Reliability generalization meta-analysis of the Athens Insomnia Scale and its translations: Examining internal consistency and test-retest validity

Haitham Jahrami; Khaled Trabelsi; Zahra Saif; Md Dilshad Manzar; Ahmed S BaHammam; Michael V Vitiello

doi:10.1016/j.sleep.2023.09.015

Reliability generalization meta-analysis of the Athens Insomnia Scale and its translations: Examining internal consistency and test-retest validity

Sleep Med. 2023 Nov:111:133-145. doi: 10.1016/j.sleep.2023.09.015. Epub 2023 Sep 17.

Authors

Haitham Jahrami¹, Khaled Trabelsi², Zahra Saif³, Md Dilshad Manzar⁴, Ahmed S BaHammam⁵, Michael V Vitiello⁶

Affiliations

¹ Psychiatric Hospital, Government Hospitals, Manama, Bahrain; Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain. Electronic address: haitham.jahrami@outlook.com.
² 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.
³ Psychiatric Hospital, Government Hospitals, Manama, Bahrain. Electronic address: zsaif@health.gov.bh.
⁴ Department of Nursing, College of Applied Medical Sciences, Majmaah University, Majmaah, 11952, Saudi Arabia. Electronic address: md.dilshadmanzar@gmail.com.
⁵ Department of Medicine, University Sleep Disorders Center and Pulmonary Service, King Saud University, Riyadh, Kingdom of Saudi Arabia; The Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the Kingdom of Saudi Arabia, Riyadh, Saudi Arabia. Electronic address: ashammam2@gmail.com.
⁶ Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, United States. Electronic address: vitiello@uw.edu.

PMID: 37776584
DOI: 10.1016/j.sleep.2023.09.015

Abstract

The Athens Insomnia Scale (AIS) is a widely used self-report measure to evaluate insomnia symptoms based on the International Classification of Diseases criteria version 10 (ICD-10). Despite its extensive use in clinical and research settings, the reliability of the AIS has not been systematically investigated. This systematic review reports a reliability generalization meta-analysis study to assess the internal consistency and the test-retest reliability of the AIS across various populations and settings. A systematic literature search was conducted to identify studies reporting Cronbach's alpha and test-retest coefficients for the AIS. Pooled estimates of reliability, along with moderator analyses, were calculated. The AIS has an excellent internal consistency of 0.84 (95% CI: 0.81 to 0.86), and re-test reliability of 0.86 (95% CI: 0.80 to 0.92). The significant heterogeneity levels support the recommendation that future studies using the AIS include and discuss reliability estimates based on their own data.

Keywords: Athens Insomnia Scale (AIS); Consistency; Dependability; Insomnia; Reliability; Reproducibility.

Publication types

Review