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Validating the Persian Adolescent Sleep Hygiene Scale-Revised (ASHSr) using comprehensive psychometric testing

Chung-Ying Lin1, Carol Strong2, Andrew M H Siu1

  • 1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.

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Summary
This summary is machine-generated.

The Persian Adolescent Sleep Hygiene Scale-revised (ASHSr) is reliable and valid for assessing adolescent sleep hygiene in Iran. This tool can help evaluate sleep hygiene programs for better adolescent health outcomes.

Keywords:
ActigraphyAdolescentClassical test theoryRaschSleep hygiene

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Area of Science:

  • Psychiatry and Mental Health
  • Adolescent Health
  • Sleep Medicine

Background:

  • Sleep hygiene is crucial for adolescent well-being.
  • Existing sleep hygiene scales may not be culturally adapted for Persian-speaking populations.
  • The Adolescent Sleep Hygiene Scale-revised (ASHSr) is a widely used measure.

Purpose of the Study:

  • To translate the ASHSr into Persian.
  • To validate the psychometric properties of the Persian ASHSr in Iranian adolescents.
  • To assess the scale's reliability and validity using classical test theory and Rasch analyses.

Main Methods:

  • Translation and cultural adaptation of the ASHSr.
  • Cross-sectional study with 389 adolescents (aged 14-18) and their parents in Iran.
  • Psychometric validation using confirmatory factor analysis (CFA), Rasch analysis, and correlations with established scales (DASS, GHQ, PDSS, PSQI, SDSC).
  • Objective sleep assessment using wrist actigraphy.

Main Results:

  • The Persian ASHSr demonstrated strong construct validity, with high factor loadings and corrected item-total correlations.
  • Excellent test-retest reliability (0.72-0.90) and acceptable Rasch analysis fit indices were observed.
  • The scale showed significant negative associations with depression, anxiety, stress, and general psychological distress.
  • Known-group validity was confirmed by significant differences in sleep measures between good and poor sleep hygiene groups.
  • Multigroup CFA and differential item functioning analyses indicated measurement invariance across gender and living conditions.

Conclusions:

  • The Persian ASHSr is a psychometrically sound instrument for evaluating sleep hygiene in Iranian adolescents.
  • The validated scale can be utilized by healthcare providers to assess sleep hygiene and the effectiveness of interventions.
  • This study contributes to culturally relevant sleep research in adolescent populations.