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Published on: August 8, 2019
Validity and reliability of sleep time questionnaires in children and adolescents: A systematic review and
Marcus V Nascimento-Ferreira1, Tatiana S Collese2, Augusto César F de Moraes2
1Youth/Child and Cardiovascular Risk and Environmental (YCARE) Research Group, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil; Department of Preventive Medicine, School of Medicine of the University of São Paulo, São Paulo, Brazil.
Insights
Sleep questionnaires for children and adolescents show moderate to strong validity when compared to accelerometers. Reliability assessments further strengthen the accuracy of these sleep duration tools.
Area of Science:
- Pediatrics
- Sleep Medicine
- Biostatistics
Background:
- Sleep duration is crucial for child and adolescent health.
- Numerous questionnaires exist to measure sleep patterns.
- Objective measurement of sleep is needed for validation.
Purpose of the Study:
- To systematically review the criterion validity of sleep time questionnaires for children and adolescents.
- To compare questionnaire data against accelerometer measurements.
- To assess the impact of questionnaire reliability on validity.
Main Methods:
- Systematic review of criterion validation studies.
- Use of accelerometers as the reference standard.
- Analysis of correlations between questionnaires and accelerometers.
- Inclusion of studies with reliability assessments.
Main Results:
- Strong correlation found between questionnaires and accelerometers for weeknights.
- Moderate correlation found for weekend nights.
- Reliability assessment significantly improved correlations for both weeknights and weekend nights.
Conclusions:
- Sleep time questionnaires demonstrate moderate to strong criterion validity in pediatric populations.
- Questionnaire reliability is a key factor in enhancing validation performance.
- Validated questionnaires are valuable tools for sleep research in children and adolescents.
Abstract:
Sleep duration has been associated with several health outcomes in children and adolescents. As an extensive number of questionnaires are currently used to investigate sleep schedule or sleep time, we performed a systematic review of criterion validation of sleep time questionnaires for children and adolescents, considering accelerometers as the reference method. We found a strong correlation between questionnaires and accelerometers for weeknights and a moderate correlation for weekend nights. When considering only studies performing a reliability assessment of the used questionnaires, a significant increase in the correlations for both weeknights and weekend nights was observed. In conclusion, moderate to strong criterion validity of sleep time questionnaires was observed; however, the reliability assessment of the questionnaires showed strong validation performance.
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