Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
Emory University School of Medicine, Atlanta, GA, USA.
Clin Nurs Res. 2024 Nov;33(8):603-609. doi: 10.1177/10547738241282166. Epub 2024 Sep 27.
African American patient populations are disproportionately diagnosed with severe obstructive sleep apnea (OSA) compared to non-Hispanic white adults. Research suggests a link between OSA and anxiety. However, OSA and anxiety symptoms may present differently across minority groups. Research examining the reliability and validity of measures used to assess anxiety symptom severity in African American patient populations living with OSA is needed. This pilot study evaluated the reliability and validity of the Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety short form and the longer State-Trait Anxiety Inventory-State (STAI-S) in a sample of African American adults recently diagnosed with OSA. In this cross-sectional pilot study, 32 African American patients newly diagnosed with OSA were recruited from an academic sleep medicine clinic in the Southeastern United States to complete survey measures. Participants completed the 6-item PROMIS Anxiety short form and 20-item STAI-S. Cronbach's alphas assessed the internal reliability of measures, and concurrent validity between measures was assessed using correlation coefficients (). Both PROMIS Anxiety and STAI-S showed excellent internal consistency with Cronbach's α ≥.90. The PROMIS Anxiety T-scores and STAI-S scores were positively moderately correlated with each other ( = .68; < .0001), indicating concurrent validity. These results illustrate that both the PROMIS Anxiety and STAI-S scales have strong internal reliability in this sample of African American adults with co-occurring OSA and prediabetes. The brief PROMIS Anxiety short-form measure is validated to the longer STAI measure in this sample. An advantage of the PROMIS Anxiety scale is that it has a lower participant burden when completing questionnaires, contributing to a more refined approach to diagnosis and management when both OSA and anxiety coexist. These findings also underscore the importance of validating psychometric measures in marginalized populations, such as African Americans, who have historically been underrepresented in psychometric research.
非裔美国患者人群被诊断为严重阻塞性睡眠呼吸暂停（OSA）的比例明显高于非西班牙裔白人成年人。研究表明 OSA 与焦虑之间存在关联。然而，OSA 和焦虑症状在少数族裔群体中的表现可能不同。需要研究评估用于评估患有 OSA 的非裔美国患者人群焦虑症状严重程度的测量工具的可靠性和有效性。这项初步研究评估了患者报告的结果测量信息系统（PROMIS）焦虑简表和较长的状态-特质焦虑量表-状态（STAI-S）在最近被诊断为 OSA 的非裔美国成年人样本中的可靠性和有效性。在这项横断面初步研究中，从美国东南部的一家学术睡眠医学诊所招募了 32 名新诊断为 OSA 的非裔美国患者完成调查测量。参与者完成了 6 项 PROMIS 焦虑简表和 20 项 STAI-S。克朗巴赫的 α 评估了测量的内部可靠性，并且使用相关系数（）评估了测量之间的同时有效性。PROMIS 焦虑和 STAI-S 均表现出极好的内部一致性，克朗巴赫的α≥.90。PROMIS 焦虑 T 分数和 STAI-S 分数彼此呈正中度相关（=.68；<.0001），表明具有同时有效性。这些结果表明，在患有 OSA 和前驱糖尿病的非裔美国成年人样本中，PROMIS 焦虑和 STAI-S 量表均具有很强的内部可靠性。PROMIS 焦虑简短形式测量在该样本中与较长的 STAI 测量具有有效性。PROMIS 焦虑量表的一个优势是，在完成问卷时，参与者的负担较低，当 OSA 和焦虑并存时，有助于更精细的诊断和管理方法。这些发现还强调了在非裔美国人等边缘化人群中验证心理计量测量的重要性，因为在心理计量研究中，非裔美国人历来代表性不足。
