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Development and validation of the PROMIS Pediatric Sleep Disturbance and Sleep-Related Impairment item banks

Christopher B Forrest1,2, Lisa J Meltzer3, Carole L Marcus2

  • 1Project Performance Site: Applied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA.

Sleep
|March 17, 2018
PubMed

Insights

New Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Sleep Disturbance and Sleep-Related Impairment item banks offer reliable child and parent assessments for sleep health. These tools aid clinical research and practice in pediatric sleep medicine.

Area of Science:

  • Pediatric Sleep Medicine
  • Psychometrics
  • Patient-Reported Outcomes

Background:

  • Assessing pediatric sleep disturbances and their impact on daily functioning is crucial for effective clinical care and research.
  • Existing measures may not fully capture the subjective experience of sleep issues in children.
  • Development of robust, validated tools is needed to improve pediatric sleep health assessment.

Purpose of the Study:

  • To develop and evaluate the measurement properties of child-report and parent-proxy versions of the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Sleep Disturbance and Sleep-Related Impairment item banks.
  • To establish the reliability and validity of these new pediatric sleep health measures.

Main Methods:

  • A national sample of 1104 children (aged 8-17) and 1477 parents (of children aged 5-17) were recruited from an internet panel.
  • Psychometric properties were evaluated using item-response theory, including factor analysis and reliability testing.
  • Validity was assessed through correlations with existing pediatric sleep health measures and comparisons between clinical and non-clinical groups.

Main Results:

  • Factor analysis identified two dimensions: Sleep Disturbance and Sleep-Related Impairment.
  • The final item banks comprised 15 items for Sleep Disturbance and 13 for Sleep-Related Impairment, demonstrating high reliability (>0.90).
  • Validity was supported by expected correlations with existing measures and higher scores in children with sleep problems or chronic conditions.

Conclusions:

  • The PROMIS Pediatric Sleep Disturbance and Sleep-Related Impairment item banks provide valuable subjective assessments of pediatric sleep difficulties and daytime impairment.
  • These measures are suitable for use in clinical research and practice to evaluate pediatric sleep health.
  • Future research should focus on evaluating the responsiveness of these measures to clinical change in various patient populations.
Abstract

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