PT  - JOURNAL ARTICLE
AU  - GEORGE A. WELLS
AU  - TRACY LI
AU  - JOHN R. KIRWAN
AU  - JOAN PETERSON
AU  - DANIEL ALETAHA
AU  - MAARTEN BOERS
AU  - BARRY BRESNIHAN
AU  - MAXIME DOUGADOS
AU  - LEANNE IDZERDA
AU  - JO NICKLIN
AU  - MARIA SUAREZ-ALMAZOR
AU  - VIVIAN WELCH
AU  - PETER S. TUGWELL
TI  - Assessing Quality of Sleep in Patients with Rheumatoid Arthritis
AID  - 10.3899/jrheum.090362
DP  - 2009 Sep 01
TA  - The Journal of Rheumatology
PG  - 2077--2086
VI  - 36
IP  - 9
4099  - http://www.jrheum.org/content/36/9/2077.short
4100  - http://www.jrheum.org/content/36/9/2077.full
SO  - J Rheumatol2009 Sep 01; 36
AB  - We sought to identify instruments assessing sleep quality that measure the domains of sleep applicable to rheumatoid arthritis (RA) patients and are feasible to use and have appropriate reliability, validity, and responsiveness properties. A systematic review of sleep instruments was conducted. In particular, domains related to sleep that were assessed in the instruments were identified and evaluated. Feasibility characteristics and psychometric properties of instruments were reviewed. At OMERACT 9, the preparatory work was described at the plenary session of the Patient Perspective Workshop, and the tasks of 3 breakout groups in ranking and scoring the domains and sleep instruments were outlined. Each breakout group considered different aspects of sleep: sleep domains, feasibility, and psychometric properties. The rapporteur for each breakout group reported back to the plenary on the domains and sleep instruments that achieved the highest rank/score. The systematic review identified 45 sleep instruments of interest. Based on these instruments, 14 domains of sleep were identified. The top ranked domains were: Sleep Adequacy (1), Sleep Maintenance (2), Sleep Initiation (3) and Daytime Functioning (4). The top ranked instruments on feasibility were: Athens Insomnia Scale (2.3), Medical Outcome Study (MOS) Sleep (4.0), Insomnia Severity Index (4.9), and Women’s Health Insomnia Rating Scale (5.5). The highest scored instruments on psychometric properties were: Athens Insomnia Scale (13.6), Sleep Assessment Questionnaire (13), Pittsburgh Sleep Diary (12), and MOS Sleep (11). Sleep domains have been reviewed, and several sleep instruments have been identified. These instruments should be considered for use in planned clinical trials of RA patients to assess their applicability.