title: Development of the National Healthy Sleep Awareness Project Sleep Health Surveillance Questions.
abstract: OBJECTIVE
  For the first time ever, as emphasized by inclusion in the Healthy People 2020 goals, sleep health is an emphasis of national health aims. The National Healthy Sleep Awareness Project (NHSAP) was tasked to propose questions for inclusion in the next Behavioral Risk Factor Surveillance System (BRFSS), a survey that includes a number of questions that target behaviors thought to impact health, as a means to measure community sleep health. The total number of questions could not exceed five, and had to include an assessment of the risk for obstructive sleep apnea (OSA).
  
  
  METHODS
  An appointed workgroup met via teleconference and face-to-face venues to develop an inventory of published survey questions being used to identify sleep health, to develop a framework on which to analyze the strengths and weaknesses of current survey questions concerning sleep, and to develop recommendations for sleep health and disease surveillance questions going forward.
  
  
  RESULTS
  The recommendation was to focus on certain existing BRFSS questions pertaining to sleep duration, quality, satisfaction, daytime alertness, and to add to these other BRFSS existing questions to make a modified STOP-BANG questionnaire (minus the N for neck circumference) to assess for risk of OSA.
  
  
  CONCLUSIONS
  Sleep health is an important dimension of health that has previously received less attention in national health surveys. We believe that 5 questions recommended for the upcoming BRFSS question banks will assist as important measures of sleep health, and may help to evaluate the effectiveness of interventions to improve sleep health in our nation.
authors.affiliation: Mayo Clinic, Rochester, MN.
authors.forename: Timothy I
authors.initials: TI
authors.lastname: Morgenthaler
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Janet B
authors.initials: JB
authors.lastname: Croft
authors.affiliation: University of Calgary, Calgary, Alberta, Canada.
authors.forename: Leslie C
authors.initials: LC
authors.lastname: Dort
authors.affiliation: American Academy of Sleep Medicine, Darien, IL.
authors.forename: Lauren D
authors.initials: LD
authors.lastname: Loeding
authors.affiliation: Beth Israel Deaconess Medical Center, Boston, MA.
authors.forename: Janet M
authors.initials: JM
authors.lastname: Mullington
authors.affiliation: American Academy of Sleep Medicine, Darien, IL.
authors.forename: Sherene M
authors.initials: SM
authors.lastname: Thomas
mesh_terms: D040343:Behavioral Risk Factor Surveillance System; D015438:Health Behavior; D006306:Health Surveys / Q000379:methods*; D040361:Healthy People Programs; D006801:Humans; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology
keywords: Healthy People 2020; healthy sleep awareness