PROMIS Sleep Disturbance and Sleep-Related Impairment in Adolescents: Examining Psychometrics Using Self-Report and Actigraphy.
Alyson E Hanish, Deborah C Lin-Dyken, Joan C Han
PMID 28448375WHAT IT FOUND
In 25 healthy adolescents, adult PROMIS sleep questionnaires gave scores that moved with each other and with wrist movement sleep time.
Less sleep time matched more sleepiness and impairment.
Key findings
01The PROMIS Sleep Disturbance and Sleep-Related Impairment scores moved with the Cleveland Adolescent Sleepiness Questionnaire score, and the two PROMIS scores moved with each other.
02Longer actigraphy total sleep time was associated with lower CASQ, PROMIS Sleep Disturbance, and PROMIS Sleep-Related Impairment scores.
03Median overall sleep duration was less than 8 hours per night, and only 24% met recommended sleep duration.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample included 25 healthy adolescents, so the validation is preliminary. Participants had no chronic medical conditions and were not taking chronic medications, so the results do not show how the measures perform in adolescents with sleep or medical problems. The study used adult PROMIS sleep measures because pediatric PROMIS sleep measures were not available in these domains. The PROMIS sleep measures were not calibrated on a national sample, and a score of 50 represents a calibration sample more enriched for chronic illness. Six adolescents had unscorable actigraphy data on one weekday school night, and the study did not use polysomnography. Some actigraphy correlations had nominal p-values of .01 or .02, which were above the stricter .006 threshold the researchers set for multiple comparisons. The sample was 44% female and 80% non-Hispanic Caucasian. The CASQ is described for adolescents 11-17 years, while the sample included ages 10-18 years.
Declared interests
The authors report no conflicts of interest.
The easy way to misread this
Do not conclude that the PROMIS sleep measures are validated for adolescents with sleep disorders or ready to replace clinical assessment. The study included only 25 healthy adolescents, used adult versions of the measures, and compared them with actigraphy rather than polysomnography.