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Development of a slovenian version of the pittsburgh sleep quality index (PSQI‐SLO) for use with older adults
Author(s) -
Kmetec Sergej,
Fekonja Zvonka,
Davey Adam,
Mlinar Reljić Nataša,
Lorber Mateja
Publication year - 2022
Publication title -
international journal of older people nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 29
eISSN - 1748-3743
pISSN - 1748-3735
DOI - 10.1111/opn.12411
Subject(s) - pittsburgh sleep quality index , content validity , intraclass correlation , reliability (semiconductor) , gerontology , medicine , quality of life (healthcare) , face validity , kappa , internal consistency , psychology , physical therapy , clinical psychology , sleep quality , psychometrics , psychiatry , nursing , insomnia , power (physics) , linguistics , physics , philosophy , quantum mechanics
Background Poor sleep quality predicts poor quality of life, poor self‐rated health, and chronic diseases and mental disorders among older adults. The Pittsburgh Sleep Quality Index (PSQI) is the most widely used self‐report measure of sleep quality in older adults. Objectives This study aimed to assess internal reliability, face validity, content validity and internal consistency of the Slovenian version of the PSQI (PSQI‐SLO) for sleep quality in older adults. Methods A cross‐sectional study was used to evaluate content and face validity as well as reliability (ɑ, ω and item‐total correlations). Residents of 13 nursing homes and community‐dwelling older adults from all regions of Slovenia were sampled. A total of 831 participants aged 65 years and older participated in the study between March and August 2019. Results All items were successfully translated to Slovenian. A minor cultural adaptation was made to improve the clarity of the meaning of all items. None of the items had an item content validity index (I‐CVI) score lower than 0.50. Kappa indices were excellent for half of the items and good for the remainder. Internal consistency agreed with prior research ( ɑ = 0.74). Intraclass correlation coefficient for global PSQI‐SLO was 0.62 ( p < 0.001). The total score of PSQI‐SLO (8.09 ± 3.64 (95%, CI = 7.85–8.34)) was expected and comparable. Fifty‐eight and four tenths’ per cent (95%, CI = 55%–62%) had at least one chronic disease and 40% (95%, CI = 37%–42%) lived in a nursing home. Conclusions PSQI‐SLO showed adequate internal consistency and test–retest reliability, and adequate construct and criterion validity. The instrument can be important in assessing older adults’ subjective sleep quality in nursing homes, home environment and clinical settings.