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Journal of Public Health

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01-08-2021 | Original Article

Validation of the sleep hygiene index for the elderly

Authors: Azita Chehri, Leila Parsa, Sepideh Khazaie, Habibolah Khazaie, Amir Jalali

Published in: Journal of Public Health | Issue 4/2021

Abstract

Aim

The aim of this study was to determine the validity and reliability of a sleep hygiene index for the elderly.

Subjects and methods

A total of 598 elderly people (mean age 68.34 years) were selected through cluster sampling, and the validity and reliability of the sleep hygiene index were measured. Confirmatory factor analysis was used to determine the structure validity, internal consistency and reliability of the questionnaire. To this end, Cronbach’s alpha coefficient was used. In addition, concurrent validities with indicators such as sleep quality, Epworth sleepiness, insomnia severity, overall sleepiness measurement and the Berlin Questionnaire were studied.

Results

The confirmatory factor analysis indexes of the structural equation model showed that the model fitted well with the data. The χ2/df ratio for the three-factor structure of sleep hygiene was 4.65, and the goodness of fit indices for this structural model (RMSEA = 0.064, CFI =0.9, TLI = 0.9, NFI = 0.9, GFI = 0.9) were good. The Cronbach’s alpha coefficient of the whole scale was 0.78, and the re-test coefficient was 0.87.

Conclusion

The Persian version of the Sleep Hygiene Index can be used as a reliable and valid tool for assessing sleep hygiene in the population of non-clinical elderly.

Ağargün MY, Kara H, Anlar Ö (1996) The validity and reliability of the Pittsburgh sleep quality index. Turk Psikiyatri Derg 7:107–115

Amorim L et al (2018) Poor sleep quality associates with decreased functional and structural brain connectivity in normative aging: a MRI multimodal approach. Front Aging Neurosci 10:375. https://doi.org/10.3389/fnagi.2018.00375CrossRefPubMedPubMedCentral

Amra B, Nouranian E, Golshan M, Fietze I, Penzel T (2013) Validation of the persian version of berlin sleep questionnaire for diagnosing obstructive sleep apnea. Int J Prev Med 4:334–339PubMedPubMedCentral

Bastien CH, Vallières A, Morin CM (2001) Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med 2:297–307CrossRef

Chehri A, Kiamanesh A, Ahadi H, Khazaie H (2016) Psychometric properties of the Persian version of sleep hygiene index in women. J Kerman Univ Med Sci 19:311–318

Chehri A, Khazaie H, Eskandari S, Khazaie S, Holsboer-Trachsler E, Brand S, Gerber MJB (2017) Validation of the Farsi version of the revised adolescent sleep hygiene scale (ASHSr): a cross-sectional study. BMC Psychiatry 17:408CrossRef

Cho S, Kim G-S, Lee J-H (2013) Psychometric evaluation of the sleep hygiene index: a sample of patients with chronic pain. Health Qual Life Outcomes 11:213–213. https://doi.org/10.1186/1477-7525-11-213CrossRefPubMedPubMedCentral

Farrahi Moghaddam J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A (2012) Reliability and validity of the Persian version of the Pittsburgh sleep quality index (PSQI-P). Sleep & Breathing = Schlaf & Atmung 16:79–82. https://doi.org/10.1007/s11325-010-0478-5CrossRef

Irwin MR (2014) Sleep and inflammation in resilient aging. Interface focus 4:20140009–20140009. https://doi.org/10.1098/rsfs.2014.0009CrossRefPubMedPubMedCentral

Jefferson CD, Drake CL, Scofield HM, Myers E, McClure T, Roehrs T, Roth T (2005) Sleep hygiene practices in a population-based sample of insomniacs. Sleep 28:611–615CrossRef

Kang I, Kim S, Kim BS, Yoo J, Kim M, Won CW (2019) Sleep latency in men and sleep duration in women can be frailty markers in community-dwelling older adults: the Korean frailty and aging cohort study (KFACS). J Nutr Health Aging 23:63–67. https://doi.org/10.1007/s12603-018-1109-2CrossRefPubMed

Khazaie H, Chehri A, Sadeghi K, Heydarpour F, Soleimani A, Rezaei Z (2016) Sleep hygiene pattern and behaviors and related factors among general population in west of Iran. Global J Health Sci 8:114CrossRef

Kline CE, Irish LA, Buysse DJ, Kravitz HM, Okun ML, Owens JF, Hall MH (2014) Sleep hygiene behaviors among midlife women with insomnia or sleep-disordered breathing: the SWAN sleep study. J Women's Health 23:894–903. https://doi.org/10.1089/jwh.2014.4730CrossRef

Lin C-Y, Strong C, Siu AM, Jalilolghadr S, Nilsen P, Broström A, Pakpour, AHJSM (2018) Validating the Persian adolescent sleep hygiene scale-revised (ASHSr) using comprehensive psychometric testing methods. Sleep Medicine 50:63-71.

Mastin DF, Bryson J, Corwyn R (2006) Assessment of sleep hygiene using the sleep hygiene index. J Behav Med 29:223–227CrossRef

Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A (2016) The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev 25:52–73. https://doi.org/10.1016/j.smrv.2015.01.009CrossRefPubMed

Okun ML, Kravitz HM, Sowers MF, Moul DE, Buysse DJ, Hall M (2009) Psychometric evaluation of the insomnia symptom questionnaire: a self-report measure to identify chronic insomnia. J Clin Sleep Med 5:41–51CrossRef

Ozdemir PG, Boysan M, Selvi Y, Yildirim A, Yilmaz E (2015) Psychometric properties of the Turkish version of the sleep hygiene index in clinical and non-clinical samples. Compr Psychiatry 59:135–140. https://doi.org/10.1016/j.comppsych.2015.02.001CrossRefPubMed

Popević MB, Milovanović APS, Milovanović S, Nagorni-Obradović L, Nešić D, Velaga M (2018) Reliability and validity of the Pittsburgh sleep quality index-Serbian translation. Eval Health Prof 41:67–81. https://doi.org/10.1177/0163278716678906CrossRefPubMed

Sadeghniiat Haghighi K, Montazeri A, Khajeh Mehrizi A, Aminian O, Rahimi Golkhandan A, Saraei M, Sedaghat M (2013) The Epworth sleepiness scale: translation and validation study of the Iranian version. Sleep & breathing = Schlaf & Atmung 17:419–426. https://doi.org/10.1007/s11325-012-0646-xCrossRef

Senaratna CV et al (2017) Validity of the Berlin questionnaire in detecting obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med Rev 36:116–124. https://doi.org/10.1016/j.smrv.2017.04.001CrossRefPubMed

Seun-Fadipe CT, Aloba OO, Oginni OA, Mosaku KSJJCSM (2018) Sleep hygiene index: psychometric characteristics and usefulness as a screening tool in a sample of Nigerian undergraduate students. J Clin Sleep Med 14:1285–1292CrossRef

Sheikhy L, Karami-mattin B, Chupani J, Hookari S, Fallah B (2015) Evaluation the status of sleep quality in elderly people in Kermanshah city. J Rehabil Med 3:81–88. (Inpersian). https://doi.org/10.22037/r.m.v3i4.7850CrossRef

Simonelli G, Marshall NS, Grillakis A, Miller CB, Hoyos CM, Glozier N (2018) Sleep health epidemiology in low and middle-income countries: a systematic review and meta-analysis of the prevalence of poor sleep quality and sleep duration. Sleep health 4:239–250. https://doi.org/10.1016/j.sleh.2018.03.001CrossRefPubMed

Smith S, Trinder J (2001) Detecting insomnia: comparison of four self-report measures of sleep in a young adult population. J Sleep Res 10:229–235CrossRef

Storfer-Isser A, Lebourgeois MK, Harsh J, Tompsett CJ, Redline S (2013) Psychometric properties of the adolescent sleep hygiene scale. J Sleep Res 22:707–716. https://doi.org/10.1111/jsr.12059CrossRefPubMed

Suzuki K, Miyamoto M, Hirata K (2017) Sleep disorders in the elderly: diagnosis and management. Journal of general and family medicine 18:61–71. https://doi.org/10.1002/jgf2.27CrossRefPubMedPubMedCentral

Tanaka H (2015) Sleep disorder and sleep health promotion for the elderly. Nihon rinsho Japanese journal of clinical medicine 73:909–915PubMed

Voinescu BI, Szentagotai-Tatar A (2015) Sleep hygiene awareness: its relation to sleep quality and diurnal preference. Journal of molecular psychiatry 3:1–1. https://doi.org/10.1186/s40303-015-0008-2CrossRefPubMedPubMedCentral

Yazdi Z, Sadeghniiat-Haghighi K, Zohal MA, Elmizadeh K (2012) Validity and reliability of the Iranian version of the insomnia severity index. The Malaysian journal of medical sciences : MJMS 19:31–36PubMedPubMedCentral

Zamanian Z, Nikeghbal K, Khajehnasiri F (2016) Influence of sleep on quality of life among hospital nurses electronic. Physician 8:1811–1816. https://doi.org/10.19082/1811CrossRef

Title: Validation of the sleep hygiene index for the elderly
Authors: Azita Chehri
Leila Parsa
Sepideh Khazaie
Habibolah Khazaie
Amir Jalali
Publication date: 01-08-2021
Publisher: Springer Berlin Heidelberg
Published in: Journal of Public Health / Issue 4/2021
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-019-01180-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Validation of the sleep hygiene index for the elderly

Abstract

Aim

Subjects and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Subjects and methods

Results

Conclusion

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