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Factor Structure and Reliability of the Persian Version of the Children's Sleep Habits Questionnaire in Children with
Samaneh Karamali Esmaili1, Homeyra Mousazade1, Malek Amini1
1Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Insights
The Persian version of the Children's Sleep Habits Questionnaire (CSHQ) is a valid and reliable tool for assessing sleep disturbances in children with Autism Spectrum Disorder (ASD). This tool can aid therapists in research and clinical practice for better sleep management in ASD.
Area of Science:
- Psychology
- Pediatrics
- Clinical Research
Background:
- Sleep disturbances are prevalent in children with Autism Spectrum Disorder (ASD), impacting their daily functioning and quality of life.
- Assessment and intervention for sleep issues in ASD are often overlooked by healthcare professionals.
- The Children's Sleep Habits Questionnaire (CSHQ) is a widely used tool, but its psychometric properties in the ASD population require validation.
Purpose of the Study:
- To evaluate the psychometric properties of the Persian version of the CSHQ in children diagnosed with ASD.
- To assess the content validity, factor structure, internal consistency, and test-retest reliability of the CSHQ for ASD.
- To establish the CSHQ as a dependable instrument for use in research and clinical settings involving children with ASD.
Main Methods:
- A descriptive, cross-sectional study involving 306 parents of children (4-10 years) with ASD in Iran.
- The Persian version of the CSHQ was administered to parents.
- Psychometric properties were evaluated using Content Validity Index (CVI), confirmatory factor analysis, Cronbach's alpha, and intraclass correlation coefficient.
Main Results:
- The CVI and ratio scores indicated that all items were necessary for the questionnaire.
- Confirmatory factor analysis supported the model's fit (RMSEA = 0.74).
- The CSHQ demonstrated good internal consistency (Cronbach's alpha = 0.83) and excellent test-retest reliability (ICC = 0.90).
Conclusions:
- The Persian version of the CSHQ possesses acceptable validity and reliability for children with ASD.
- This validated questionnaire can be effectively utilized by therapists in both research and clinical practice for children with ASD.
- The study provides a crucial tool for improving the assessment and management of sleep problems in the ASD population in Iran.
Objectives:
Sleep disturbance is a common difficulty in children with Autism Spectrum Disorder (ASD) that can affect daily functioning and quality of life. However, the assessment and intervention of this issue are less noticed by therapists. This study aimed to investigate the psychometric properties of the Children's Sleep Habits Questionnaire (CSHQ) in children with ASD, including content validity, factor analysis, internal consistency, and test-retest reliability.
Materials & Methods:
In this descriptive and cross-sectional study, 306 parents of 4- to 10-year-old children with ASD were selected by convenience sampling from Tehran, Shiraz, Isfahan, Hamedan, Tabriz, Ahvaz, and Bukan, Iran. They answered the Persian version of the CSHQ. The Content Validity Index (CVI) and ratio were assessed based on the opinions of 11 ASD experts. Confirmatory factor analysis was conducted. Cronbach's alpha coefficient was used for internal consistency, and the intraclass correlation coefficient was calculated for test-retest reliability. Data were analyzed using LISREL 88 and SPSS 26.
Results:
The CVI (0.81-1) and ratio (0.63-1) showed the necessity of all items. The acceptable confirmatory factor analysis results (RMSEA = 0.74; P < 0.001; Chi-Square =596.85; df = 224) confirmed the model obtained. The Cronbach's alpha for the subscales (0.43-0.79) and in total (0.83) showed homogeneity of the items. The intraclass correlation coefficient (0.90 in total and 0.82-0.91 for the subscales) demonstrated acceptable test-retest reliability.
Conclusion:
The Persian version of CSHQ in children with ASD has acceptable validity and reliability and can be used by autism therapists as a suitable tool in research and clinical practice.
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