Long ZhengDa, Huang LiPing
Nursing Department, Wuming Hospital of Guangxi Medical University, 26 Yongning Road, Wuming District, Nanning, Guangxi, 530105, China.
BMC Public Health. 2025 Apr 3;25(1):1257. doi: 10.1186/s12889-025-22455-3.
It is evident that there are some discrepancies in the connotations and substance of sleep health literacy and health literacy. The latter encompasses a broader construct, including health-related knowledge and the capacity for decision-making in domains such as diet, exercise, mental well-being and disease prevention. In contrast, sleep health literacy is a more specialised domain that aims to assist individuals in optimising their sleep quality and modifying their sleep behaviour.Sleep health literacy is defined as a specialized extension of general health literacy, with a specific focus on sleep-related knowledge and behaviors. Sleep health literacy is defined as the ability of an individual to obtain, understand, analyse and apply basic sleep health information or services and to make correct sleep health decisions.However, no formal assessment tool for sleep health literacy has been developed to date. Therefore, the Sleep Health Literacy Scale for College Students (SHLS-ST) was developed and its reliability was tested.
The present study is founded upon extant theoretical frameworks and scales, in addition to comprehensive literary research, group interviews, and the Delphi expert consultation method. We administered questionnaires to on 300 college students, and the survey data were used for item analysis, exploratory factor analysis, confirmatory factor analysis, convergent validity, discriminant validity, and correlation analysis. These analyses were used to test the structural validity and reliability of the SHLS-ST.
The Sleep Health Literacy Scale for College Students was developed with 26 items. Exploratory factor analysis yielded five common factors, with a cumulative variance contribution of 72.05%, and Pearson's correlation coefficients between the five factor scores and the total scale score ranging from 0.568 to 0.947. The overall Cronbach's α coefficient of the scale was 0.960, the overall split-half reliability of the scale was 0.922, and the reliability coefficient of the test-retest reliability of 77 college students after an interval of half a month was 0.974.
The Sleep Health Literacy Scale for College Students has a good reliability and validity, and is suitable for the assessment of college students' sleep health literacy. However, the length of the scale may affect its usability and participants' engagement in the assessment process.
睡眠健康素养与健康素养在内涵和实质方面显然存在一些差异。后者涵盖的概念更为宽泛，包括与健康相关的知识以及在饮食、运动、心理健康和疾病预防等领域的决策能力。相比之下，睡眠健康素养是一个更具专业性的领域，旨在帮助个体优化睡眠质量并改变其睡眠行为。睡眠健康素养被定义为一般健康素养的专门延伸，特别关注与睡眠相关的知识和行为。睡眠健康素养被定义为个体获取、理解、分析和应用基本睡眠健康信息或服务并做出正确睡眠健康决策的能力。然而，迄今为止尚未开发出用于评估睡眠健康素养的正式工具。因此，我们编制了大学生睡眠健康素养量表（SHLS-ST）并对其信度进行了检验。
本研究基于现有的理论框架和量表，此外还进行了全面的文献研究、小组访谈以及德尔菲专家咨询法。我们对300名大学生进行了问卷调查，调查数据用于项目分析、探索性因素分析、验证性因素分析、收敛效度分析（聚合效度分析）、区分效度分析（判别效度分析）以及相关性分析。这些分析用于检验SHLS-ST的结构效度和信度。
编制的大学生睡眠健康素养量表包含26个条目。探索性因素分析得出五个共同因素，累积方差贡献率为72.05%，五个因素得分与总量表得分之间的皮尔逊相关系数在0.568至0.947之间。该量表的总体克朗巴哈α系数为0.960，总体分半信度为0.922，77名大学生间隔半个月后的重测信度系数为0.974。
大学生睡眠健康素养量表具有良好的信度和效度，适用于评估大学生的睡眠健康素养。然而，量表的长度可能会影响其可用性以及参与者在评估过程中的参与度。
