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Qualitative Development and Content Validation of the PROMIS Pediatric Sleep Health Items

Katherine B Bevans1, Lisa J Meltzer2, Anna De La Motte3

  • 1a Temple University College of Public Health, Department of Rehabilitation Sciences , Philadelphia , PA , USA.

Behavioral Sleep Medicine
|April 26, 2018
PubMed

Insights

This study developed the Patient Reported Outcome Measurement Information System (PROMIS) Pediatric Sleep Health item pool, ensuring it accurately measures children's sleep experiences. The validated pool will aid in assessing pediatric sleep disturbance and impairment.

Area of Science:

  • Pediatric Sleep Medicine
  • Health Outcomes Research
  • Psychometrics

Background:

  • Assessing pediatric sleep health is crucial for child well-being.
  • Existing measures may not fully capture children's subjective sleep experiences.
  • The Patient Reported Outcome Measurement Information System (PROMIS) aims to standardize health outcome measurement.

Purpose of the Study:

  • To develop and evaluate the content validity of the PROMIS Pediatric Sleep Health item pool.
  • To create a reliable tool for measuring sleep disturbance and impairment in children.
  • To ensure items are relevant, translatable, and understandable for pediatric populations.

Main Methods:

  • Item concepts were derived from adult PROMIS measures and expanded through expert, child, and parent interviews.
  • A systematic review of existing pediatric sleep questionnaires informed item generation.
  • Content validity was assessed via expert review, readability analysis, and cognitive interviews with children and parents.

Main Results:

  • A 43-item PROMIS Pediatric Sleep Health item pool was finalized.
  • The pool assesses sleep disturbance (onset, maintenance, quality, dreams, parasomnias) and sleep-related impairments (daytime sleepiness, energy, waking, functional impact).
  • Items demonstrated translatability, relevance, and comprehension among children (8-17 years) and parents (5-17 years).

Conclusions:

  • The PROMIS Pediatric Sleep Health item pool was developed and content-validated using rigorous qualitative methods.
  • The item pool is suitable for measuring children's subjective sleep experiences.
  • Further establishment of psychometric properties will enable its clinical and research application.

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