Display options
Cite
Mehta N, Mandavia R, Patel A, et al. Patient-reported outcome measure for obstructive sleep apnea: Symptoms, Tiredness, Alertness, Mood and Psychosocial questionnaire: Preliminary results. J Sleep Res. 2019;29(2):e12960doi: 10.1111/jsr.12960.
Mehta, N., Mandavia, R., Patel, A., Zhang, H., Liu, Z. W., Kotecha, B., & Veer, V. (2020). Patient-reported outcome measure for obstructive sleep apnea: Symptoms, Tiredness, Alertness, Mood and Psychosocial questionnaire: Preliminary results. Journal of sleep research, 29(2), e12960. https://doi.org/10.1111/jsr.12960
Mehta, Nishchay, et al. "Patient-reported outcome measure for obstructive sleep apnea: Symptoms, Tiredness, Alertness, Mood and Psychosocial questionnaire: Preliminary results." Journal of sleep research vol. 29,2 (2020): e12960. doi: https://doi.org/10.1111/jsr.12960
Mehta N, Mandavia R, Patel A, Zhang H, Liu ZW, Kotecha B, Veer V. Patient-reported outcome measure for obstructive sleep apnea: Symptoms, Tiredness, Alertness, Mood and Psychosocial questionnaire: Preliminary results. J Sleep Res. 2020 Apr;29(2):e12960. doi: 10.1111/jsr.12960. Epub 2019 Dec 20. PMID: 31860161.
Copy Download .nbib Format: NLM
Share it on

J Sleep Res. 2020 Apr;29(2):e12960. doi: 10.1111/jsr.12960. Epub 2019 Dec 20.

Patient-reported outcome measure for obstructive sleep apnea: Symptoms, Tiredness, Alertness, Mood and Psychosocial questionnaire: Preliminary results.

Journal of sleep research

Nishchay Mehta, Rishi Mandavia, Ankit Patel, Henry Zhang, Zi-Wei Liu, Bhik Kotecha, Vik Veer

Affiliations

  1. Royal National Throat Nose and Ear Hospital, London, UK.

PMID: 31860161 DOI: 10.1111/jsr.12960

Abstract

Obstructive sleep apnea (OSA) is a common chronic condition that has a significant impact on the biopsychosocial aspects of the patient's life. There is currently no psychometrically validated patient-reported outcome measure to assess the impact of this condition on the health-related quality of life. We designed a novel instrument based on common patient statements, prioritized by patient preference. Sixty-three patients with OSA and 33 participants with no symptoms of sleep-disordered breathing were asked to complete a 20-item initial questionnaire. The acceptability, reliability and validity of the instrument were assessed using known psychometric techniques. The instrument had strong acceptability and was completed within 180 s with no missing data. Five items were removed as they had a high ceiling factor. A further three items were removed as they did not represent the central construct uniquely. The final 12-item instrument had high internal consistency (Cronbach's alpha 0.91), strong test-retest reliability (p = .83) and high discriminant validity when comparing mean total scores of controls (6.88; 95% confidence interval [CI], 4.67-9.08) and those with OSA (31.39; 95% CI, 27.94-34.84) (p < .001). Further studies are planned to help validate this instrument for clinical use.

© 2019 European Sleep Research Society.

Keywords: Alertness; Health-related quality of life; Mood and Psychosocial questionnaire; Symptoms; Tiredness; obstructive sleep apnea; patient-reported outcome measures

References

  1. Abma, I. L., van der Wees, P. J., Veer, V., Westert, G. P., & Rovers, M. (2016). Measurement properties of patient-reported outcome measures (PROMs) in adults with obstructive sleep apnea (OSA): A systematic review. Sleep Medicine Reviews, 28, 18-31. https://doi.org/10.1016/j.smrv.2015.07.006 - PubMed
  2. Bradley, T. D., & Floras, J. S. (2009). Obstructive sleep apnoea and its cardiovascular consequences. The Lancet, 373(9657), 82-93. https://doi.org/10.1016/s0140-6736(08)61622-0 - PubMed
  3. Briones, B., Adams, N., Strauss, M., Rosenberg, C., Whalen, C., Carskadon, M., … Redline, S. (1996). Relationship between sleepiness and general health status. Sleep, 19(7), 583-588. https://doi.org/10.1093/sleep/19.7.583 - PubMed
  4. Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297-334. https://doi.org/10.1007/BF02310555 - PubMed
  5. DeVellis, R. (2012). Scale development. New York, NY: Sage. - PubMed
  6. Ericsson, K. A., & Simon, H. A. (1980). Verbal reports as data. Psychological Review, 87(3), 215-251. https://doi.org/10.1037/0033-295X.87.3.215 - PubMed
  7. Kline, P. (2014). The new psychometrics: science, psychology and measurement. Florence, Italy: Taylor & Francis. - PubMed
  8. Kline, P. (2015). A Handbook of test construction (psychology revivals): Introduction to psychometric design. Florence, Italy: Taylor & Francis. - PubMed
  9. Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159-174. https://doi.org/10.2307/2529310 - PubMed
  10. Lavie, P. (2002). Incidence of sleep apnea in a presumably healthy working population: A significant relationship with excessive daytime sleepiness. Sleep, 25(4), 312-318. - PubMed
  11. Loewenthal, K. M. (2001). An introduction to psychological tests and scales. London: Psychology Press. - PubMed
  12. Nunnally, J. C. (1978). Psychometric theory. New York, NY: McGraw-Hill. - PubMed
  13. Parish, J. M., & Lyng, P. J. (2003). Quality of life in bed partners of patients with obstructive sleep apnea or hypopnea after treatment with continuous positive airway pressure. Chest, 124(3), 942-947. https://doi.org/10.1378/chest.124.3.942 - PubMed
  14. Piccirillo, J. F., Gates, G. A., White, D. L. & Schectman, K. B. (1998). Obstructive sleep apnea treatment outcomes pilot study. Otolaryngology-Head & Neck Surgery, 118, 833-844. - PubMed
  15. Punjabi, N. M. (2008). The epidemiology of adult obstructive sleep apnea. Proceedings of the American Thoracic Society, 5(2), 136-143. https://doi.org/10.1513/pats.200709-155MG - PubMed
  16. Streiner, D. L., & Norman, G. R. (1995). Health measurement scales: A practical guide to their development and use. Oxford: Oxford University Press. - PubMed
  17. Vanderveken, O. M., Boudewyns, A., Ni, Q., Kashyap, B., Verbraecken, J., De Backer, W., & Van de Heyning, P. (2011). Cardiovascular implications in the treatment of obstructive sleep apnea. Journal of Cardiovascular Translational Research, 4(1), 53-60. https://doi.org/10.1007/s12265-010-9238-y - PubMed
  18. Young, T., Blustein, J., Finn, L., & Palta, M. (1997). Sleep-disordered breathing and motor vehicle accidents in a population-based sample of employed adults. Sleep, 20(8), 608-613. https://doi.org/10.1093/sleep/20.8.608 - PubMed
  19. Young, T., Evans, L., Finn, L., & Palta, M. (1997). Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep, 20(9), 705-706. https://doi.org/10.1093/sleep/20.9.705 - PubMed
  20. Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993). The occurrence of sleep-disordered breathing among middle-aged adults. New England Journal of Medicine, 328(17), 1230-1235. https://doi.org/10.1056/nejm199304293281704 - PubMed

MeSH terms

Publication Types