Validation of the Farsi version of the revised Adolescent Sleep Hygiene Scale (ASHSr): a cross-sectional study

Abstract

BackgroundRestoring sleep is associated with a broad variety of favorable cognitive, emotional, social and behavioral benefits during the day. This holds particularly true for adolescents, as maturational, social, cognitive, emotional and behavioral changes might unfavorably impact on adolescents’ sleep. Among adolescents, poor sleep hygiene practices are a potentially modifiable risk factor that can be addressed via appropriate interventions. Accordingly, having reliable and valid self-report measures to assess sleep hygiene practices is essential to gauge individual responses to behavioral interventions and evaluate sleep hygiene recommendations. The aim of the present study therefore was to translate and to test the psychometric properties (internal consistency, test-retest reliability, factorial and concurrent validity) of the Farsi/Persian version of the revised version of the Adolescent Sleep Hygiene Scale (ASHSr).MethodA total of 1013 adolescents (mean age: M = 15.4 years; SD = 1.2; range: 12–19 years; 42.9% females) completed the ASHSr and the Pittsburgh Sleep Quality Index (PSQI) in their classroom during an official school lesson. Further, 20% completed the ASHSr 6 weeks later to evaluate the test-retest reliability. Cronbach’s alpha coefficients were calculated to examine internal consistency, confirmatory factor analysis (CFA) was used to test factorial validity, whereas concurrent validity and test-retest reliability were examined via correlation analyses.ResultsA first-order confirmatory factor analysis (CFA) corroborated the six-factor structure of the ASHSr, including a physiological, behavioral arousal, cognitive/emotional, daytime sleep, sleep environment, and sleep stability factor. A second-order CFA showed that a higher-order sleep hygiene construct explained sufficient variance in each factor. Cronbach’s alpha values ranged between .71 and .75, correlations for test-retest reliability between .82 and .87. Significant correlations were found between most ASHSr scales and the PSQI indices. However, the magnitude of these correlations was weak.ConclusionsThe Farsi/Persian version of the Adolescent Sleep Hygiene Scale can be used as a reliable and valid tool for evaluation of sleep hygiene practices among Farsi/Persian-speaking adolescents.

Pediatric Sleep Tools: An Updated Literature Review

“…As for the sample size, this ranged between 20 and 11,626 children inclusive of adult (6)(7)(8)(9)(10)(11)(12)(13) participants across all publications, where 15.6% of all studies used a sample size >1,000 participants large ( Table 2). Of these study samples, approximately 46.5% of respondents were parents, 41% were self-report, and 11.1% either a combination of experts, children, mothers, and parents.…”

Persian participation measures for adolescents: A systematic review

“…The initial search resulted in the identification of 170 studies. After excluding duplicates and irrelevant articles, seven measures were extracted from databases and other resources (see Figure 1) (Abasi et al, 2016a(Abasi et al, , 2016bBaheiraei et al, 2013;Chehri et al, 2017;Delshad et al, 2015;Lin et al, 2018Lin et al, , 2019Ziaei et al, 2014).…”

Psychometric Properties of the Persian Pittsburgh Sleep Quality Index for Adolescents

“…Participants completed the revised version of the Adolescent Sleep Hygiene Scale [ 31 , 43 , 44 ]. The questionnaire consists of 24 items, loading on the following six categories: 1.…”

“…Further, to assess subjective sleep among Iranian adolescents, often either the Insomnia Severity Index [ 25 , 26 , 27 , 28 , 29 , 30 ], the Adolescent Sleep Hygiene Scale [ 5 , 31 , 32 ], or the Pittsburgh Sleep Hygiene Index for adults [ 5 , 32 , 33 ] are employed.…”

“…The Persian versions of the Adolescent Sleep Hygiene Scale [ 31 , 32 ], the Insomnia Severity Index for Adults [ 34 ], and the Adult Pittsburgh Sleep Quality Index [ 35 , 36 ] have been previously validated. In the present study, we established the psychometric properties of the Persian Pittsburgh Sleep Quality Index (PSQI) for adolescents.…”