Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (1): 42-45.DOI: 10.11852/zgetbjzz2022-0642

• Original Articles • Previous Articles     Next Articles

Validation and norms of the Chinese Toddler Sleep Assessment Scale

FENG Wei-wei1, ZHANG Tong2, WANG Hui-shan1, YANG Yu-feng3, XU Zhi-fei4, PAN Xiao-ping1, WANG Guang-hai5, XU Tao1, Working Group on Norms Establishment of Chinese Infants and Toddlers Sleep Assessment Scales6   

  1. 1. National Center for Women and Children′s Health, China CDC, Beijing 100081, China;
    2. Capital Institute of Pediatrics;
    3. The Second Affiliated Hospital of Xi′an Jiaotong University;
    4. National Center for Children′s Health, Beijing Children′s Hospital, Capital Medical University;
    5. Shanghai Children′s Medical Center Affiliated to Shanghai Jiao Tong University;
    6. Working Group on Norms Establishment of Chinese Infants and Toddlers Sleep Assessment Scales
  • Received:2022-05-22 Revised:2022-11-20 Online:2023-01-10 Published:2023-01-04
  • Contact: XU Tao, E-mail:xutao6622@chinawch.org.cn

中国幼儿睡眠状况评估量表的验证及全国常模构建

冯围围1, 张彤2, 王惠珊1, 杨玉凤3, 许志飞4, 潘晓平1, 王广海5, 徐韬1, 中国婴幼儿睡眠状况评估量表常模制定工作协作组6   

  1. 1.中国疾病预防控制中心妇幼保健中心,北京 100081;
    2.首都儿科研究所;
    3.西安交通大学第二附属医院;
    4.国家儿童医学中心首都医科大学附属北京儿童医院;
    5.上海交通大学医学院附属上海儿童医学中心;
    6.中国婴幼儿睡眠状况评估量表常模制定工作协作组
  • 通讯作者: 徐韬,E-mail:xutao6622@chinawch.org.cn
  • 作者简介:冯围围(1988-),女,河北人,副研究员,博士学位,主要研究方向为儿童保健。
  • 基金资助:
    中央财政专项中国妇幼健康促进项目(131031113000200002)

Abstract: Objective To verify the reliability and validity of Chinese Toddler Sleep Assessment Scale(TSAS), and to establish national norm and cut-off score. Methods Using multistage random sampling, totally 2 816 urban and rural caregivers whose child aged 12 to 35 months were selected in 14 cities of 7 provinces from May to December 2021. The internal consistency reliability, split-half reliability and confirmatory factor analysis were used to verify the reliability and validity of the scale. The percentile norm(P5, P15, P50, P85 and P95) was established, and the total TSAS scores exceeding P85 and P97 were determined as the cut-offs for identifying poor sleep and abnormal sleep. Results The Cronbach′s α coefficients of TSAS was 0.73, the split-half reliability was 0.81, and the factor structure models were stable, which showed good reliability and validity. The age norm of TSAS was established. The total score >40 indicated poor sleep, and > 45 indicated abnormal sleep. Conclusions TSAS has stable reliability and validity. The established norm and cut-off can provide Objective reference for its promotion and application.

Key words: Toddler Sleep Assessment Scale, poor sleep, abnormal sleep, norm, toddler

摘要: 目的 验证中国幼儿睡眠状况评估量表(TSAS)的信度和效度,建立全国常模和界值。方法 2021年5—12月采用多阶段随机抽样,选取我国7省(直辖市)14市城乡地区的2 816例12~35个月幼儿的看护人进行调查。采用内部一致性信度、分半信度和验证性因子分析对量表的信度效度进行验证,制定百分位常模(P5P15P50P85P95),分别以超过P85P97作为量表总分判断睡眠不良、睡眠异常的界值。结果 TSAS的Cronbach′s α系数为0.73,分半信度为0.81,因子结构模型稳定,具有较好的信度和效度。建立了量表总分的年龄百分位常模。量表总分大于40分为睡眠不良,大于45分为睡眠异常。结论 TSAS具有稳定的信度和效度,构建的全国性常模和界值为量表的推广和应用提供客观依据。

关键词: 幼儿睡眠状况评估量表, 睡眠不良, 睡眠异常, 常模, 幼儿

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