Linguistic adaptation and psychometric evaluation of Italian version of children's sleep habits questionnaire

Melissa Borrelli, Iris Scala, Paola Festa, Dario Bruzzese, Ambrosina Michelotti, Elena Cantone, Adele Corcione, Martina Fragnito, Vincenzo Miranda, Francesca Santamaria

Research output: Contribution to journalArticlepeer-review


BACKGROUND: The Children's Sleep Habits Questionnaire (CSHQ) is a parent-report questionnaire used to examine sleep behavior in children. Linguistic adaptation of CSHQ into several languages and/or psychometric analysis of reliability have been published.

MAIN TEXT: Our aim was to translate the original 33-items CSHQ from English to Italian and to examine its reliability for use in 4-10 years-old children of Italy. After translation and back-translation procedure of the original CSHQ, the Italian CSHQ (CSHQ-IT) was administered to 69 mothers of healthy children. Reliability of CSHQ-IT was examined by the internal consistency of the scale (using the Cronbach's alpha coefficient), and by the test-retest analysis obtained by asking mothers who had completed the CSHQ-IT at baseline to re-complete it after a two-week interval (measured with the Lin's Concordance Correlation Coefficient, CCC). The CSHQ-IT showed adequate internal consistency (Cronbach's alpha = 0.81 for the total scale). The total CSHQ-IT score showed a strong correlation in retests (CCC 0.87; 95% Confidence Interval, 0.80; 0.92).

CONCLUSION: CSHQ-IT is a valuable tool for evaluating sleep behavior in children 4-10 years-old in Italy. Future research should be implemented to provide definitive validity of CSHQ-IT in children with sleep-disordered breathing.

Original languageEnglish
Pages (from-to)170
JournalItal J Pediatr
Issue number1
Publication statusPublished - Aug 9 2021


  • Child
  • Child, Preschool
  • Humans
  • Italy
  • Language
  • Psychometrics
  • Reproducibility of Results
  • Sleep
  • Surveys and Questionnaires
  • Translations


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