Objective To develop Chinese Infants Sleep Assessment Scales (ISAS) suitable for Chinese infants under the age of 1 year old, and to evaluate the reliability, validity and feasibility of the scales. Methods The scale was divided into two ages, 0—3 months and 4—11 months, according to the infants' sleep development characteristics.Firstly, an item pool with 4 dimensions of sleep rhythm, bedtime arrangement, night wakings and sleep disordered breathing was constructed.Then, the scales were compiled and evaluated through preliminary screening, modification, item analysis, validity analysis, reliability analysis and confirmatory factor analysis. Results The ISAS (0—3 months) and ISAS (4-11 months) both had 14 items, including 4 factors of sleep rhythm, bedtime arrangement, night wakings and sleep disordered breathing with total variance explained of 56.61% and 55.02%, respectively.The items of the two scales were slightly different.The item-level content validity of all items in both scales ranged from 0.83 to 1.00.The two scales were positively correlated with Brief Infant Sleep Questionnaires (BISQ) in terms of sleep latency, number of night wakings and sleep duration, with correlation coefficients of 0.31,0.41,0.39 and 0.32,0.66 and 0.38, respectively.There were statistically significant differences between community sample and clinical sample in the total scores of the two scales and most of the factors (except the sleep disordered breathing factors of the 0-3 months) (P<0.05).The Cronbach's α coefficients of the two scales were 0.681 and 0.673, and the test-retest reliability were 0.75 and 0.74. Conclusion The two scales have relatively stable factor structures and good reliability and validity, which can be used for early screening of infants' sleep problems.
Key words
infants /
sleep /
scale /
validity /
reliability
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References
[1] Ophoff D, Slaats MA, Boudewyns A, et al.Sleep disorders during childhood:a practical review[J].Eur J Pediatr, 2018, 177(2):1-8.
[2] Williamson AA, Mindell JA, Hiscock H, et al.Sleep problem trajectories and cumulative socio-ecological risks:birth to school-age[J].J Pediatr, 2019, 215:229-237.e4.
[3] 冯围围,张彤.儿童睡眠评估方法研究进展[J].中国儿童保健杂志,2020,28(4):435-437,446.
[4] 刘玺诚,王惠珊.婴幼儿睡眠与成长[M].北京:中国中医药出版社, 2011.
[5] 中华人民共和国国家卫生和计划生育委员会.0岁~5岁儿童睡眠卫生指南[S/OL].[2017-10-26] http://www.nhc.gov.cn/wjw/pqt/201710/e63c5fc4c3d74daf9f5234150c4f400a.shtml
[6] Hirshkowitz M, Whiton K, Albert SM, et al.National sleep Foundation's sleep time duration recommendations:methodology and results summary[J].Sleep Health, 2015, 1(1):40-43.
[7] Paruthi S, Brooks LJ, D'Ambrosio C, et al.Recommendedamount of sleep for pediatric populations:a consensus statement of the American academy of sleep medicine[J].J Clin Sleep Med, 2016, 12(06):785-786.
[8] 美国睡眠医学会.睡眠障碍国际分类 [M].高和,译.3版.北京:人民卫生出版社, 2017.
[9] 美国精神医学学会著.精神障碍诊断和统计手册(DSM-V)[M].张道龙译.北京:北京大学出版社, 2014.
[10] Sadeh A.A brief screening questionnaire for infant sleep problems:validation and findings for an Internet sample[J].Pediatrics, 2004, 113(6):570-577.
[11] 张超, 徐燕, 陈平雁.探索性因子分析与验证性因子分析在量表研究中的比较与应用[J].南方医科大学学报,2007,27(11):1699-1700,1705.
[12] 苏中华, 李四劝, 成义仁.量表评估的内部一致性与克朗巴赫α系数的应用评价[J].临床心身疾病杂志, 2009, 15(1):85-86.