Reliability of Epworth Sleepiness Scale to Predict OSA Among Adolescent Children

Hagemeister, Douglas; Damaraju, Srikanth; Damaraju, Aneel; Fan, Carolyn; Brehm, Mathew; Yu, Sara; Williamson, Robert; Williamson, Frances; Carrell, Coleen; Emran, Mohammad; Surani, Salim

doi:10.1378/chest.1118637

Cited by 1 publication

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“… Several surveys among adolescents have used the adult ESS without modification. 24 – 26 They reported that most adolescents can answer the adult ESS without difficulty, presumably by ignoring the reference to alcohol and assuming that questions about traveling in a car refer to them as passengers rather than drivers. However, the adult ESS would not be suitable for younger children unless it was modified.…”

Section: Introductionmentioning

confidence: 99%

Assessing narcolepsy with cataplexy in children and adolescents: development of a cataplexy diary and the ESS-CHAD

Wang¹,

Benmedjahed²,

Lambert³

et al. 2017

NSS

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ObjectiveThe aim of this study was to qualitatively evaluate concepts for incorporation into a daily diary to capture cataplexy frequency and to assess the content validity of the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) in pediatric patients with narcolepsy.Patients and methodsFace-to-face concept elicitation and cognitive interviews were conducted with children (7–9 years; n=13) and adolescents (10–17 years; n=16) who have narcolepsy with cataplexy, and their parents/caregivers.ResultsSimilarities and differences were noted between narcolepsy concepts described by children and their parents/caregivers, suggesting some different but complementary perspectives; parents may not recognize cataplexy symptoms/triggers as well as children, but parents have greater recognition of the circumstances of falling asleep. Cataplexy diary modifications included changes in definitions and examples of cataplexy, using child-friendly terminology, adding a quantitative question to determine daily frequency, and standardizing the questionnaire for evening administration with self-completion by the child. Modifications were made to ESS-CHAD for child-friendly wording and to ensure that items reflect activities (eating, watching TV/video) and environments (school, bus/car transport) in which children are likely to participate. Two ESS-CHAD versions were proposed: one with a 1-month recall period, for general use, and the other with a recall period of “since your last study visit,” for research, which could be shorter or longer than 1 month (as short as 1 week).ConclusionThe cataplexy diary and ESS-CHAD were modified for the assessment of children and adolescents. Further psychometric validation is recommended. These measures are being used in a Phase III, placebo-controlled clinical trial of sodium oxybate in children and adolescents with narcolepsy.

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Section: Introductionmentioning

confidence: 99%