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CC BY-NC-ND 4.0 · Sleep Sci 2024; 17(04): e350-e356
DOI: 10.1055/s-0044-1782170
Original Article

Test-Retest Reliability of a Bilingual Arabic-English Pittsburgh Sleep Quality Index among Adolescents and Young Adults with Good or Poor Sleep Quality

Ashokan Arumugam 
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
2   Neuromusculoskeletal Rehabilitation Research Group, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
3   Sustainable Engineering Asset Management Research Group, Research Institute of Sciences and Engineering (RISE), University of Sharjah, Sharjah, United Arab Emirates
4   Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India
,
Shima A. Mohammad Zadeh
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
2   Neuromusculoskeletal Rehabilitation Research Group, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
,
Hanan Youssef Alkalih
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
,
Zina Anwar Zabin
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
,
Tamara Mohd. Emad Hawarneh
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
,
Hejab Iftikhar Ahmed
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
,
Fatema Shabbir Jauhari
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
,
Alham Al-Sharman
1   Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
2   Neuromusculoskeletal Rehabilitation Research Group, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
› Institutsangaben Funding Source The authors declare that they have received no specific grants from funding agencies in the public, private, or not-for-profit sectors for the conduction of the present study.
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Abstract

Introduction The Pittsburg Sleep Quality Index (PSQI) is widely used in different population groups to assess self-reported sleep quality over the previous month. As the Arabic language is spoken by more than 400 million people, the PSQI has been translated into Arabic for its optimal application to Arabic-speaking individuals. However, the test-retest reliability of the Arabic version of the PSQI has not been reported yet.

Objective To examine the reliability and agreement of a bilingual Arabic-English version of the PSQI (AE-PSQI) among bilingual Arabic-English-speaking adolescents and young adults of the United Arab Emirates (UAE) with good or poor sleep quality.

Materials and Methods We included 50 bilingual Arabic-English-speaking adolescents and young adults (mean age of 20.82 ± 2.7 years; 30/50 subjects classified as poor sleepers [PSQI > 5] at baseline) who filled put the AE-PSQI twice, 7 days apart. The internal consistency of the AE-PSQI was assessed through the Cronbach's alpha. The intraclass correlation coefficient (ICC[3,1]) was used to assess the test-retest reliability. The standard error of measurement (SEM), the smallest real difference (SRD), and the Bland-Altman plots were used to report agreement measures.

Results The global score on the AE-PQSI showed an acceptable level of internal consistency with a Cronbach's alpha value of 0.65, and no floor and ceiling effects were observed. The 95% confidence intervals (95%CI: 0.63-0.87) of the ICC(3,1) revealed moderate to strong reliability estimates for overall AE-PSQI scores. The SEM and SRD were of 1.6 and 4.5 respectively, and the Bland-Altman plots revealed a moderate agreement between the baseline and retest global AE-PQSI scores.

Conclusion The AE-PSQI is a reliable instrument to assess sleep quality in bilingual Arabic-English-speaking adolescents and young adults with good or poor sleep quality. Further studies on the validity and responsiveness of the AE-PSQI are warranted in individuals with and without sleep disorders.

Keywords

PSQI - reliability - sleep quality - young adults - psychometric property

Authors Contributions

AA: conceptualization, design, supervision, data curation, data analysis, interpretation, drafting, and revision; SAM, HYA, ZAZ, TMEH, HIA, and FSJ: data collection, data curation, interpretation, drafting, and revision; SAM: data analysis; AAS: interpretation, drafting, and critical revision; AA led the writing of the paper; all authors read and approved the final manuscript.




Publikationsverlauf

Eingereicht: 22. Juni 2023

Angenommen: 16. November 2023

Artikel online veröffentlicht:
09. April 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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