TY - JOUR
T1 - Ru-SATED scale and Sleep Health Index
T2 - A systematic review of two leading multidimensional sleep health measures and frameworks across the globe
AU - Meng, Runtang
AU - BaHammam, Ahmed S.
AU - Dzierzewski, Joseph M.
AU - Yang, Nongnong
AU - Vézina-Im, Lydi Anne
AU - Ying Lau, Esther Yuet
AU - Sun, Iris Rongwei
AU - Gregory, Alice M.
AU - Zeitzer, Jamie M.
AU - Quan, Stuart F.
AU - Dietch, Jessica R.
AU - Szklo-Coxe, Mariana
AU - Dautovich, Natalie D.
AU - Stranges, Saverio
AU - Tahmasian, Masoud
AU - Jean-Louis, Girardin
AU - Thompson, Michelle G.
AU - Jackson, Chandra L.
AU - Matricciani, Lisa
AU - Tang, Nicole K.Y.
AU - Johnson, Dayna A.
AU - Hale, Lauren
AU - Troxel, Wendy M.
AU - de Batlle, Jordi
AU - Manconi, Mauro
AU - Tondo, Pasquale
AU - Spiegelhalder, Kai
AU - Stefani, Ambra
AU - Knutson, Kristen L.
AU - Wickwire, Emerson M.
AU - Feige, Bernd
AU - Bliwise, Donald L.
AU - Li, Junxin
AU - Furihata, Ryuji
AU - Poyares, Dalva
AU - Khazaie, Habibolah
AU - Taiar, Redha
AU - Boyer, François Constant
AU - Jahrami, Haitham
AU - Coelho, Julien
AU - Fabbri, Marco
AU - Jiménez-Correa, Ulises
AU - Zaki, Nevin F.W.
AU - Huang, Mengyi
AU - Ma, Haiyan
AU - Dong, Lu
AU - St Louis, Erik K.
AU - Stone, Katie L.
AU - Spruyt, Karen
AU - Penzel, Thomas
AU - Ferri, Raffaele
AU - Buysse, Daniel J.
N1 - Publisher Copyright:
© 2026 Elsevier Ltd
PY - 2026/8
Y1 - 2026/8
N2 - Research using the multidimensional sleep health (MDSH) framework has increased globally, often relying on self-report measures. The Ru-SATED scale and Sleep Health Index (SHI) are common self-report measures of MDSH, but comparative data on their measurement properties and contextual characteristics remain limited. Seven electronic databases were searched for measurement properties and uses of the two scales over the past twelve years. This review identified 19 psychometric validation studies concerning two original and 17 cross-cultural, and summarized contextual comparison of MDSH measures and frameworks. Measurement properties of both measures were assessed with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline, and contextual comparisons were conducted narratively. Both measures exhibited acceptable psychometric properties across diverse cultural settings, with the SHI findings showing greater consistency than those of the Ru-SATED scale. Aggregating the Ru-SATED and SHI frameworks fully covered the sleep characteristics assessed by five instruments grounded in the World Sleep Society initiative, encompassing regularity, satisfaction, alertness, timing, efficiency, duration, and disorder. Notably, the SHI framework incorporates targeted sleep disorder assessment while the Ru-SATED framework specifically excludes such assessment, highlighting the distinct focus and scope of each tool. Instrument selection depends primarily on research purpose, study sample, and intended use. We recommend characterizing both sleep health and sleep disorders to fully capture the complex relationships between sleep and health outcomes.
AB - Research using the multidimensional sleep health (MDSH) framework has increased globally, often relying on self-report measures. The Ru-SATED scale and Sleep Health Index (SHI) are common self-report measures of MDSH, but comparative data on their measurement properties and contextual characteristics remain limited. Seven electronic databases were searched for measurement properties and uses of the two scales over the past twelve years. This review identified 19 psychometric validation studies concerning two original and 17 cross-cultural, and summarized contextual comparison of MDSH measures and frameworks. Measurement properties of both measures were assessed with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline, and contextual comparisons were conducted narratively. Both measures exhibited acceptable psychometric properties across diverse cultural settings, with the SHI findings showing greater consistency than those of the Ru-SATED scale. Aggregating the Ru-SATED and SHI frameworks fully covered the sleep characteristics assessed by five instruments grounded in the World Sleep Society initiative, encompassing regularity, satisfaction, alertness, timing, efficiency, duration, and disorder. Notably, the SHI framework incorporates targeted sleep disorder assessment while the Ru-SATED framework specifically excludes such assessment, highlighting the distinct focus and scope of each tool. Instrument selection depends primarily on research purpose, study sample, and intended use. We recommend characterizing both sleep health and sleep disorders to fully capture the complex relationships between sleep and health outcomes.
KW - COSMIN
KW - MDSH frameworks
KW - Multidimensional sleep health
KW - Ru-SATED scale
KW - Sleep Health Index
UR - https://www.scopus.com/pages/publications/105037127430
U2 - 10.1016/j.smrv.2026.102296
DO - 10.1016/j.smrv.2026.102296
M3 - Review article
AN - SCOPUS:105037127430
SN - 1087-0792
VL - 88
JO - Sleep Medicine Reviews
JF - Sleep Medicine Reviews
M1 - 102296
ER -