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Validating the Persian Adolescent Sleep Hygiene Scale-Revised (ASHSr) using comprehensive psychometric testing methods
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
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2018 (English)In: Sleep Medicine, ISSN 1389-9457, E-ISSN 1878-5506, Vol. 50, p. 63-71Article in journal (Refereed) Published
Abstract [en]

Background: This study translated the Adolescent Sleep Hygiene Scale-revised (ASHSr) into Persian and aimed to validate its psychometric properties using classical test theory and Rasch analyses.

Methods: Adolescents aged 14–18 (n = 389; 199 males) and their parents in Iran participated in the study. Each adolescent wore a wrist actigraphy device during sleep time and completed the ASHSr, the Depression Anxiety Stress Scale (DASS), the General Health Questionnaire (GHQ), the Pediatric Daytime Sleepiness Scale (PDSS), and the Pittsburgh Sleep Quality Index (PSQI). A parent of each adolescent completed the Sleep Disturbance Scale for Children (SDSC).

Results: The construct validity of the ASHSr was supported by both classical test theory (factor loadings from confirmatory factor analysis [CFA] = 0.64 to 0.88; corrected item-total correlations = 0.70 to 0.92; test-retest reliability = 0.72 to 0.90) and Rasch analyses (infit mean square = 0.73 to 1.30; outfit mean square = 0.74 to 1.32). ASHSr had significantly negative associations with DASS subscales (β = −0.15 to −0.42, ps < 0.001) and GHQ (β = −0.663, p < 0.001). Known-group validity was demonstrated by the significant differences between poor and good sleep hygiene based on ASHSr in the actigraphy measure and scores of PDSS, PSQI, and SDSC. The multigroup CFA and differential item functioning in Rasch analyses suggested that all the participants interpreted the ASHSr similarly, regardless of their gender or living in a private room.

Conclusions: The Persian ASHSr demonstrated good reliability and validity in assessing sleep hygiene among Iranian adolescents. Healthcare providers may use it to assess the effectiveness of sleep hygiene programs.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 50, p. 63-71
Keywords [en]
Actigraphy, Adolescent, Classical test theory, Rasch, Sleep hygiene, actimetry, Adolescent Sleep Hygiene Scale Revised, adult, anxiety, Article, assessment of humans, Depression Anxiety Stress Scale, female, General Health Questionnaire, health status, human, human experiment, latent period, male, Pediatric Daytime Sleepiness Scale, Pittsburgh Sleep Quality Index, priority journal, rating scale, reliability, sex difference, sex ratio, Sleep Disturbance Scale for Children, sleep time, validation study
National Category
Neurology
Identifiers
URN: urn:nbn:se:hj:diva-41256DOI: 10.1016/j.sleep.2018.05.036ISI: 000444845100011PubMedID: 29982092Scopus ID: 2-s2.0-85049488066Local ID: HHJADULTISOAI: oai:DiVA.org:hj-41256DiVA, id: diva2:1242169
Available from: 2018-08-27 Created: 2018-08-27 Last updated: 2018-10-26Bibliographically approved

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Broström, AndersPakpour, Amir H.

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