20.500.12556/DiRROS-29967 Psychometric validation of the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) in Slovenia implications for public health research and practice Psihometrična validacija Epworthove lestvice zaspanosti za otroke in mladostnike (ESS-CHAD) v Sloveniji praktične implikacije v raziskovalnem in kliničnem okolju Introduction This study aimed to develop a suitable instrument for assessing excessive daytime sleepiness (EDS) in Slovenian children and adolescents by translating the ESS-CHAD and psychometrically validating its Slovenian version (ESS-CHAD-SI). Methods The ESS-CHAD was translated and back-translated according to established cross-cultural adaptation guidelines, and content validity was assessed by eleven experts from relevant clinical and research disciplines. A nationwide sample of 3,314 adolescents (≈52% females), with an overall mean age of 15.4±1.7 years, completed the questionnaire. Reliability was evaluated using Cronbach’s α and Guttman’s λ2, and construct validity was examined using exploratory and confirmatory factor analyses. Results All items met the predefined thresholds for content relevance, while clarity indices were acceptable for the majority of items. Factor analyses indicated that a two-factor model provided a better fit to the data than the original unidimensional structure, distinguishing between passive sleepiness and more clinically concerning manifestations of sleepiness. The ESS-CHAD-SI demonstrated adequate internal consistency. Conclusions The ESS-CHAD-SI is a reliable, valid, and culturally adapted instrument for assessing excessive daytime sleepiness in Slovenian adolescents. The identified two-factor structure enhances its clinical and public health relevance by enabling differentiation between sleepiness related to modifiable sleep behaviours and potentially pathological somnolence. The scale is suitable for use in school-based screening, clinical practice, and epidemiological research. Uvod Namen študije je bil zagotoviti ustrezen instrument za ocenjevanje čezmerne dnevne zaspanosti (EDS) pri slovenskih otrocih in mladostnikih s prevodom vprašalnika ESS-CHAD ter psihometrično validacijo njegove slovenske različice (ESS-CHAD-SI). Metode Vprašalnik ESS-CHAD je bil preveden in vzvratno preveden v skladu z uveljavljenimi smernicami za kulturno adaptacijo, vsebinsko veljavnost pa je ocenilo enajst strokovnjakov z različnih kliničnih in raziskovalnih področij. V nacionalni raziskavi je sodelovalo 3314 mladostnikov (≈ 52 % deklet), s povprečno starostjo 15,4 ± 1,7 let. Zanesljivost je bila ocenjena s koeficientoma Cronbach α in Guttman λ2, konstruktna veljavnost pa z eksploratorno in konfirmatorno faktorsko analizo. Rezultati Vse postavke so dosegle vnaprej določene pragove vsebinske relevantnosti, medtem ko so bili indeksi jasnosti za večino postavk sprejemljivi. Faktorska analiza je pokazala, da se dvofaktorski model bolje prilega podatkom kot izvirna enodimenzionalna struktura, pri čemer loči med pasivno zaspanostjo in klinično bolj zaskrbljujočimi oblikami somnolence. Vprašalnik ESS-CHAD-SI se je izkazal za ustrezno notranje skladnega. Zaključki ESS-CHAD-SI je zanesljiv, veljaven in kulturno prilagojen instrument za ocenjevanje čezmerne dnevne zaspanosti pri slovenskih mladostnikih. Ugotovljena dvofaktorska struktura povečuje njegovo klinično in javnozdravstveno uporabnost, saj omogoča razlikovanje med zaspanostjo, povezano s spremenljivimi vedenjskimi vzorci spanja, in potencialno patološko somnolenco. Lestvica je primerna za uporabo v šolskih presejalnih programih, klinični praksi in epidemioloških raziskavah. excessive daytime sleepiness questionnaires validation adolescents Slovenia čezmerna dnevna zaspanost vprašalniki validacija mladostniki Slovenija true false true Angleški jezik Slovenski jezik Neznano 2026-06-10 13:35:58 2026-06-10 13:35:58 2026-06-11 03:47:36 0000-00-00 00:00:00 2026 0 0 Besedilo v angl.; Soavtorji: Kaja Gril Rogina, Matic Šmigoc, Barbara Gnidovec Stražišar, Andreja Kukec; str. 16-24 no. 1 Vol. 65 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 2025-09-19 2026-01-14 614 0351-0026 10.2478/sjph-2026-0003 271049987 https://reference-global.com/article/10.2478/sjph-2026-0003 1 8f1dbac8-64c0-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=45138 Psychometric_Validation_of_the_Epworth_Sleepiness_Scale_for_Children_and_Adolescents_(ESS-CHAD)_in_S_(2).pdf Psychometric_Validation_of_the_Epworth_Sleepiness_Scale_for_Children_and_Adolescents_(ESS-CHAD)_in_S_(2).pdf 1 E78E63C2CDD69D0B6A4E70351A4010D1 3d8d98d151c71dd7bef78e9e487022477f75959b3c568ba13092d09dd06f5979 3510ada6-64c1-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=45143 Nacionalni inštitut za javno zdravje 0 0 0