Dataset Information

Development and evaluation of a measure to assess restorative sleep.

ABSTRACT:

Background

There are validated measures assessing insomnia and disturbed sleep, but few psychometrically sound instruments to assess perceptions of the restorative or inadequate properties of sleep are available.

Study objectives

To develop and evaluate a new instrument, the Restorative Sleep Questionnaire (RSQ).

Design and setting

Focus groups were conducted using participants with and without nonrestorative sleep complaints. Questions were designed to elicit the feelings and experiences people have about their sleep and their view of daytime consequences of sleep. Expert panels confirmed the importance of nonrestorative sleep (NRS) as a frequently encountered problem either with or without other sleep complaints. The resulting RSQ was administered in three studies: (1) a telephone interview with healthy controls and individuals with sleep problems; (2) a randomized clinical trial of patients with primary insomnia assessed by polysomnography (PSG); (3) a PSG study of subjects with NRS complaints.

Measurement and results

Across all studies, the new measures were shown to be significantly correlated with health-related quality of life (HRQL) domains hypothesized to be related to NRS. The RSQ had good psychometric properties (? > 0.90; rtest-retest > 0.80), and factor analysis confirmed the unidimensionality of the measure. The RSQ was able to distinguish between healthy controls, patients with primary insomnia, and insomnia patients with isolated NRS complaints but without PSG defined sleep onset, duration, or maintenance problems. Normal sleepers reported sleep that was about a standard deviation more restorative than that of those with NRS on the RSQ.

Conclusions

The results of the study provide support for the reliability and validity of the RSQ as a measure of NRS in subjects with and without self-reported or PSG confirmed sleep initiation and maintenance difficulties.

Clinicaltrialsgov identifiers

NCT00655369; NCT00705601.

SUBMITTER: Drake CL

PROVIDER: S-EPMC4067436 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature

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Publications

Development and evaluation of a measure to assess restorative sleep.

Drake Christopher L CL Hays Ron D RD Morlock Robert R Wang Fong F Shikiar Richard R Frank Lori L Downey Ralph R Roth Thomas T

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine 20140715 7

<h4>Background</h4>There are validated measures assessing insomnia and disturbed sleep, but few psychometrically sound instruments to assess perceptions of the restorative or inadequate properties of sleep are available.<h4>Study objectives</h4>To develop and evaluate a new instrument, the Restorative Sleep Questionnaire (RSQ).<h4>Design and setting</h4>Focus groups were conducted using participants with and without nonrestorative sleep complaints. Questions were designed to elicit the feelings ...[more]

PMID: 25024650

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Project description:ImportanceAs video-based care expands in many clinical settings, assessing patient experiences with this care modality will help optimize health care quality, safety, and communication.ObjectiveTo develop and assess the psychometric properties of the video visit user experience (VVUE) measure, a patient-reported measure of experiences with video-based technology.Design, setting, and participantsIn this survey study, veterans completed a web-based, mail, or telephone survey about their use of Veterans Healthcare Administration (VHA) virtual care between September 2021 and January 2022. The survey was completed by patients who reported having a VHA video visit on their own device or a VHA-issued device and linked to VHA utilization data for the 6 months following the survey. Data analysis was performed from March 2022 to February 2023.Main outcomes and measuresThe survey included 19 items about experiences with video visits that were rated using a 4-point Likert-type scale (strongly disagree to strongly agree). First, an exploratory factor analysis was conducted to determine the factor structure and parsimonious set of items, using the McDonald Omega test to assess internal consistency reliability. Then, a confirmatory factor analysis was conducted to test structural validity, and bivariate correlations between VVUE and VHA health care engagement were calculated to test concurrent validity. Finally, predictive validity was assessed using logistic regression to determine whether VVUE was associated with future VHA video visit use.ResultsAmong 1887 respondents included in the analyses, 83.2% (95% CI, 81.5%-84.8%) were male, 41.0% (95% CI, 38.8%-43.1%) were aged 65 years or older, and the majority had multiple chronic medical and mental health conditions. The exploratory factor analysis identified a 10-item single-factor VVUE measure (including questions about satisfaction, user-centeredness, technical quality, usefulness, and appropriateness), explaining 96% of the total variance, with acceptable internal consistency reliability (ω = 0.95). The confirmatory factor analysis results confirmed a single-factor solution (standardized root mean squared residual = 0.04). VVUE was positively associated with VHA health care engagement (ρ = 0.47; P < .001). Predictive validity models demonstrated that higher VVUE measure scores were associated with future use of video visits, where each 1-point increase on VVUE was associated with greater likelihood of having a video visit in subsequent 6 months (adjusted odds ratio, 1.04; 95% CI, 1.02-1.06).Conclusions and relevanceThe findings of this study of veterans using video visits suggest that a brief measure is valid to capture veterans' experiences receiving VHA virtual care.

Dataset Information

Development and evaluation of a measure to assess restorative sleep.

Background

Study objectives

Design and setting

Measurement and results

Conclusions

Clinicaltrialsgov identifiers

Publications

Development and evaluation of a measure to assess restorative sleep.

Similar Datasets

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