Youth Self Rating Insomnia Scale

COA At-a-Glance

Evidence of cognitive interviewing of draft instrument in target patient population

Evidence of internal consistency

Evidence of test-retest or inter-rater reliability

Evidence of concurrent validity

Evidence of known-groups validity

Evidence of ability to detect change over time

Evidence of responder thresholds

Inclusion of the COA in product labelling

Sleep
Sleep disturbance
Sleep impact

Overview

Instrument Name: Youth Self Rating Insomnia Scale

Abbreviation: YSIS

Points for Consideration:

None

Description of Tool:

The Youth Self Rating Insomnia Scale (YSIS) is an 8-item PRO developed to measure insomnia severity for adolescents. The YSIS consists of questions that ask about insomnia symptoms and waking symptoms or daytime consequences. Respondents are asked to rate each question on a 5-level scale ranging from 1 to 5 with varying response categories across items including "Very good" to "Very poor" (sleep quality), "Very good" to "Very poor" (sleep satisfaction) and "Never", "Rarely (< 1 time/week),""Sometimes (1-2 times/week)", "Often (3-5 times/week" to "Always every day (6-7 times/week" . Higher scores indicate greater insomnia severity within the past month.

Other Related Tools (if applicable):

The YSIS was developed based on the Sleep Habits Survey, Child Sleep Habits Questionnaire, Pediatric Sleep Questionnaire, Insomnia Severity Index, Athens Insomnia Scale and Pittsburgh Sleep Quality Index

Minimum Qualification Required by COA Administrator: No degree requirement

Comment:

None

Year: 2019

Objective of Development:

To measure insomnia severity for adolescents

Population of Development: Age range (therapeutic indication):

Mean age: 15 years (SD=1.5) (No therapeutic indication)

Pediatric Population(s) in which COA has been used:

None identified

COA type: PRO

Number of Items 8

Mode of Administration: Self-administered

Data Collection Mode: Pen and paper administration

Time for Completion: No information

Response Scales: 5-point Likert scale ranging from 1 to 5. The YSIS has varying response categories across items: Item 1 (sleep quality): 1="Very good" to 5="Very poor" Item 2 (sleep satisfaction): 1="Very satisfied" to 5="Very unsatisfied" Items 3-6: 1="Never", 2="Rarely (< 1 time/week),", 3="Sometimes (1-2 times/week)", 4="Often (3-5 times/week", 5="Always every day (6-7 times/week"

Summary of Scoring:

Available scores: Total score ranging from 8 to 40

Weighting: No

Score Interpretation: Higher scores=Higher insomnia severity


Content Validity

Evidence of Literature Review: None identified

Evidence of Instrument Review: None identified

Evidence of Clinical or Expert Input: None identified

Evidence of concept elicitation in target patient population: None identified

Evidence of a Saturation Grid: None identified

Evidence for Selection of Data Collection Method: None identified

Recall/Observation Period: Past month

Evidence for Selection of Reponse Options: Yes

Evidence of cognitive interviewing of draft instrument in target patient population: None identified

Evidence of Preliminary Scoring of Items and Domains: None identified

Evidence related to respondent and administrator burden: None identified

Evidence of a Conceptual Framework: None identified

Evidence of an item-tracking matrix: None identified

Evidence related to item selection: None identified

Evidence of re-testing the final version: None identified


Reliability

Internal consistency (Cronbach's alpha): Yes

Evidence of internal consistency: Liu X (2019) - Method: Coefficient omega Cronbach's alpha -Results: Coefficient omega: 0.82 Cronbach's alpha: 0.80 Population/Disease: Adolescents (mean age 15 years) from middle and high schools; n=11,836

Test-retest Reliability (ICC):

Liu X (2019)
Test-retest reliability
- ICC: Total YSIS score 0.90, ranging from 0.41-0.75 for individual items
- Was a definition of stability applied to identify stable patients: Not stated
- Time frame between the two administrations: 2 weeks
- Population/Disease: Adolescents (mean age 14.7 years) from middle and high schools; n=242

Inter-rater/ inter-interviewer reliability (kappa):

None identified

Evidence of test-retest or inter-rater reliability: Yes


Validity

Concurrent validity (convergent, divergent):

None identified

Known-group validity:

None identified

Evidence of Translatability Assessment: Yes

Evidence related to missing data: None identified

Evidence for Selection of Recall Period: None identified

Evidence of Administration Instructions and Training Provided: Yes

Evidence of concurrent validity: None identified

Evidence of known-groups validity: None identified

Evidence of ability to detect change over time: None identified


Ability to Detect Change

Ability to detect change (Responsiveness):

None identified


Responder Thresholds

Responder Thresholds:

None identified

Evidence of responder thresholds: None identified


Reference(s) of development / validation

Liu, X., Yang, Y., Liu, ZZ. et al. Psychometric properties of Youth Self-Rating Insomnia Scale (YSIS) in Chinese adolescents. Sleep Biol. Rhythms 17, 339–348 (2019). Full Text Article: https://link.springer.com/article/10.1007/s41105-019-00222-3#citeas


Other references

None identified


Inclusion of the COA in product labelling

None identified


Existence of Scoring / Interpretation / User Manual

Yes


Original language and translations

Original language: English

Translations: Chinese


References of translations

None identified


Authors and contact information

Authors: Xianchen Liu, Yanyun Yang, Zhen‑Zhen Liu, Yachen Luo Fang Fan, Cun‑Xian Jia

Contact:
Xianchen Liu
Shandong University School of Public Health,
Jinan 250012,
China
E-mail address: kelinresearch6@gmail.com


Website

None identified


Review copy

https://pmc.ncbi.nlm.nih.gov/articles/PMC10900025/