Translation and validation of the Indonesian version of Richard Campbell Sleep Questionnaire (RCSQ) in intensive care unit patients
https://doi.org/10.52235/lp.v7i2.620
Keywords:
intensive care, reliability, sleep quality, validityAbstract
Background: Sleep quality is a critical determinant of recovery outcomes among patients admitted to intensive care units (ICUs); however, accurate sleep assessment remains challenging due to environmental disturbances and intensive medical interventions. The Richards–Campbell Sleep Questionnaire (RCSQ) is widely used to assess subjective sleep quality, yet evidence regarding its psychometric performance in Indonesian ICU settings remains limited.
Objective: The purpose of this study was to evaluate the validity and reliability of RCSQ in the ICU and assess the extent to which this instrument can accurately reflect the patient's sleep experience in the ICU.
Methods: A methodological cross-sectional study was conducted involving 11 adult ICU patients recruited using a total sampling technique. Data were collected between April and May 2025 using the Indonesian version of the RCSQ. Construct validity was assessed using item–total correlation analysis, while internal consistency was evaluated using Cronbach’s alpha coefficient. Descriptive statistics were used to summarize participants’ demographic characteristics.
Results: All RCSQ items demonstrated satisfactory construct validity, with item–total correlation coefficients exceeding the critical r-value (r > 0.521) and statistical significance at p < 0.05. The instrument showed good internal consistency, with a Cronbach’s alpha value of 0.810, indicating reliable measurement of subjective sleep quality among ICU patients.
Conclusion: The Indonesian version of the Richards–Campbell Sleep Questionnaire demonstrates acceptable validity and reliability for assessing subjective sleep quality in ICU patients. Nevertheless, further studies with larger and more diverse samples are recommended to confirm its robustness and to explore integration with objective sleep assessment methods in intensive care settings.
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Alsulami, G., Rice, A. M., & Kidd, L. (2019). Prospective recurrent assessments of self-reported sleep quality and sleep disturbance factors in intensive care units: Acceptance of daily sleep quality assessments. BMJ Open, 9(6). https://doi.org/10.1136/bmjopen-2019-029957
Bihari, S., Doug McEvoy, R., Matheson, E., Kim, S., Woodman, R.J., & Bersten, A.D. (2012). Factors that affect the quality of sleep of patients in intensive care units. Journal of Clinical Sleep Medicine, 8(3), 301–307. https://doi.org/10.5664/jcsm.1920
Chen, L. xia, Ji, D. hong, Zhang, F., Li, J. hua, Cui, L., Bai, C. jie, Liu, H., & Liang, Y. (2019). Richards-Campbell sleep questionnaire: psychometric traits of critically ill Chinese patients. Nursing in Critical Care, 24(6), 362–368. https://doi.org/10.1111/nicc.12357
Cui, M., Xing, T., Zhao, A., Zheng, L., Zhang, X., Xue, H., Wu, Z., Wang, F., & Zhao, P. (2024). Effect of intraoperative sodium oxybite infusion on postoperative sleep quality in patients undergoing gynecological laparoscopic surgery: A randomized clinical trial. Journal of Clinical Anesthesia, 93(36), 111349. https://doi.org/10.1016/j.jclinane.2023.111349
Dabirinejad, S., Minasia, E., Kashani, A.T., Rundmo, T., & Afshar, A. (2023). Predict pedestrian behavior with sleep quality and emotional self-regulation. Transportation Research Records, 2677(5), 1077–1084. https://doi.org/10.1177/03611981231155901
Delaney, L.J., Litton, E., Melehan, K.L., Huang, H.C., Lopez, V., & Van Haren, F. (2021). Feasibility and reliability of actigraphic to monitor sleep in intensive care patients: an observational study. Critical Care, 25(1), 1–13. https://doi.org/10.1186/s13054-020-03447-8
Dorsch, J.J., Martin, J.L., Malhotra, A., Owens, R.L., & Kamdar, B.B. (2019). Sleeping in the Intensive Care Unit: Strategies for Improvement. Seminar on Respiratory Medicine and Critical Care, 40(5), 614–628. https://doi.org/10.1055/s-0039-1698378
Douglas, SL, Hobbs, H.A., Sibley, SR, & Digby, G.C. (2021). Providing Evidence-Based Care, Day and Night: A Quality Improvement Initiative to Improve the Quality of Sleep of Intensive Care Unit Patients. Journal of Intensive Care Medicine, 36(12), 1450–1457. https://doi.org/10.1177/0885066620960629
Duprey, M.S., Devlin, J.W., & Skrobik, Y. (2020). Is there a relationship between subjective sleep quality and the occurrence of daily delirium in critically ill adults? Post hoc analysis of randomized controlled trials. BMJ Open Respiratory Research, 7(1). https://doi.org/10.1136/bmjresp-2020-000576
Eck, I. van, Hollander, D. den, Desar, I. M. E., Soomers, V., & ... (2020). Uncovering health-related quality of life heterogeneity of sarcoma survivors regarding the location of primary sarcoma: results from the SURVARC study. In Cancers. mdpi.com. https://www.mdpi.com/2072-6694/12/11/3083
Elliott, R., McKinley, S., Fien, M., & Elliott, D. (2018). Symptoms of post-traumatic stress in intensive care patients: An exploration of related factors. Rehabilitation Psychology, 61(2), 141–150. https://doi.org/10.1037/rep0000074
Ghani, S.B., Delgadillo, M.E., Granados, K., Okuagu, A.C., Alfonso-Miller, P., Buxton, O.M., Patel, S.R., Ruiz, J., Parthasarathy, S., Haynes, P.L., Molina, P., Seixas, A., Williams, N., Jean-Louis, G., & Grandner, M.A. (2020). Acculturation is related to sleep duration, sleep quality, and sleep disturbances at the U.S.-Mexico border. International Journal of Environmental and Public Health Research, 17(19), 1–11. https://doi.org/10.3390/ijerph17197138
Halonen, J. I., Vahtera, J., Stansfeld, S., Yli-Tuomi, T., Salo, P., Pentti, J., Kivimäki, M., & Lanki, T. (2012). The association between nighttime traffic noise and sleep: A Finnish public sector study. Environmental Health Perspectives, 120(10), 1391–1396. https://doi.org/10.1289/ehp.1205026
Hasnaoui, S., Hoye, A. Van, Soudant, M., & ... (2024). Evaluating the feasibility and acceptability of tailored fencing interventions in postoperative breast cancer surgery: a RIPOSTE randomized trial. The border in .... https://doi.org/10.3389/fonc.2024.1335442
Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E. S., Kheirandish-Gozal, L., Neubauer, D. N., O'Donnell, A. E., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R.C., Setters, B., Vitiello, M. M., Ware, J. C., & Adams Hillard, P. J. (2015). National Sleep Foundation sleep duration recommendations: Methodology and summary of results. Sleep Health, 1(1), 40–43. https://doi.org/10.1016/j.sleh.2014.12.010
Honarmand, K., Rafay, H., Le, J., Mohan, S., Rochwerg, B., Devlin, J.W., Skrobik, Y., Weinhouse, G.L., Drouot, X., Watson, P.L., McKinley, S., & Bosma, K.J. (2020). A Systematic Review of Risk Factors for Sleep Disorders in Critically Ill Adults. Critical Care Medicine, 1066–1074. https://doi.org/10.1097/CCM.0000000000004405
Jacobowitz, O., Schwartz, A.R., Lovett, E.G., & ... (2022). Design and rationale for treating obstructive sleep apnea using targeted hypoglossal nerve stimulation (OSPREY) trials. In contemporary clinical .... Elsevier. https://www.sciencedirect.com/science/article/pii/S1551714422001306
Kamdar, B.B., Suri, R., Suchyta, M.R., Digrande, K.F., Sherwood, K.D., Colantuoni, E., Dinglas, V.D., Needham, M.D., & Hopkins, R.O. (2020). Returning to work after critical illness: A systematic review and meta-analysis. Thorax, 75(1), 17–27. https://doi.org/10.1136/thoraxjnl-2019-213803
Kapoor, MC (2020). cardiac surgery and cardiac intensive care admission: A narrative review part 2: Cognitive dysfunction after critical illness; potential contributors in surgery.... In the Annals of Cardiac Anesthesia. journals.lww.com. https://journals.lww.com/aoca/fulltext/2020/23040/Neurological_Dysfunction_after_Cardiac_Surgery_and.2.aspx
Liu, X., Humphris, G., Luo, A., Yang, M., Yan, J., Huang, S., Xiao, S., Lv, A., Wu, G., Gui, P., Wang, Q., Zhang, Y., Yan, Y., Jing, N., & Xu, J. (2022). Family-physician joint decision-making in intensive care units: Cluster randomized trials in China. Patient Education and Counseling, 105(6), 1532–1538. https://doi.org/10.1016/j.pec.2021.10.004
Politis, G. D., Gregory, G., Yudkowitz, F. S., & ... (2020). 2020 guidelines for conducting plastic reconstruction short-term surgical projects in low-middle-income countries. Child.... https://doi.org/10.1111/pan.13960
Staats, R., Barros, I., Fernandes, D., Grencho, D., Reis, C., Matos, F., Valença, J., Marôco, J., Almeida, A.B., & Bárbara, C. (2020). The importance of sleep fragmentation in hemodynamic decline in patients with obstructive sleep apnea. Frontiers in Physiology, 11 (March). https://doi.org/10.3389/fphys.2020.00104
Tariq, MO (2024). IoMT Integration for Healthcare Improvement: Sleep Monitoring, Body Motion Detection, and Rehabilitation Evaluation. Clinical Practice and Unmet Challenges in AI.... https://www.igi-global.com/chapter/integration-of-iomt-for-enhanced-healthcare/352913
Tsega, S.S., Yazew, B.G., & Mekonnen, K. (2021). Sleep quality and related factors among adult patients with epilepsy attending follow-up care at a referral hospital in the Amhara region of Ethiopia. PLoS SATU, 16(December 12, 2021). https://doi.org/10.1371/journal.pone.0261386
Varella, NC, Almeida, R.S., Nogueira, L.A., & Ferreira, A.S. (2021). Cross-cultural adaptation of the Richards-Campbell Sleep Questionnaire for intensive care unit inpatients in Brazil: internal consistency, reliability of retests, and measurement errors. Sleep Medicine, 85, 38–44. https://doi.org/10.1016/j.sleep.2021.06.039
Wang, J.P., Lu, SF, Guo, L.N., Ren, C.G., & Zhang, Z.W. (2019). Poor preoperative sleep quality is a risk factor for severe postoperative pain after breast cancer surgery: A prospective cohort study. Medicine, 98(44), e17708. https://doi.org/10.1097/MD.0000000000017708
Wu, Y. C., Lin, W. W., Huang, P. C., Lee, H. T. Et, & ... (2022). Investigation of behavioral changes in hospitalized school-age young patients and influencing factors. International Journal .... http://journal.julypress.com/index.php/ijsn/article/view/1302
Yang, Y., Li, Y., Liu, Z., Zhang, H., Li, X., Xu, Y., & Wang, B. (2020). The effects of computer-aided cognitive behavioral therapy in addition to improving postoperative recovery during the perioperative period: a study protocol for .... researchsquare.com. https://www.researchsquare.com/article/rs-15247/latest
Yao, C., Chen, I., Chen, C., Torng, P., & Su, T. (2023). The Relationship Between Nighttime Waking Frequency and Atherogenic Dyslipidemia: Evidence for Sex Differences. 87–99.
Yuan, C., Timmins, F., & Thompson, D.R. (2021). Intensive post-care syndrome: A conceptual analysis. In the International Journal of Nursing Studies (Vol. 114). Elsevier Ltd. https://doi.org/10.1016/j.ijnurstu.2020.103814
Zhang, L., Shi, H., Li, D., Ye, H., Zhang, W., & Yin, S. (2020). Resection of the skull base neoplasm assisted by radio frequency coagulation using an endoscopic endodosis approach. ENTL. https://karger.com/orl/article/82/1/25/261804
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