PT - JOURNAL ARTICLE AU - Leanne Gauld AU - Peter Newcombe AU - Celeste Daniels TI - Toddler sleep behaviour questionnaire - Validation and utilisation DP - 2013 Sep 01 TA - European Respiratory Journal PG - 3305 VI - 42 IP - Suppl 57 4099 - http://erj.ersjournals.com/content/42/Suppl_57/3305.short 4100 - http://erj.ersjournals.com/content/42/Suppl_57/3305.full SO - Eur Respir J2013 Sep 01; 42 AB - Behavioural sleep disorders are common. An assessment tool is useful for screening and developing management strategies.Aim: To develop a validated Toddler Sleep Behaviour Questionnaire for 1-5 year olds which discriminates normal from behavioural sleep disorders and to describe sleep behaviours in a normal community sample.Questionnaire validation: A questionnaire was developed by a sleep physician. Face and content validity were assessed by feedback from all Australian paediatric sleep physicians (14/17 responded) and suggestions incorporated.3 samples were recruited: 1. Pilot sample, tested twice (n=23), 2. Paediatric sleep physician diagnosed behavioural sleep disorder (n=21), 3. Community sample (n=419).Internal consistency was assessed by Cronbach α in each group. Modifications were made to achieve α=0.6-0.9. Clinically important items were retained despite lowering α. Test-retest reliability was assessed on the Pilot sample (r≥0.41, p≤0.05). Construct validity was confirmed by expected correlations between related items, and discriminate validity was assessed by group differences between Pilot and Clinical samples (<0.05). Sleep Hygiene (α=0.8) and Bedtime Resistance (α=0.9) Scales have been developed.Normal Sleep Behaviours: A behavioural sleep disorder is present in 35.8% of the Community sample. Mean total sleep duration decreased with age (p<0.001). Favourable sleep hygiene was associated with less bedtime resistance (p=0.004) and fewer night awakenings (p=0.001). Racial differences exist.Conclusions: The Toddler Sleep Behaviour Questionnaire is a structured assessment tool with sound psychometric qualities. Detailed normal sleep behaviours, environment and timing, may be useful to health professionals.