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Adolescent Sleep Hygiene Scale (ASHS)
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Supplemental: Spinal Cord Injury (SCI)-Pediatric (ages 12 and older)
Exploratory: Myalgic encephalomyelitis/Chronic fatigue syndrome (ME/CFS)
Short Description of Instrument
This sleep assessment for adolecents contains 28 items measuring sleep inhibiting and sleep facilitating practices.
There are 10 subscales corresponding to the 7 different sleep disorders, multiple sleep disorders, and "none". Each subscale is ranked from 0–100. In the original paper, the authors give two different cut-off scores for each subscale with sensitivities and specificities. They do not recommend a specific score but leave it up to researchers/ clinicians to decide which score they want to use.
Assessment is adapted from Children's Sleep Hygiene Scale (LeBourgeois, et al., 2005). The article reports on the relationship between self-reported sleep quality and sleep hygeine in Italian and American adolescents (LeBourgeois, et al., 2005).
Psychometric Properties:
Measures bedtime routines, sleep habits, sleep environment and activities surrounding bedtime. 28 items – 9 domains, adolescent report, 1 month retrospective survey Cronbach's alpha =.80 subscales alpha =.46–.71
This instrument is useful in assessing the sleep hygeine issues which are common confounding issue in adolescent CFS.
LeBourgeois MK, Giannotti F, Cortesi F, Wolfson AR, Harsh J. The Relationship Between Reported Sleep Quality and Sleep Hygiene in Italian and American Adolescents. Pediatrics. 2005;115(1 0):257–265.
de Bruin EJ, van Kampen RK, van Kooten T, Meijer AM. (2014). Psychometric properties and clinical relevance of the adolescent sleep hygiene scale in Dutch adolescents. Sleep Med. 2004;15(7):789–797.
Harsh JR, Easley A, LeBourgeois MK. An instrument to measure children's sleep hygiene [abstract]. Sleep. 2000;25:A316.
LeBourgeois MK, Giannotti F, Cortesi F, Wolfson A, Harsh J. (2004). Sleep hygiene and sleep quality in Italian and American adolescents. Ann N Y Acad Sci. 2004;1021:352–354.
Meltzer LJ, Brimeyer C, Russell K, Avis KT, Biggs S, Reynolds AC, Crabtree VM. The Children's Report of Sleep Patterns: validity and reliability of the Sleep Hygiene Index and Sleep Disturbance Scale in adolescents. Sleep Med. 2014;15(12):1500–1507.
Storfer-Isser A, LeBourgeois M, Harsh J, Tompsett C, Redline S. Psychometric Properties of the Adolescent Sleep Hygiene Scale (ASHS). J Sleep Res. 2013;22(6):707–716.
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