该工具进行翻译和文化验证。为检验结构效度，对216名参与者使用探索性因子分析（EFA），对355名参与者使用验证性因子分析（CFA）。关于信度，采用重测法，关于内部一致性，采用克朗巴哈α系数。数据分析在SPSS - 25和LISREL - 8中进行。
结果
CFA和EFA结果证实该工具包含六个因子和31个项目。模型的 指数为0.99，这表明因变量（成年人睡眠问题）99%的变化归因于自变量（31个项目）。换句话说，因变量0.99的变化是由自变量导致的。CFA的主要指标（/DF = 2.65，CFI = 0.91，NNFI/TLI = 0.92，GFI = 0.81，REMSEA = 0.043， = 0.99）是可接受的。此外，相关系数低于0.05被认为具有显著性。基于内部相关性（克朗巴哈α系数），该工具各子量表的信度在0.701 - 0.924范围内，整个工具的信度等于0.789。
结论
总体而言，结果表明波斯语版的HSDQ（六个因子和31个项目）具有可接受且适用的指标，它可以作为伊朗社会的一种有效工具使用。该工具在医学科学的不同领域都可作为可靠工具使用。
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