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Original Article
Psychometric Properties of Korean Minimal Insomnia Screening Scale
Inja Kim, Sungjae Kim, Beomjong Kim, Heejung Choi
Journal of Korean Academy of Nursing 2012;42(6):853-860.
DOI: https://doi.org/10.4040/jkan.2012.42.6.853
Published online: December 31, 2012

1Department of Nursing, Daejeon University, Daejeon, Korea.

2College of Nursing, Seoul National University, Seoul, Korea.

3Department of Business Administration, Seowon University, Cheongju, Korea.

4Department of Nursing, Konkuk University, Chungju, Korea.

Address reprint requests to: Choi, Heejung. Department of Nursing, Konkuk University, 268 Chungwon-daero, Chungju, Chungbuk 380-701, Korea. Tel: +82-43-840-3954, Fax: +82-43-840-9329, hjchoi98@kku.ac.kr
• Received: January 27, 2012   • Accepted: November 15, 2012

© 2012 Korean Society of Nursing Science

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  • Purpose
    The purposes of this study were to develop a Minimal Insomnia Screening Scale for Korean adults (KMISS) and to evaluate psychometric properties and discriminant ability of the developed scale.
  • Methods
    Data from a cross-sectional survey of 959 Korean adults were analyzed to develop the summated insomnia scale, which was evaluated in terms of reliability, validity, and discriminant ability by receiver operating characteristics (ROC) curve analysis.
  • Results
    Item-total correlations ranged between .71-.79 and Cronbach's α was .87. Adequate validity was also evident. ROC-curve analysis showed area under ROC was .87 (95% CI: .84-.90) and identified the optimal cut-off score as ≤ 20 (sensitivity, .83; specificity, .75; positive/negative predictive values, .40/.95). Using this cut-off score, the prevalence of insomnia in the study sample was 26.3% and most frequent among women and the oldest group.
  • Conclusion
    Data supports the psychometric properties of KMISS as a possible insomnia screening instrument. KMISS also shows promise as a convenient ultra-short screening measure of insomnia for adults and epidemiological studies in community health care settings.
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Table 1
Demographic Characteristics and Sleep Status of Participants according to Gold Standard (N=959)
jkan-42-853-i001.jpg
Table 2
Reliability of Korean Minimal Insomnia Screening Scale (KMISS)
jkan-42-853-i002.jpg
Table 3
Sensitivity, Specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and Youden's Index according to Cut-off Scores
jkan-42-853-i003.jpg
Table 4
Prevalence of Insomnia according to Different KMISS Cut-off Scores
jkan-42-853-i004.jpg

KMISS=Korean minimal insomnia screening scale.

Figure & Data

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        Psychometric Properties of Korean Minimal Insomnia Screening Scale
        J Korean Acad Nurs. 2012;42(6):853-860.   Published online December 31, 2012
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      Psychometric Properties of Korean Minimal Insomnia Screening Scale
      Psychometric Properties of Korean Minimal Insomnia Screening Scale

      Demographic Characteristics and Sleep Status of Participants according to Gold Standard (N=959)

      Reliability of Korean Minimal Insomnia Screening Scale (KMISS)

      Sensitivity, Specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and Youden's Index according to Cut-off Scores

      Prevalence of Insomnia according to Different KMISS Cut-off Scores

      KMISS=Korean minimal insomnia screening scale.

      Table 1 Demographic Characteristics and Sleep Status of Participants according to Gold Standard (N=959)

      Table 2 Reliability of Korean Minimal Insomnia Screening Scale (KMISS)

      Table 3 Sensitivity, Specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and Youden's Index according to Cut-off Scores

      Table 4 Prevalence of Insomnia according to Different KMISS Cut-off Scores

      KMISS=Korean minimal insomnia screening scale.


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