Adapting the athlete sleep behavior questionnaire (ASBQ) for Arabic-speaking populations: Translation, reliability testing, and validation using classical theory and item response theory

Khaled Trabelsi; Mezna A Almarzooqi; Khalid S Aljaloud; Hadeel Ali Ghazzawi; Ahmad F Alenezi; Atef Salem; Mohamed Kerkeni; Manel Kerkeni; Hamdi Chtourou; Achraf Ammar; Omar Boukhris; Seithikurippu R Pandi-Perumal; Matthew W Driller; Haitham Jahrami

doi:10.1016/j.sleep.2024.04.037

Adapting the athlete sleep behavior questionnaire (ASBQ) for Arabic-speaking populations: Translation, reliability testing, and validation using classical theory and item response theory

Sleep Med. 2024 Jul:119:267-275. doi: 10.1016/j.sleep.2024.04.037. Epub 2024 May 3.

Authors

Affiliations

¹ High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia. Electronic address: trabelsikhaled@gmail.com.
² Leaders Development Institute, Ministry of Sport, Riyadh, Saudi Arabia. Electronic address: maalmarzooqi@mos.gov.sa.
³ Department of Exercise Physiology, College of Sport Sciences and Physical Activity, King Saud University, Riyadh, P.O. Box 2454, Riyadh 11451, Saudi Arabia. Electronic address: khaljaloud@ksu.edu.sa.
⁴ Nutrition and Food Technology Department, Agriculture School, The University of Jordan, P.O. Box 11942 Amman, Jordan. Electronic address: h.ghazzawi@ju.edu.jo.
⁵ Department of Medicine, McGill University, Montreal, Quebec, Canada; Ministry of Health, Kuwait City, Kuwait. Electronic address: ahmadfse@outlook.com.
⁶ High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia. Electronic address: atef.salem95@yahoo.com.
⁷ High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia. Electronic address: mohamedkerkeni24@yahoo.com.
⁸ High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia. Electronic address: manelkerkeni24@yahoo.com.
⁹ High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; Activité Physique, Sport et Santé, UR18JS01, Observatoire National du Sport, Tunis, Tunisia. Electronic address: h_chtourou@yahoo.fr.
¹⁰ High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; Department of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, 55122 Mainz, Germany; Research Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine of Sfax, University of Sfax, Sfax 3000, Tunisia; Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS (Faculty of Sport Sciences), UPL, Paris Nanterre University, 92000 Nanterre, France. Electronic address: ammar.achraf@ymail.com.
¹¹ SIESTA Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia; Sport, Performance, and Nutrition Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia. Electronic address: omarboukhris24@yahoo.com.
¹² Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India; Division of Research and Development, Lovely Professional University, Phagwara, Punjab, 144411, India. Electronic address: pandiperumal2022@gmail.com.
¹³ SIESTA Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia; Sport, Performance, and Nutrition Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia. Electronic address: m.driller@latrobe.edu.au.
¹⁴ Government Hospitals, Manama, Bahrain; Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain. Electronic address: haitham.jahrami@outlook.com.

PMID: 38710132
DOI: 10.1016/j.sleep.2024.04.037

Abstract

Sleep is essential for athletes' physical performance as well as their general health, well-being, and quality of life. To assess athletes' sleep behaviors, the Athlete Sleep Behavior Questionnaire (ASBQ) was developed in the English language. However, a validated Arabic-version of the ASBQ is lacking. This study aimed to translate the ASBQ into Arabic (ASBQ-AR) and evaluate its reliability and validity among Arabic-speaking athletes. A total of 458 participants (254 athletes, 202 non-athletes) from four Arabic countries completed the ASBQ-AR and the Insomnia Severity Index (ISI) questionnaires. The psychometric properties of the ASBQ-AR were examined using unidimensional reliability analysis, confirmatory factor analysis (CFA), Item Response Theory (IRT), and convergent validity. The ASBQ-AR had acceptable internal consistency (Cronbach's α = 0.723, McDonald's ω = 0.725) and a factorial structure, confirming its construct validity. CFA demonstrated improved model fit indices after the removal of two potentially misfitting items (items 4 and 13); however, the model's fit to the data remains suboptimal. IRT results indicated that the majority of items demonstrated a good model fit, suggesting effective measurement of the intended construct without significant interference, except for ASBQ-AR 4. Additionally, ASBQ-AR 4 appears to present the highest level of difficulty for respondents. In terms of convergent validity, the mean ASBQ-AR global score was correlated with the mean ISI global score (r = 0.5, p < 0.0001). The ASBQ-AR is a reliable and valid tool for assessing maladaptive sleep practices among Arabic-speaking athletes. Additional refinements to the ASBQ-AR are warranted to optimize its psychometric properties.

Keywords: Arabic version; Confirmatory factor analysis; Convergent validity; Cross-cultural adaptation; Psychometric properties; Sleep behavior assessment.

Publication types

Validation Study

MeSH terms

Adult
Athletes*
Factor Analysis, Statistical
Female
Humans
Male
Psychometrics* / standards
Reproducibility of Results
Sleep* / physiology
Surveys and Questionnaires / standards
Translating
Translations
Young Adult