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題名 Is the Epworth Sleepiness Scale a valid outcome measure to evaluate the effectiveness of positive airway pressure treatments on daytime sleepiness? Psychometric insights from measurement invariance and response shifts
作者 楊建銘
Yang, Chien-Ming;Chen, Po-Yi;Wang, Min-Heng;Chang, Chih-Ning;Chao, Tzi-Yang
貢獻者 心理系
關鍵詞 Sleep apnea; Response shift; Epworth sleepiness scale; Measurement invariance; Continuous positive airway pressure
日期 2024-07
上傳時間 12-Dec-2024 09:27:35 (UTC+8)
摘要 Purpose: Although the validity of the Epworth Sleepiness Scale (ESS) as an effectiveness measure for sleep apnea treatments such as continuous positive airway pressure (CPAP) has been supported by multiple studies, some researchers continue to challenge it. They suggest that in addition to its impact on relieving patients’ daytime sleepiness, CPAP also alters the internal standards patients use to evaluate their sleepiness (i.e., response shift; RS), confounding the meaning of the difference in the ESS scores. We believe an issue yet to be addressed in this debate is that all existing evidence of RS has been obtained through the then-test approach, a retrospective method sensitive to various cognitive mechanisms. Thus, in the current study, we re-examined this issue using the structural equation modeling (SEM) approach, a method that can be directly applied to randomized clinical trial (RCT) data without retrospective measures.
關聯 Sleep and Breathing, Vol.28, pp.2247-2254
資料類型 article
DOI https://doi.org/10.1007/s11325-024-03111-3
dc.contributor 心理系
dc.creator (作者) 楊建銘
dc.creator (作者) Yang, Chien-Ming;Chen, Po-Yi;Wang, Min-Heng;Chang, Chih-Ning;Chao, Tzi-Yang
dc.date (日期) 2024-07
dc.date.accessioned 12-Dec-2024 09:27:35 (UTC+8)-
dc.date.available 12-Dec-2024 09:27:35 (UTC+8)-
dc.date.issued (上傳時間) 12-Dec-2024 09:27:35 (UTC+8)-
dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/154740-
dc.description.abstract (摘要) Purpose: Although the validity of the Epworth Sleepiness Scale (ESS) as an effectiveness measure for sleep apnea treatments such as continuous positive airway pressure (CPAP) has been supported by multiple studies, some researchers continue to challenge it. They suggest that in addition to its impact on relieving patients’ daytime sleepiness, CPAP also alters the internal standards patients use to evaluate their sleepiness (i.e., response shift; RS), confounding the meaning of the difference in the ESS scores. We believe an issue yet to be addressed in this debate is that all existing evidence of RS has been obtained through the then-test approach, a retrospective method sensitive to various cognitive mechanisms. Thus, in the current study, we re-examined this issue using the structural equation modeling (SEM) approach, a method that can be directly applied to randomized clinical trial (RCT) data without retrospective measures.
dc.format.extent 106 bytes-
dc.format.mimetype text/html-
dc.relation (關聯) Sleep and Breathing, Vol.28, pp.2247-2254
dc.subject (關鍵詞) Sleep apnea; Response shift; Epworth sleepiness scale; Measurement invariance; Continuous positive airway pressure
dc.title (題名) Is the Epworth Sleepiness Scale a valid outcome measure to evaluate the effectiveness of positive airway pressure treatments on daytime sleepiness? Psychometric insights from measurement invariance and response shifts
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.1007/s11325-024-03111-3
dc.doi.uri (DOI) https://doi.org/10.1007/s11325-024-03111-3