title: Validation of the Behavioral Risk Factor Surveillance System Sleep Questions.
abstract: OBJECTIVE
  leep problems may constitute a risk for health problems, including cardiovascular disease, depression, diabetes, poor work performance, and motor vehicle accidents. The primary purpose of this study was to assess the validity of the current Behavioral Risk Factor Surveillance System (BRFSS) sleep questions by establishing the sensitivity and specificity for detection of sleep/ wake disturbance.
  
  
  METHODS
  Repeated cross-sectional assessment of 300 community dwelling adults over the age of 18 who did not wear CPAP or oxygen during sleep. Reliability and validity testing of the BRFSS sleep questions was performed comparing to BFRSS responses to data from home sleep study, actigraphy for 14 days, Insomnia Severity Index, Epworth Sleepiness Scale, and PROMIS-57.
  
  
  RESULTS
  Only two of the five BRFSS sleep questions were found valid and reliable in determining total sleep time and excessive daytime sleepiness.
  
  
  CONCLUSIONS
  Refinement of the BRFSS questions is recommended.
authors.affiliation: University of Buffalo, Buffalo, NY.
authors.forename: Carla R
authors.initials: CR
authors.lastname: Jungquist
authors.affiliation: University of Buffalo, Buffalo, NY.
authors.forename: Jaime
authors.initials: J
authors.lastname: Mund
authors.affiliation: University of Buffalo, Buffalo, NY.
authors.forename: Alan T
authors.initials: AT
authors.lastname: Aquilina
authors.affiliation: SUNY Upstate Medical University.
authors.forename: Karen
authors.initials: K
authors.lastname: Klingman
authors.affiliation: University of Buffalo, Buffalo, NY.
authors.forename: John
authors.initials: J
authors.lastname: Pender
authors.affiliation: University of Buffalo, Buffalo, NY.
authors.forename: Heather
authors.initials: H
authors.lastname: Ochs-Balcom
authors.affiliation: University of Rochester, Rochester, NY.
authors.forename: Edwin
authors.initials: E
authors.lastname: van Wijngaarden
authors.affiliation: University of Buffalo, Buffalo, NY.
authors.forename: Suzanne S
authors.initials: SS
authors.lastname: Dickerson
mesh_terms: D056044:Actigraphy / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D040343:Behavioral Risk Factor Surveillance System; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009518:New York; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012893:Sleep Wake Disorders / Q000175:diagnosis*; D055815:Young Adult
keywords: Apnealink; BRFSS; PRO-Diary; questionnaire; screening; sleep