Confiabilidad y validez del cuestionario de trastornos de sueño BEARS en niños y adolescentes escolares de Bogotá, D.C., Colombia: Estudio FUPRECOL (Reliability and Validity of the BEARS Sleep Disorder Questionnaire in Children and Adolescent Students fr

Robinson Ramírez-Vélez, Libardo Huertas-Zamora, Jorge Enrique Correa-Bautista, Edgar Giovanni Cárdenas-Calderón

Resumen


El sueño juega un papel fundamental en muchas esferas del desarrollo de los infantes en etapa escolar. El objetivo de este estudio fue determinar la confiabilidad y validez de contenido del cuestionario BEARS en niños y adolescentes de 9 a 17 años. La muestra estuvo compuesta por 8.862 niños y adolescentes pertenecientes a 24 instituciones educativas oficiales de Bogotá, Colombia. Se aplicó el cuestionario BEARS, de manera auto-diligenciada por formulario estructurado. Una sub-muestra de 246 participantes se utilizó para los análisis de fiabilidad. La consistencia del instrumento se analizó mediante el coeficiente alfa de Cronbach, la validez de constructo a través del análisis factorial exploratorio (AFE), y la fiabilidad mediante el coeficiente Kappa ponderado. Los resultados mostraron adecuada consistencia (Cronbach global de 0,732; rango 0,706 a 0,769) y moderada fiabilidad (kappa de 0,665; rango 0,378 a 0,629). El AFE determinó un solo factor (ítem 1: problemas a la hora de dormir), explicaba el 61,4% de la varianza, agrupando dos interacciones χ2/gl=2690,817; p=0,001. El cuestionario BEARS mostró una adecuada consistencia interna, fiabilidad y validez. A partir de estos resultados, se recomienda este instrumento principalmente en el contexto de atención primaria, para el estudio y cribado de las alteraciones del sueño en población escolarizada de Bogotá, Colombia.


Abstract. Sleep plays a vital role in good health and well-being in school-age children. The aim of this study was to determine the reliability and content validity of the BEARS questionnaire in children and adolescents from 9 to 17 years of age. The sample comprised 8,862 children and adolescents belonging to 24 official education institutions from Bogotá, Colombia. The BEARS questionnaire was applied through self-completion manner, with a structured form. A sub-sample of 246 participants was used for reliability analyses. Consistency of the instrument was analyzed through Cronbach’s alpha coefficient, construct validity through exploratory factor analysis (EFA), and reliability through the weighted Kappa coefficient. Results showed adequate consistency (global Cronbach of 0.732; range 0.706 to 0.769) and moderate reliability (Kappa of 0.665; range 0.706 to 0.769). The EFA determined a single factor (item 1: problems when going to sleep), which explained 61.4% of the variance, grouping two interactions χ2/gl = 2690.817; p = 0.001. The BEARS questionnaire showed adequate internal consistency, reliability, and validity. From these results, this instrument is recommended principally within the context of primary care for the study and screening of sleep alterations in school-aged populations from Bogotá, Colombia.


Palabras clave


Trastornos de sueño, Cuestionarios, Psicometría, Confiablidad, Validación (sleep disorders, questionnaires, psychometrics, reliability, validation)

Texto completo:

PDF

Referencias


Alamian, A., Wang, L., Hall, A., Pitts, M., & Ikekwere, J. (2016). Infant sleep problems and childhood overweight: Effects of three definitions of sleep problems. Prev Med Rep, 25(4), 436-438.

Anderson, B., Storfer-Isser, A., Taylor, H., Rosen, C., & Redline, S. (2009). Associations of executive function with sleepiness and sleep duration in adolescents. Pediatrics, 123(4), e701-707.

Aristizábal, J., Restrepo, M., & Estrada, A. (2007). Body composition assessment by anthropometry and bioelectrical impedance. Biomédica, 27(2), 216-224.

Ato, M., López-García, J. J., & Benavente, A. (2013). A classification system for research designs in psychology. Anales de Psicologia, 29(3), 1038-1059

Bastida-Pozuelo, M., & Sánchez-Ortuño, M. (2016). Preliminary analysis of the concurrent validity of the Spanish translation of the BEARS sleep screening tool for children. J Psychiatr Ment Health Nurs, 23(8), 513-520.

Chaput, J., Lambert, M., Gray-Donald, K., McGrath, J., Tremblay, M., & O'Loughlin, J. (2011). Short sleep duration is independently associated with overweight and obesity in Quebec children. Can J Public Health, 102(5), 369-374.

Choi, K., Lee, J., Park, H., Baik, S., Choi, D., & Kim, S. (2008). Relationship between sleep duration and the metabolic syndrome: Korean National Health and Nutrition Survey 2001. Int J Obes (Lond), 32(7), 1091-1097.

Fallahzadeh, H., Etesam, F., Sadat., & Asgarian, F. (2015). Validity and reliability related to the Persian version of the Children's Sleep Habits Questionnaire. Sleep and Biological Rhythms. 2015; 13(3), 271-278.

Fernández, P., & Díaz, P. (2016). [Exploratory factorial analysis and factorial complexity: Beyond rotations. Enferm Clin, 1130-8621(16), 30059-3066.

Garaulet, M., Ortega, F., Ruiz, J., Rey-López, J., Béghin, L., & Manios, Y. (2011). Short sleep duration is associated with increased obesity markers in European adolescents: effect of physical activity and dietary habits. The HELENA study. Int J Obes (Lond), 35(10), 1308-1017.

García, M., Rodríguez, F., & Carmona, L. (2009). Validación de cuestionarios. Reumatología Clinica, 5(4), 171-174.

García-Jiménez, M., Salcedo-Aguilar, F., Rodríguez-Almonacid, F., Redondo-Martínez, M., Monterde-Aznar, M & Marcos-Navarro, A. (2004). Prevalencia de los Trastornos del Sueño en Adolescentes en Cuenca, España. Rev Nerol, 39(1), 18-24.

Giannotti, F., Cortesi, F., Sebastiani, T., & Ottaviano, S. (2002). Circadian preference, sleep and daytime behaviour in adolescence. J Sleep Res, 11(3), 191-199.

Gruber, R., Somerville, G., Enros, P., Paquin, S., Kestler, M., & Gillies-Poitras, E. (2014). Sleep efficiency (but not sleep duration) of healthy school-age children is associated with grades in math and languages. Sleep Med, 15(12): 1517-1525.

Ipsiroglu, O., Fatemi, A., Werner, I., Paditz, E., & Schwarz, B. (2002). Self-reported organic and nonorganic sleep problems in schoolchildren aged 11 to 15 years in Vienna. J Adolesc Health, 31(5), 436-442.

Kong, A., Wing, Y., Choi, K., Li, A., Ko, G., & Ma, R. (2011). Associations of sleep duration with obesity and serum lipid profile in children and adolescents. Sleep Med, 12(7), 659-665.

Li, S., Jin, X., Shen, X., Wu, S., Jiang, F., & Yan, C. (2007). Development and psychometric properties of the Chinese version of Children's Sleep Habits Questionnaire. Zhonghua Er Ke Za Zhi, 45(3), 176-180.

Liu, X., Liu, L., Owens, J., & Kaplan, D. (2005). Sleep patterns and Sleep problems among schoolchildren in the United States and China. Pediatrics, 115(1 Supl 1), 241-219.

Liu, X., Sun, Z., Uchiyama, M., Shibui, K., Kim, K., & Okawa, M. (2000). Prevalence and correlates of sleep problems in Chinese schoolchildren. Sleep, 23(8), 1053-1062.

Lucas-de la Cruz, L., Álvarez-Bueno, C., Arias-Palencia, N., & Notario-Pacheco, B. (2016). Reliability and validity of the Spanish version of the Children's Sleep Habits Questionnaire (CSHQ-SP) in school-age children. Child Care Health Dev 42(5), 675-682.

Martins, J.C., Honorio, S., Costa, A.M., Batista, M., & Cardoso, J. (2014). Longitudinal study of physical fitness levels, BMI and childhood obesity in school context. J. Hum. Sport Exerc. 9(2), 645-655.

Mindell, J., & Owens, J. (2003). Sleep problems in a pediatric practice: clinical issues for the pediatric nurse practitioner. J Pediatr Health Care, 17(6), 324-331.

Miró, E., Cano-Lozano, MDC., & Buela-Casal, G. (2005). Sueño y calidad de vida. Rev. Colomb. Psicol, 14, 11-27.

Nunnany, J. (1978). Psychometric theory. 2nd ed. New York: McGraw Hill.

Ochoa-Meza, G., Sierra, J., Pérez-Rodrigo, C., & Aranceta-Bartrina, J. (2014). Validity of Pro Children Project questionnaire for assessing psychosocial factors of fruit and vegetable intake in Mexico. Salud Publica Mex, 56(2), 165-179.

Oviedo, H., & Campo, A. (2005). Aproximación al uso del coeficiente alfa de Cronbach. Rev Col Psiq, 24(4),572-580.

Owens, J., & Dalzell, V. (2005). Use of the 'BEARS' sleep screening tool in a pediatric residents continuity clinic: a pilot study. Sleep Medicine, 6(1), 63-69.

Owens, J., Spirito, A., & McGuinn. M. (2000). The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric properties of a survey instrument for schoolaged children. Sleep, 23(8), 1043-1051.

Paavonen, E., Aronen, E., Moilanen, I., Piha, J., Räsänen, E., & Tamminen, T. (2000). Sleep problems of school-aged children: a complementary view. Acta Paediatr, 89(2), 223-228.

Pérez-Moreno, P., Calzada-Álvarez, N., Rovira-Guardiola, J., & Torrico-Linares, E. (2012). Estructura factorial del test ASSIST: aplicación del análisis factorial exploratorio y confirmatorio. Trastornos Adictivos, 12(2), 44-49.

Ramírez-Vélez, R., Rodríguez-Bezerra, D., Correa-Bautista, J. Izquierdo, M., & Lobelo F. (2015). Reliabity of Health-Related Physical Fitness Test among Colombian Children and Adolescents: The FUPRECOL Study. PLos ONE, (10), e0140875.

Ravikiran, S., Kumar, P., & Latha, K. (2001). Sleep problems in preschool and school aged rural Indian children. Indian Pediatr, 48(3), 221-223.

Salsberg, J., Soultana, M., Bengoechea, E.,G., Macaulay, A.,C. Moore, S. (2015). Engaging Community Stakeholders for School-Based Physical Activity Intervention. RETOS , 28, 104-109.

Smith, S., & Trinder, J. (2001). Detecting insomnia: comparison of four selfreport measures of sleep in a young adult population. J Sleep Res, 10(3), 229-235.

Viera, A., & Garrett, J. (2005). Understanding interobserver agreement: the kappa statistic. Fam Med, 37(5), 360-363.

Waumans, R., Terwee, C., Van den Berg, G., Knol, D., Van, LR., & Gemke, R. (2010). Sleep and sleep disturbance in children: Reliability and validity of the Dutch version of the Child Sleep Habits Questionnaire. Sleep, 33(6), 841-846.

Webb, W., Bonnet, M., & Blume, G. (1976). A post-sleep inventory. Percept Mot Skills, 43, 987-993.


Enlaces refback

  • No hay ningún enlace refback.