Time interval affects physical activity scores: a comparison of the Marx Activity Rating Scale and the Hospital for Special Surgery Pediatric Functional Activity Brief Scale

Background: The Marx Activity Rating Scale (MARS) and the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) are both validated activity scales. While the MARS examines greatest physical activity level within the last year, the HSS Pedi-FABS assesses the greatest level of physical activity within the last month. Purpose: To determine whether the different time frames used in MARS and HSS Pedi-FABS affect scores on common items in both scales, and if so, to determine whether age or injury status affect this difference. Methods: The MARS and 4 analogous items on the HSS Pedi-FABS were administered sequentially in random order to patients being evaluated at two sports surgeons’ clinic for knee injuries in addition to their healthy companions in order to enroll an uninjured comparison group. Responses to each question were scored from 0-4 for a maximum overall score of 16. Participant demographics were also recorded. Paired and independent sample t-tests were used to determine mean differences between the two scales and between healthy and injured adults and children, respectively. Results: The final cohort included 88 participants of which 47% were children (ages 10-17) and 51% had a knee injury. All participants except for healthy adults scored significantly lower on the HSS Pedi-FABS than the MARS (p < 0.05, Table 1). On the HSS Pedi-FABS activity scale, healthy participants scored significantly higher than injured participants (p<0.01), but there were no significant differences based on age, Figure 1A. Conversely, on the MARS scale, children scored higher than adults (p≤0.001), but there were no significant differences based on injury, Figure 1B. Conclusion: Physical activity level is significantly different when evaluated by either MARS or its analogue portion of HSS Pedi-FABS. Because the only difference between the scales is the timeframe, the lower scores on the Pedi-FABS than the MARS are likely due to seasonal changes in activity which are not captured in the MARS. Because the Pedi-FABS analyzes a shorter window, it is more likely to capture acute changes in physical activity due to a recent injury than the MARS scale while the MARS scale is better suited for examining general physical activity unaffected by seasonality. Understating the differences between these scales can guide clinicians in using them appropriately when evaluating patient activity level. Tables: [Table: see text] Figures: [Figure: see text]

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Translation and transcultural validation of the Dutch hospital for special surgery paediatric functional activity brief scale (HSS Pedi-FABS)

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04729-0 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Martijn Dietvorst ◽

Tessa M. van de Kerkhof ◽

Rob P. A. Janssen ◽

Linda E. van den Berg ◽

M. C. van der Steen

Keyword(s):

Physical Activity ◽

Children And Adolescents ◽

Functional Activity ◽

Content Validity ◽

Healthy Children ◽

Validation Group ◽

Dutch Hospital ◽

Special Surgery ◽

Activity Scale ◽

Hospital For Special Surgery

Abstract Background There is a need for a validated simple Dutch paediatric activity scale. The purpose was to translate and transculturally validate the Dutch Hospital for Special Surgery Paediatric Functional Activity Brief Scale (HSS Pedi-FABS) questionnaire in healthy children and adolescents. Methods The original HSS Pedi-FABS was translated forward and backward and was transculturally adapted after performing a pilot study among children and professionals. The final version of the Dutch HSS Pedi-FABS was validated in healthy children and adolescents aged 10 to 18 years old. Children who had any condition or injury limiting their normal physical activity were excluded. The interval between the first questionnaire T0 (HSS Pedi-FABS, Physical Activity Questionnaire for children or adolescents (PAQ-C/A) and Tegner activity scale) and the second questionnaire T1 (HSS Pedi-FABS) was 2 weeks. Construct validity, interpretability and reliability were evaluated. Content validity was evaluated through cognitive interviews among a smaller group of children and through a questionnaire among professionals. Results To evaluate content validity, 9 children and adolescents were interviewed, and 30 professionals were consulted. Content validity among professionals showed a relevance of less than 85% for most items on construct. However, content validity among children was good with a 92% score for item relevance. Readability was scored at a reading level of 11- to 12-year-olds. The validation group consisted of 110 healthy children and adolescents (mean age of 13.9 years ±2.6). Construct validity was considered good as 8 out of 10 hypotheses were confirmed. The Dutch HSS Pedi-FABS showed no floor or ceiling effect. Analysis of the internal consistency in the validation group resulted in a Cronbach’s alpha of 0.82. Test-retest reliability was evaluated among 69 children and adolescents and revealed an Intraclass Correlation Coefficient (ICC) of 0.76. Conclusion The Dutch HSS Pedi-FABS showed good psychometric properties in a healthy Dutch paediatric and adolescent population. Limitations of the current Dutch HSS Pedi-FABS are content validity on construct of items reported by professionals.

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Validation of the Digiwalker™ Pedometer for Measuring Physical Activity in Young Children

Pediatric Exercise Science ◽

10.1123/pes.17.4.345 ◽

2005 ◽

Vol 17 (4) ◽

pp. 345-352 ◽

Cited By ~ 29

Author(s):

David P. McKee ◽

Colin A.G. Boreham ◽

Marie H. Murphy ◽

Alan M. Nevill

Keyword(s):

Physical Activity ◽

Young Children ◽

Rating Scale ◽

Nursery School ◽

School Setting ◽

Behavioral Observation ◽

Activity Measurement ◽

The Mean ◽

Activity Rating ◽

Multilevel Linear Regression

Activity measurement using a uniaxial pedometer was validated against behavioral observation using the Children’s Activity Rating Scale (CARS) in 30 three- to four-year-old children in a nursery school setting. Correlations were calculated for individual children, whereas the relationship for the total group was investigated using multilevel linear regression. The mean counts for boys and girls for the Digiwalker™ were 66.8 (± 64.0) and 47.4 (± 61.3; p < .01) steps per 3 minutes, respectively, whereas the mean CARS scores for boys and girls were 1.8 (± 0.6) and 1.6 (± 0.6; p < .01), respectively. Within-child correlations for CARS versus Digiwalker counts ranged from 0.64 to 0.95 with a median value of 0.86, whereas the multilevel analysis provided strong evidence of a relationship between CARS and Digiwalker (all p < .001). Data from the current study show that gender differences in physical levels exist in very young children and support the utility of the Digiwalker pedometer for assessing physical activity in this age group.

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The Relationship among Television Watching, Physical Activity, and Body Composition of 5- or 6-Year-Old Children

Pediatric Exercise Science ◽

10.1123/pes.8.1.15 ◽

1996 ◽

Vol 8 (1) ◽

pp. 15-26 ◽

Cited By ~ 22

Author(s):

Robert H. DuRant ◽

William O. Thompson ◽

Maribeth Johnson ◽

Tom Baranowski

Keyword(s):

Physical Activity ◽

Body Mass Index ◽

Body Composition ◽

Rating Scale ◽

The Body ◽

Activity Level ◽

Television Watching ◽

Activity Rating ◽

The Relationship

This follow-up investigation examined the relationship among observed time of television watching, physical activity, and body composition in 5- to 6-year-old children previously studied 2 years ago. Activity level on school and nonschool days was measured with the Children’s Activity Rating Scale. Television watching time was assessed by direct observation, and body composition was measured with the body mass index, skinfold thicknesses, and waist/hip ratio. Television watching behavior, which increased from the earlier study, was not associated with body composition. Physical activity was lower during television watching than nontelevision watching time.

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CORR Insights®: Hospital for Special Surgery Pediatric Functional Activity Brief Scale Predicts Physical Fitness Testing Performance

Clinical Orthopaedics and Related Research ◽

10.1007/s11999-014-3582-1 ◽

2014 ◽

Vol 472 (7) ◽

pp. 2287-2289

Author(s):

Timothy E. Cooney

Keyword(s):

Physical Fitness ◽

Functional Activity ◽

Fitness Testing ◽

Testing Performance ◽

Special Surgery ◽

Physical Fitness Testing ◽

Hospital For Special Surgery

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Translation and transcultural validation of the Dutch Hospital for Special Surgery Paediatric Activity Brief Scale (HSS Pedi-FABS)

10.21203/rs.3.rs-361480/v1 ◽

2021 ◽

Author(s):

Martijn Dietvorst ◽

T. M. van de Kerkhof ◽

R.P.A. Janssen ◽

L.E. van den Berg ◽

M.C. van der Steen

Keyword(s):

Physical Activity ◽

Psychometric Properties ◽

Children And Adolescents ◽

Content Validity ◽

Healthy Children ◽

Validation Group ◽

Dutch Hospital ◽

Special Surgery ◽

Activity Scale ◽

Hospital For Special Surgery

Abstract Background: There is a need for a validated simple Dutch paediatric activity scale. The purpose was to translate and transculturally validate the Dutch Hospital for Special Surgery Paediatric Functional Activity Brief Scale (HSS Pedi-FABS) questionnaire in healthy children and adolescents.Methods: The original HSS Pedi-FABS was translated forward and backward and was transculturally adapted after performing a pilot study among children and professionals. The final version of the Dutch HSS Pedi-FABS was validated in healthy children and adolescents aged 10 to 18 years old. Children who had any condition or injury limiting their normal physical activity were excluded. The interval between the first questionnaire T0 (HSS Pedi-FABS, Physical Activity Questionnaire for children or adolescents (PAQ-C/A) and Tegner activity scale) and the second questionnaire T1 (HSS Pedi-FABS) was two weeks. Construct validity, interpretability and reliability were evaluated. Content validity was evaluated through cognitive interviews among a smaller group of children and through a questionnaire among professionals.Results: To evaluate content validity, 9 children and adolescents were interviewed, and 30 professionals were consulted. Content validity among professionals showed a relevance of less than 85% for most items on construct. However, content validity among children was good with a 92% score for item relevance. Readability was scored at a reading level of 11- to 12-year-olds. The validation group consisted of 110 healthy children and adolescents (mean age of 13.9 years ± 2.6). Construct validity was considered good as 8 out of 10 hypotheses were confirmed. The Dutch HSS Pedi-FABS showed no floor or ceiling effect. Analysis of the internal consistency in the validation group resulted in a Cronbach’s alpha of 0.82. Test-retest reliability was evaluated among 69 children and adolescents and revealed an Intraclass Correlation Coefficient (ICC) of 0.76. Conclusion: The Dutch HSS Pedi-FABS showed good psychometric properties in a healthy Dutch paediatric and adolescent population. Limitations of the current Dutch HSS Pedi-FABS are content validity on construct of items reported by professionals. Future research is desirable to establish psychometric properties in children and adolescents with anterior cruciate ligament injuries for the Paediatric ACL Monitoring Initiative (PAMI) project.

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The Effect of Home-based Physical Activity on Mood State during the COVID-19 Epidemic: The Mediating Role of Boredom

10.31124/advance.12436292 ◽

2020 ◽

Author(s):

yufeng yang ◽

guoli zhang

Keyword(s):

Physical Activity ◽

Rating Scale ◽

Emotional State ◽

Mood State ◽

Mood Disturbance ◽

Sample Survey ◽

Mediating Role ◽

Home Based ◽

Activity Rating ◽

The Impact

Objective: To analyze the impact of the COVID-19 epidemic on residents, and investigate the relationship between home-based physical activity, boredom and mood state. Method: A sample survey of 501 residents completed the Physical Activity Rating Scale-3, the Multidimensional State Boring Scale and Profile of Mood States. Results: ① In this epidemic, residents showed boredom and mood disturbance. In less severe areas, residents’ negative psychological experiences are more severe than those in more severe areas. ② Home-based physical activity was negatively correlated with boredom and mood disturbance, and boredom is positively correlated with mood disturbance. ③ Boredom mediated the relation between home-based physical activity and mood disturbance. Conclusion: The COVID-19 epidemic has caused residents to experience more boredom and mood disturbance; home physical exercise can not only improve emotional state directly, but also improve emotional state through boredom.

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The Italian cross-cultural adaptations of the paediatric International Knee Documentation Committee Score and the Hospital for Special Surgery Paediatric Functional Activity Brief Scale are reliable instruments in paediatric population

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-020-05903-y ◽

2020 ◽

Vol 28 (8) ◽

pp. 2657-2662 ◽

Cited By ~ 1

Author(s):

Luca Macchiarola ◽

Alberto Grassi ◽

Stefano Di Paolo ◽

Nicola Pizza ◽

Giovanni Trisolino ◽

...

Keyword(s):

Functional Activity ◽

International Knee Documentation Committee ◽

Paediatric Population ◽

Cross Cultural ◽

Cultural Adaptations ◽

Special Surgery ◽

Hospital For Special Surgery

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Validation and Reliability of the New Lifestyles NL-1000 Accelerometer in New Zealand Preschoolers

Journal of Physical Activity and Health ◽

10.1123/jpah.9.2.295 ◽

2012 ◽

Vol 9 (2) ◽

pp. 295-299 ◽

Cited By ~ 5

Author(s):

Leanne Liggett ◽

Andrew Gray ◽

Winsome Parnell ◽

Rob McGee ◽

Yvette McKenzie

Keyword(s):

Physical Activity ◽

Rating Scale ◽

Vigorous Physical Activity ◽

Intraclass Correlation ◽

Correlation Coefficients ◽

Activity Level ◽

Activity Levels ◽

Validity And Reliability ◽

Video Footage ◽

Activity Rating

Background:Objective measures, such as accelerometers, are increasingly being used to measure physical activity (PA) levels in children, and the use of validated and reliable instruments is desirable when measuring the effectiveness of programs. The purpose of this study was to determine the validity and reliability of the New Lifestyles NL-1000 accelerometer among preschoolers using a modified version of the Children’s Activity Rating Scale (CARS).Methods:Fourteen preschoolers wore the NL-1000 at their waist while the device measured activity levels [in seconds of moderate-to-vigorous physical activity (MVPA)]. They were also videoed for approximately 12 minutes while participating in normal activities at an early childhood center. At approximately 2-minute intervals, activity level readings derived from the NL-1000 were recorded. The video footage was analyzed using a modified CARS technique and the CARS scores compared with data obtained from the accelerometer.Results:Within subject reliability was measured using intraclass correlation coefficients (0.58 for CARS and 0.59 for NL-1000). Furthermore, 95% of the variation in CARS could be explained by variation in the accelerometer counts, with 2.4% of the variation being participant-specific.Conclusion:The NL-1000 is a sufficiently reliable and valid tool for assessing MVPA in preschoolers.

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