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Updated: Mar 31, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Validation of a three-dimensional model about sleep: Habits, personal factors and environmental factors
Teresa Rebelo-Pinto1, Joana Carneiro Pinto2, Helena Rebelo-Pinto2
1CENC - Lisbon Sleep Center, Rua Conde das Antas, 5, 1070-068 Lisbon, Portugal.
Objectives:
The present study aims to test the factor structure of two sleep questionnaires and their internal consistency in a sample of adolescents and their respective parents and to evaluate the validity and robustness of a three-dimensional model about sleep, addressing nine subcategories related to sleep habits, personal and environmental factors.
Methods:
Participants were 654 adolescents from Portuguese schools, who completed "My Sleep and I" questionnaire, and 664 parents who completed "My child׳s sleep" questionnaire; to them confirmatory factor analysis was applied.
Results:
Confirmatory factor analysis indicate that a nine-factor model has better fit indices compared with the others tested models for both samples (adolescents: χ (2)/df (Chi-square/degrees of freedom)=2.59, Comparative Fit Index (CFI)=.82, Goodness-of-Fit Index (GFI)=.92, Root Mean Square Error of Approximation (RMSEA)=.049, Expected Cross-Validation Index (ECVI)=1.416; Parents: χ (2)/df=2.89, CFI=.85, GFI=.91, RMSEA=.053, ECVI=1.528). Moreover, the comparison of the models through Δχ (2) index (chi-square difference between rival models) indicates a better fit for this model, Δχ (2) (24)=186.5, p<.001 for adolescents and Δχ (2) (24)=209, p<.001 for parents. Also, the three second-order factors have good internal consistency, convergent and discriminant validity for all factors in both samples.
Conclusions:
Results postulate that the three factors and their nine subcategories account for correlations between sleep habits, self-perceptions and knowledge about sleep.
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