Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices

Zhiguang Zhang; Chalchisa Abdeta; Mohamed Souhaiel Chelly; Jesús del Pozo Cruz; Leyna Germana; Fazlollah Ghofranipour; Amy Sau-Ching Ha; Asmaa El Hamdouchi; Hong Kim Tang; Mohammed Sorowar Hossain; Bayasgalan Jambaldorj; Denise C. L. Koh; Anna Kontsevaya; Marie Löf; Himangi Lubree; Alejandra Jáuregui; Tawonga Mwase-Vuma; Amonje Moses Oluchiri; Aoko Oluwayomi; John J. Reilly; Eva Roos; Amanda E. Staiano; Adang Suherman; Chiaki Tanaka; Wei-Peng Teo; Ali Turab; Edin Užičanin; Sanne L. C. Veldman; E. Kipling Webster; Pujitha Wickramasinghe; Aubdul Aunampai; Anthony Okely

doi:10.1016/j.sleh.2025.04.006

Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices

Zhiguang Zhang
, Chalchisa Abdeta
, Mohamed Souhaiel Chelly
, Jesús del Pozo Cruz
, Leyna Germana
, Fazlollah Ghofranipour
, Amy Sau-Ching Ha
, Asmaa El Hamdouchi
, Hong Kim Tang
, Mohammed Sorowar Hossain
, Bayasgalan Jambaldorj
, Denise C. L. Koh
, Anna Kontsevaya
, Marie Löf
, Himangi Lubree
, Alejandra Jáuregui
, Tawonga Mwase-Vuma
, Amonje Moses Oluchiri
, Aoko Oluwayomi
, John J. Reilly

Eva Roos, Amanda E. Staiano, Adang Suherman, Chiaki Tanaka, Wei-Peng Teo, Ali Turab, Edin Užičanin, Sanne L. C. Veldman, E. Kipling Webster, Pujitha Wickramasinghe, Aubdul Aunampai, Anthony Okely

Physical Activity And Health

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

7 Downloads (Pure)

Abstract

Background: Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices. Objective: To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices. Methods: Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4 ± 0.6 years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired t test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3 ± 0.6 years) from eight countries. Results: Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r = 0.43-0.75; p < .001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (−14 min/d; Cohen's d = −0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC = 0.63-0.83; Kappa = 0.53-0.62) and family practice (ICC = 0.81-0.94; Kappa = 0.73-0.86) variables. Conclusion: The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.

Original language	English
Pages (from-to)	613-623
Number of pages	11
Journal	Sleep Health
Volume	11
Issue number	5
Early online date	2 Jun 2025
DOIs	https://doi.org/10.1016/j.sleh.2025.04.006
Publication status	Published - 1 Oct 2025

Funding

The authors are grateful to all the families that participated in the SUNRISE pilot study, all the early childhood education and care services that facilitated participant recruitment, all the data collectors, and the SUNRISE Coordinating Centre staff at University of Wollongong. Study questionnaire data were collected and managed using REDCap electronic data capture tools42,43 hosted and supported by University of Wollongong. NHMRC Investigator Grant (Grant No. APP1176858); Government of Andalusia, Research, Development, and Innovation Program (Grant No. PAIDI P20_1181) and requalification of university teaching staff\u2014Ministry of Universities (22330), financed by the European Union\u2014NextGenerationEU; ISBNPA Pioneers scholarship program; Pham Ngoc Thach University of Medicine\u2019s Fund for Science (Grant No. 1320/H\u0110-T\u0110HYKPNT); Research University Grant and Faculty of Education Grant; WHO European Office for the Prevention and Control of Noncommunicable Diseases; KEM Hospital Research Centre; The Fogarty International Center (Grant No. A66864); Sir Halley Stewart Trust (Grant No. 2674); NIH Scholarship Travel Award; CREDPR PI Award; Ministry of Education and Culture in Finland, Juho Vainio Foundation, Signe and Ane Gyllenberg Foundation, Yrj\u00F6 Jahnsson Foundation, and Samfundet Folkh\u00E4lsan; American Council on Exercise; World Cancer Research Fund International and Cancer Australia (Grant No. PFG_FULL_2022_005); Faculty of Physical Education and Sport, University of Tuzla; Amsterdam Public Health Behaviors and Chronic Diseases Project Grant; Sri Lanka College of Paediatricians through Dr Stella de Silva Grant; National Research Council of Thailand, through Mahidol University Fundamental Fund, grant number 198862; Thailand Physical Activity Knowledge Development Centre (TPAK); Institute for Population and Social Research, Mahidol University, Thailand.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

public health
measurement
sleep health
early childhood

Access to Document

10.1016/j.sleh.2025.04.006Licence: CC BY 4.0

Zhang-etal-SH-2025-Measurement-properties-of-the-SUNRISE-Study-Parent-QuestionnaireFinal published version, 3.15 MBLicence: CC BY 4.0

Cite this

Zhang, Z., Abdeta, C., Chelly, M. S., Cruz, J. D. P., Germana, L., Ghofranipour, F., Ha, A. S.-C., El Hamdouchi, A., Tang, H. K., Hossain, M. S., Jambaldorj, B., Koh, D. C. L., Kontsevaya, A., Löf, M., Lubree, H., Jáuregui, A., Mwase-Vuma, T., Oluchiri, A. M., Oluwayomi, A., ... Okely, A. (2025). Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices. Sleep Health, 11(5), 613-623. https://doi.org/10.1016/j.sleh.2025.04.006

@article{2f19bf74257f464b8d1396b6616c6f8f,

title = "Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices",

abstract = "Background: Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices. Objective: To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices. Methods: Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4 ± 0.6 years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired t test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3 ± 0.6 years) from eight countries. Results: Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r = 0.43-0.75; p < .001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (−14 min/d; Cohen's d = −0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC = 0.63-0.83; Kappa = 0.53-0.62) and family practice (ICC = 0.81-0.94; Kappa = 0.73-0.86) variables. Conclusion: The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.",

keywords = "public health, measurement, sleep health, early childhood",

author = "Zhiguang Zhang and Chalchisa Abdeta and Chelly, \{Mohamed Souhaiel\} and Cruz, \{Jes{\'u}s del Pozo\} and Leyna Germana and Fazlollah Ghofranipour and Ha, \{Amy Sau-Ching\} and \{El Hamdouchi\}, Asmaa and Tang, \{Hong Kim\} and Hossain, \{Mohammed Sorowar\} and Bayasgalan Jambaldorj and Koh, \{Denise C. L.\} and Anna Kontsevaya and Marie L{\"o}f and Himangi Lubree and Alejandra J{\'a}uregui and Tawonga Mwase-Vuma and Oluchiri, \{Amonje Moses\} and Aoko Oluwayomi and Reilly, \{John J.\} and Eva Roos and Staiano, \{Amanda E.\} and Adang Suherman and Chiaki Tanaka and Wei-Peng Teo and Ali Turab and Edin U{\v z}i{\v c}anin and Veldman, \{Sanne L. C.\} and Webster, \{E. Kipling\} and Pujitha Wickramasinghe and Aubdul Aunampai and Anthony Okely",

year = "2025",

month = oct,

day = "1",

doi = "10.1016/j.sleh.2025.04.006",

language = "English",

volume = "11",

pages = "613--623",

journal = "Sleep Health",

issn = "2352-7218",

publisher = "Elsevier Inc.",

number = "5",

}

Zhang, Z, Abdeta, C, Chelly, MS, Cruz, JDP, Germana, L, Ghofranipour, F, Ha, AS-C, El Hamdouchi, A, Tang, HK, Hossain, MS, Jambaldorj, B, Koh, DCL, Kontsevaya, A, Löf, M, Lubree, H, Jáuregui, A, Mwase-Vuma, T, Oluchiri, AM, Oluwayomi, A, Reilly, JJ, Roos, E, Staiano, AE, Suherman, A, Tanaka, C, Teo, W-P, Turab, A, Užičanin, E, Veldman, SLC, Webster, EK, Wickramasinghe, P, Aunampai, A & Okely, A 2025, 'Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices', Sleep Health, vol. 11, no. 5, pp. 613-623. https://doi.org/10.1016/j.sleh.2025.04.006

TY - JOUR

T1 - Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices

AU - Zhang, Zhiguang

AU - Abdeta, Chalchisa

AU - Chelly, Mohamed Souhaiel

AU - Cruz, Jesús del Pozo

AU - Germana, Leyna

AU - Ghofranipour, Fazlollah

AU - Ha, Amy Sau-Ching

AU - El Hamdouchi, Asmaa

AU - Tang, Hong Kim

AU - Hossain, Mohammed Sorowar

AU - Jambaldorj, Bayasgalan

AU - Koh, Denise C. L.

AU - Kontsevaya, Anna

AU - Löf, Marie

AU - Lubree, Himangi

AU - Jáuregui, Alejandra

AU - Mwase-Vuma, Tawonga

AU - Oluchiri, Amonje Moses

AU - Oluwayomi, Aoko

AU - Reilly, John J.

AU - Roos, Eva

AU - Staiano, Amanda E.

AU - Suherman, Adang

AU - Tanaka, Chiaki

AU - Teo, Wei-Peng

AU - Turab, Ali

AU - Užičanin, Edin

AU - Veldman, Sanne L. C.

AU - Webster, E. Kipling

AU - Wickramasinghe, Pujitha

AU - Aunampai, Aubdul

AU - Okely, Anthony

PY - 2025/10/1

Y1 - 2025/10/1

N2 - Background: Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices. Objective: To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices. Methods: Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4 ± 0.6 years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired t test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3 ± 0.6 years) from eight countries. Results: Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r = 0.43-0.75; p < .001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (−14 min/d; Cohen's d = −0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC = 0.63-0.83; Kappa = 0.53-0.62) and family practice (ICC = 0.81-0.94; Kappa = 0.73-0.86) variables. Conclusion: The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.

AB - Background: Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices. Objective: To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices. Methods: Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4 ± 0.6 years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired t test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3 ± 0.6 years) from eight countries. Results: Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r = 0.43-0.75; p < .001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (−14 min/d; Cohen's d = −0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC = 0.63-0.83; Kappa = 0.53-0.62) and family practice (ICC = 0.81-0.94; Kappa = 0.73-0.86) variables. Conclusion: The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.

KW - public health

KW - measurement

KW - sleep health

KW - early childhood

U2 - 10.1016/j.sleh.2025.04.006

DO - 10.1016/j.sleh.2025.04.006

M3 - Article

C2 - 40461398

SN - 2352-7218

VL - 11

SP - 613

EP - 623

JO - Sleep Health

JF - Sleep Health

IS - 5

ER -

Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices

Abstract

Funding

UN SDGs

Keywords

Access to Document

Fingerprint

Cite this