Zhiguang Zhang PhD , Chalchisa Abdeta MPH , Mohamed Souhaiel Chelly PhD , Jesús del Pozo Cruz PhD , Leyna Germana PhD , Fazlollah Ghofranipour PhD , Amy Sau-Ching Ha PhD , Asmaa El Hamdouchi PhD , Hong Kim Tang PhD , Mohammed Sorowar Hossain PhD , Bayasgalan Jambaldorj PhD , Denise C.L. Koh PhD , Anna Kontsevaya PhD , Marie Löf PhD , Himangi Lubree MSc , Alejandra Jáuregui DSc , Tawonga Mwase-Vuma MPH , Amonje Moses Oluchiri BSc , Aoko Oluwayomi MSc , John J. Reilly PhD , Anthony Okely EdD
{"title":"Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices","authors":"Zhiguang Zhang PhD , Chalchisa Abdeta MPH , Mohamed Souhaiel Chelly PhD , Jesús del Pozo Cruz PhD , Leyna Germana PhD , Fazlollah Ghofranipour PhD , Amy Sau-Ching Ha PhD , Asmaa El Hamdouchi PhD , Hong Kim Tang PhD , Mohammed Sorowar Hossain PhD , Bayasgalan Jambaldorj PhD , Denise C.L. Koh PhD , Anna Kontsevaya PhD , Marie Löf PhD , Himangi Lubree MSc , Alejandra Jáuregui DSc , Tawonga Mwase-Vuma MPH , Amonje Moses Oluchiri BSc , Aoko Oluwayomi MSc , John J. Reilly PhD , Anthony Okely EdD","doi":"10.1016/j.sleh.2025.04.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices.</div></div><div><h3>Objective</h3><div>To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices.</div></div><div><h3>Methods</h3><div>Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4<!--> <!-->±<!--> <!-->0.6<!--> <!-->years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired <em>t</em> test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3<!--> <!-->±<!--> <!-->0.6<!--> <!-->years) from eight countries.</div></div><div><h3>Results</h3><div>Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r<!--> <!-->=<!--> <!-->0.43-0.75; <em>p</em> <!--><<!--> <!-->.001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (−14 min/d; Cohen’s d<!--> <!-->=<!--> <!-->−0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC<!--> <!-->=<!--> <!-->0.63-0.83; Kappa<!--> <!-->=<!--> <!-->0.53-0.62) and family practice (ICC<!--> <!-->=<!--> <!-->0.81-0.94; Kappa<!--> <!-->=<!--> <!-->0.73-0.86) variables.</div></div><div><h3>Conclusion</h3><div>The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 613-623"},"PeriodicalIF":3.4000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352721825000828","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices.
Objective
To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices.
Methods
Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4 ± 0.6 years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired t test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3 ± 0.6 years) from eight countries.
Results
Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r = 0.43-0.75; p < .001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (−14 min/d; Cohen’s d = −0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC = 0.63-0.83; Kappa = 0.53-0.62) and family practice (ICC = 0.81-0.94; Kappa = 0.73-0.86) variables.
Conclusion
The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.
期刊介绍:
Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.