Assessment of Sleep Measures and their agreement: Youth-Reported, Caregiver-Reported, and Fitbit-Derived Data in a Large Early Adolescent Cohort.

IF 5.6 2区医学 Q1 Medicine

Sleep Pub Date : 2025-03-15 DOI:10.1093/sleep/zsaf065

Orsolya Kiss, Adrianna Shaska, Eva M Müller-Oehring, Brant P Hasler, Peter L Franzen, Douglas H Fitzgerald, Duncan B Clark, Fiona C Baker

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引用次数: 0

Abstract

Study objectives: Adequate sleep is essential for adolescents' physical, emotional, and cognitive well-being. However, accurately capturing the complex components of sleep in this demographic is challenging, especially with retrospective self-report measures. This study aims to compare sleep data obtained from youth reports, caregiver reports, and Fitbit devices among early adolescents.

Methods: Data from 11,879 adolescents (11-14 years, 47.83% female), in Year 2 of the Adolescent Brain Cognitive Development (ABCD) Study, were analyzed. Adolescents self-reported their sleep characteristics using the Munich Chronotype Questionnaire, and caregivers provided data through the Children's Sleep Disturbance Scale. Additionally, a subset of participants (N = 3,803) wore Fitbit Charge 2 devices for 21 days. We assessed the questionnaires' internal consistency and utilized Bland-Altman and interclass correlation analyses for comparing self-reported sleep characteristics with Fitbit measures.

Results: Youth-reported and caregiver-reported sleep questionnaires demonstrated acceptable internal consistency. Discrepancies between caregiver and adolescent reports were more pronounced when adolescents reported sleep periods of less than 7 hours. Compared to Fitbit measurements, adolescents' self-reports showed a reasonably high agreement on sleep period and bedtime, while agreement on duration of wakefulness after sleep onset and sleep onset latency was poor.

Conclusions: Results show reasonable agreement between adolescent self-reports and Fitbit measurements of sleep period and indicate their usefulness in assessing sleep behavior in adolescents. Caregivers provided valuable perspectives of the youth's sleep disturbances, however, they tended to overestimate sleep duration. These findings offer important methodological insights and highlight the necessity of adopting multi-dimensional approaches to assess sleep in adolescents.

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研究目的充足的睡眠对青少年的身体、情绪和认知健康至关重要。然而，准确捕捉这一人群中复杂的睡眠成分具有挑战性，尤其是采用回顾性自我报告测量方法。本研究旨在比较通过青少年报告、护理人员报告和 Fitbit 设备获得的早期青少年睡眠数据：分析了青少年大脑认知发展（ABCD）研究第二年的 11879 名青少年（11-14 岁，47.83% 为女性）的数据。青少年通过慕尼黑时间型态问卷自我报告睡眠特征，照顾者通过儿童睡眠干扰量表提供数据。此外，一部分参与者（N = 3803）佩戴了 Fitbit Charge 2 设备 21 天。我们评估了问卷的内部一致性，并利用布兰德-阿尔特曼分析和类间相关分析比较了自我报告的睡眠特征和 Fitbit 测量结果：青少年报告的睡眠问卷和护理人员报告的睡眠问卷显示出可接受的内部一致性。当青少年报告的睡眠时间少于 7 小时时，护理人员和青少年报告之间的差异更为明显。与 Fitbit 测量结果相比，青少年的自我报告在睡眠时间和就寝时间方面的一致性较高，而在睡眠开始后的觉醒持续时间和睡眠开始潜伏期方面的一致性较差：结果表明，青少年自我报告与 Fitbit 对睡眠时间的测量结果之间存在合理的一致性，这表明两者在评估青少年睡眠行为方面非常有用。照顾者对青少年的睡眠障碍提供了有价值的观点，但他们往往会高估睡眠时间。这些发现提供了重要的方法论启示，并强调了采用多维方法评估青少年睡眠的必要性。

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来源期刊

Sleep Medicine-Neurology (clinical)

CiteScore

8.70

自引率

10.70%

发文量

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