Revisions to the Behavioral Risk Factor Surveillance System Sleep Questions

J Clin Sleep Med. 2016 Dec 15;12(12):1585-1592. doi: 10.5664/jcsm.6336.


Study objectives: To revise and enhance the current Behavioral Risk Factor Surveillance System (BRFSS) sleep questions for detection of sleep/wake disorders that contribute to health burden.

Methods: A descriptive qualitative design was used to guide the investigation. The three methods were (1) a review of the current evidence on sleep related screening questions (including the results from the parent study validating the current BRFSS questions), (2) interviews with sleep experts about the questions they use in their clinical practice to screen for sleep problems, and (3) interviews with lay people to discuss contextual meanings, feelings, and beliefs about sufficient and restful sleep and not feeling rested.

Results: Recommendations for revisions of the current BRFSS questions.

Conclusions: The current BRFSS questions should be refined to better screen for sleep disorders.

Keywords: Apnealink; BRFSS; PRO-Diary; questionnaire; screening; sleep.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Behavioral Risk Factor Surveillance System*
  • Female
  • Humans
  • Male
  • New York
  • Reproducibility of Results
  • Sleep Wake Disorders / diagnosis*
  • Surveys and Questionnaires