Resourcing an evolution of roles in general-practice: a study to determine the validity and reliability of tools to assist nurses and patients to assess physical activity

Traditionally, GPs have been responsible for physical activity (PA) assessment within the general practice setting. Multiple questionnaires are available to support uptake of PA assessment but less than 30% of patients are assessed. A range of barriers hamper uptake. Evidence indicates that practice nurses (PNs) and patients are resourceful members of the general practice team but have been underutilised. This study assessed the validity and reliability of two instruments for assessing PA, administered by PNs and patients. The study aimed to identify robust tool(s) to support the evolving role of PNs and patients in prevention and management strategies in general practice. A purposive sample of PNs and patients from general practices in Sydney was invited to participate. The results of the PN- or patient-administered general practice physical activity questionnaire (GPPAQ) and the three-question physical activity questionnaire (3Q) were compared against accelerometer activity. The study examined agreement in classification of PA levels according to Australian PA recommendations. Validity showed low–moderate correlations between accelerometer and GPPAQ (rho=0.26), 3Q (rho=0.45). Seven-day test-retest reliability intraclass correlation coefficients (ICCs) were 0.82–0.95 for GGPAQ and 0.94–0.98 for 3Q. Agreement with PA recommendations was moderate for GPPAQ (kappa 0.73, 95% CI, 0.56–0.85) and fair for 3Q (kappa 0.62, 95% CI, 0.47–0.78). Although 3Q demonstrated higher correlation with accelerometry, GPPAQ demonstrated higher agreement with PA guidelines. Given GPPAQ showed reasonable rigour, it may prove useful for PN and patient use.

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Criterion validity and reliability of the International Physical Activity Questionnaire – Hungarian short form against the RM42 accelerometer

BMC Public Health ◽

10.1186/s12889-021-10372-0 ◽

2021 ◽

Vol 21 (S1) ◽

Author(s):

Pongrác Ács ◽

Réka Veress ◽

Paulo Rocha ◽

Tamás Dóczi ◽

Bence László Raposa ◽

...

Keyword(s):

Physical Activity ◽

Concurrent Validity ◽

International Physical Activity Questionnaire ◽

Short Form ◽

Sitting Time ◽

Validity And Reliability ◽

Retest Reliability ◽

Physical Activity Questionnaire ◽

Test Retest Reliability ◽

Activity Questionnaire

Abstract Background Physical inactivity is a global phenomenon in European welfare countries. Proper monitoring is essential to measure the physical activity level of the population. Methods In the Hungarian cohort of the European Physical Activity and Sport Monitoring System (EUPASMOS) project, our participants (N = 598) completed sociodemographic questions and the International Physical Activity Questionnaire – short form (IPAQ-SF) survey. The validity and reliability of the subjective measurement tool were examined, IPAQ-SF outcomes were contrasted against triaxial RM42 accelerometer wore for 7 consecutive days. Results The IPAQ-SF showed moderate internal consistency (Cronbach Alpha = 0.647). The concurrent validity of the IPAQ-SF to triaxial accelerometer indicated a significant weak-to-moderate correlation (R = 0.111–0.338, p = 0.042; p < 0.001). The test-retest reliability showed a significant correlation between two measurements (R = 0.788–0.981, p < 0.001). Conclusion The Hungarian version of the IPAQ-SF had excellent test-retest reliability, but low-to-fair concurrent validity for moderate and vigorous physical activity, walking and sitting time, as compared to the objective criterion measure among Hungarian adults.

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Development of the Korean Global Physical Activity Questionnaire: reliability and validity study

Global Health Promotion ◽

10.1177/1757975919854301 ◽

2019 ◽

Vol 27 (3) ◽

pp. 44-55 ◽

Cited By ~ 11

Author(s):

Junga Lee ◽

Choae Lee ◽

Jihee Min ◽

Dong-Woo Kang ◽

Ji-Young Kim ◽

...

Keyword(s):

Physical Activity ◽

Reliability And Validity ◽

Correlation Coefficients ◽

Cohen’S Kappa ◽

Physical Activity Questionnaire ◽

Work Related ◽

Cohen's Kappa ◽

Global Physical Activity Questionnaire ◽

Test Retest Reliability ◽

Activity Questionnaire

The goal of this study was to develop a Korean version of the Global Physical Activity Questionnaire (K-GPAQ) and to examine its reliability and validity. The English version of the GPAQ was translated to the Korean language (K-GPAQ) via forward–backward translation. Reliability of the K-GPAQ was evaluated using a one-week interval test–retest method with 115 individuals. Criterion-related validity of the K-GPAQ was examined with 199 participants using accelerometers. Cohen’s kappa and Spearman’s correlation coefficients were used to measure test–retest reliability and validity, respectively. A Bland–Altman analysis was used to assess agreement between physical activity (PA) levels measured via K-GPAQ and the accelerometer. Coefficients for the reliability of the K-GPAQ showed moderate agreement for recreational PA and slight agreement for work-related PA (Cohen’s kappa: 0.60–0.67 for recreational PA and 0.30–0.38 for work-related PA and Spearman’s rho: 0.27–0.47 for work-related PA and 0.53–0.70 for recreational PA). Criterion validity of the total amount of PA, as measured by the K-GPAQ and the accelerometer, showed a weak but significant correlation ( r = 0.34, p < 0.01). The K-GPAQ is a reliable and valid questionnaire to measure PA although K-GPAQ overestimated PA levels.

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Validation of an Internet-Based Long Version of the International Physical Activity Questionnaire in Danish Adults Using Combined Accelerometry and Heart Rate Monitoring

Journal of Physical Activity and Health ◽

10.1123/jpah.2012-0040a ◽

2014 ◽

Vol 11 (3) ◽

pp. 654-664 ◽

Cited By ~ 6

Author(s):

Andreas Wolff Hansen ◽

Inger Dahl-Petersen ◽

Jørn Wulff Helge ◽

Søren Brage ◽

Morten Grønbæk ◽

...

Keyword(s):

Physical Activity ◽

Heart Rate ◽

International Physical Activity Questionnaire ◽

Intraclass Correlation ◽

Reliability And Validity ◽

Health Examination ◽

Heart Rate Monitoring ◽

Validity And Reliability ◽

Physical Activity Questionnaire ◽

Activity Questionnaire

Background:The International Physical Activity Questionnaire (IPAQ) is commonly used in surveys, but reliability and validity has not been established in the Danish population.Methods:Among participants in the Danish Health Examination survey 2007–2008, 142 healthy participants (45% men) wore a unit that combined accelerometry and heart rate monitoring (Acc+HR) for 7 consecutive days and then completed the IPAQ. Background data were obtained from the survey. Physical activity energy expenditure (PAEE) and time in moderate, vigorous, and sedentary intensity levels were derived from the IPAQ and compared with estimates from Acc+HR using Spearman’s correlation coefficients and Bland-Altman plots. Repeatability of the IPAQ was also assessed.Results:PAEE from the 2 methods was significantly positively correlated (0.29 and 0.49; P = 0.02 and P < 0.001; for women and men, respectively). Men significantly overestimated PAEE by IPAQ (56.2 vs 45.3 kJ/kg/day, IPAQ: Acc+HR, P < .01), while the difference was nonsignificant for women (40.8 vs 44.4 kJ/kg/day). Bland-Altman plots showed that the IPAQ overestimated PAEE, moderate, and vigorous activity without systematic error. Reliability of the IPAQ was moderate to high for all domains and intensities (total PAEE intraclass correlation coefficient = 0.58).Conclusions:This Danish Internet-based version of the long IPAQ had modest validity and reliability when assessing PAEE at population level.

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Reliability of the digital and printed format of a modified version of the International Physical Activity Questionnaire in college students

Revista Facultad de Ciencias de la Salud UDES ◽

10.20320/rfcsudes.v2i2.59 ◽

2015 ◽

Vol 2 (2) ◽

pp. 97

Author(s):

Isabel Cristina Nuñez ◽

Leonardo Perilla ◽

Diana Mercedes Villarreal ◽

Gustavo Andrés Gómez

Keyword(s):

Physical Activity ◽

College Students ◽

International Physical Activity Questionnaire ◽

Intraclass Correlation ◽

Kappa Index ◽

Retest Reliability ◽

Physical Activity Questionnaire ◽

Test Retest Reliability ◽

Activity Questionnaire ◽

Print Format

Background: Programs that promote regular physical activity (PA) require reliable PA measurements methods to establish their effectiveness. Objective: To determine the test-retest reliability of digital and print format of International Physical Activity Questionnaire and to establish the reliability between both presentation formats. Methods: The digital and print format questionnaires were self-administered twice to a sample of 76 college students (20.6 ± 2.8 years), 4-7 days later they completed the formats again. Test-retest and between formats reliability was analyzed by the intraclass correlation coefficient (ICC) and weighted Kappa index (wK). Agreement between measurements was established by Bland-Altman method (B&A). Results: Test-retest reliability with ICC was excellent for both formats (digital: 0.77, print: 0.82) and acceptable by wK (digital: 0.61, print: 0.71). Agreement between measurements for both formats was low for PA vigorous and moderate categories. Between formats, reliability was excellent for first and second measurement. Conclusions: Although ICC confirmed excellent test-retest reliability, B&A showed a low level of agreement between measurements. Between formats reliability was excellent, and both formats provide similar information.

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Reliability and Validity of the ONAPS Physical Activity Questionnaire in Assessing Physical Activity and Sedentary Behavior in French Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115643 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5643

Author(s):

Marc Charles ◽

David Thivel ◽

Julien Verney ◽

Laurie Isacco ◽

Pauliina Husu ◽

...

Keyword(s):

Physical Activity ◽

Correlation Coefficient ◽

Concurrent Validity ◽

Intraclass Correlation ◽

Criterion Validity ◽

Sedentary Behaviors ◽

Validity And Reliability ◽

Good Reliability ◽

Physical Activity Questionnaire ◽

Activity Questionnaire

This study was conducted to assess the validity and reliability of a new questionnaire, the ONAPS-PAQ, developed to assess physical activity (PA) and sedentary behaviors (SB) in the general population. A total of 137 healthy adults aged 18 to 69 years were included. Following completion of two physical activity questionnaires (ONAPS-PAQ and GPAQ, the Global physical activity questionnaire) to study concurrent validity, participants wore an accelerometer (UKK-RM42) for 7 days to study criterion validity. A subsample (n = 36) also completed a 7-day-interval test–retest protocol to assess its reliability. Reliability was tested by the intraclass correlation coefficient (ICC) and Kappa coefficient; concurrent and criterion validity by the Spearman correlation coefficient (ρ) and Bland-Altman plot analyses. The ONAPS-PAQ showed good reliability (ICC = 0.71–0.98; Kappa = 0.61–0.99) and concurrent validity (ρ = 0.56–0.86), but only poor criterion validity (ρ = 0.26–0.41), and wide limits of agreement. Self-reported and accelerometer-measured SB were better correlated with ONAPS-PAQ than GPAQ (0.41 vs. 0.26, respectively) and medians were comparable, whereas the GPAQ underestimated SB (SBacc = 481 (432–566), SBONAPS = 480 (360–652), SBGPAQ = 360 (240–540) min·day−1; median (q1-q3)). The ONAPS-PAQ provides good reliability and acceptable validity for the measurement of PA and SB and seems to provide a better assessment of SB than GPAQ.

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Convergent Validity and Test–Retest Reliability of the Oxford Physical Activity Questionnaire for Secondary School Students

Behaviour Change ◽

10.1375/bech.25.1.23 ◽

2008 ◽

Vol 25 (1) ◽

pp. 23-34 ◽

Cited By ~ 7

Author(s):

David R. Lubans ◽

Kathy Sylva ◽

Zane Osborn

Keyword(s):

Physical Activity ◽

Convergent Validity ◽

Rank Order ◽

Vigorous Physical Activity ◽

Intraclass Correlation ◽

School Students ◽

Retest Reliability ◽

Physical Activity Questionnaire ◽

Test Retest Reliability ◽

Activity Questionnaire

AbstractThe purpose of this study was to examine the convergent validity and test–retest reliability of the Oxford Physical Activity Questionnaire (OPAQ), a self-administered questionnaire designed to assess the activity patterns of adolescents. The test–retest reliability of the OPAQ was assessed by administering the questionnaire on two occasions separated by 1 week (N = 87, mean age = 13.1 ± .9). Intraclass correlation (ICC) was used to examine the test–retest reliability of the OPAQ. The convergent validity of the OPAQ was evaluated using Caltrac accelerometers worn consecutively for 4 days (N = 51, mean age = 12.6 ± .5). Spearman's rank-order correlation was used to examine the convergent validity of the questionnaire. ICCs ranged from .76 to .91 and reliability was higher for males (r = .89) than females (r = .78). Correlations between self-reported physical activity and Caltrac accelerometer counts were related to vigorous physical activity (r = .33, p = .01) and moderate to vigorous activity (r = .32, p = .02). The OPAQ has excellent test–retest reliability and acceptable validity in comparison to other measures of youth physical activity.

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Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients

BMC Nephrology ◽

10.1186/s12882-021-02230-3 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Huang Rui ◽

Zhang Haifen ◽

Yang Yan ◽

Fang Nina ◽

Liu Qian ◽

...

Keyword(s):

Physical Activity ◽

Intraclass Correlation ◽

Reliability And Validity ◽

Hemodialysis Patients ◽

Chinese Version ◽

Cross Sectional ◽

Retest Reliability ◽

Physical Activity Questionnaire ◽

Test Retest Reliability ◽

Activity Questionnaire

Abstract Background Valid instruments for measuring physical activity at the low end of the physical activity range and producing quantitative results are required among dialysis patients who are extremely inactive. This study aimed to translate and adapt a Chinese version of the low physical activity questionnaire (LoPAQ) and to examine its reliability and validity among hemodialysis patients. Methods This was a cross-sectional study. The LoPAQ was translated into Chinese and culturally adapted following the standardized questionnaire adaptation process. Participants wore an ActiGraph for seven consecutive days and were asked to complete the Chinese version of the LoPAQ (C-LoPAQ) following the ActiGraph monitoring period. The criterion validity of the C-LoPAQ was examined with accelerometers using Spearman’s correlation coefficients. Bland-Altman plots were adopted to determine the absolute agreement between methods. The test-retest reliability was analyzed using the intraclass correlation coefficient (ICC). Results Eighty-five hemodialysis patients had valid accelerometers and C-LoPAQ data. The total walking time reported on LoPAQ was correlated with step counts by ActiGraph (rho = 0.47, p < 0.01). A moderate correlation was also observed between the C-LoPAQ and the ActiGraph-measured physical activity for total calories (rho = 0.44, p < 0.01). There was a fair correlation between ActiGraph-measured sedentary time and C-LoPAQ-measured inactive time (rho = 0.22, p < 0.05). The test-retest reliability coefficients of C-LoPAQ ranged from 0.30 to 0.66. Conclusions The C-LoPAQ demonstrated moderate validity for measuring low levels of physical activity, especially walking, and total kilocalories of physical activity among hemodialysis patients in China.

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Reliability and concurrent validity of the Global Physical Activity Questionnaire in adults from a Brazilian rural area

Revista Brasileira de Atividade Física & Saúde ◽

10.12820/rbafs.23e0017 ◽

2018 ◽

Vol 23 ◽

pp. 1-6

Author(s):

Rafaela Costa Martins ◽

Cauane Blumenberg ◽

Inácio Crochemore Mohnsam Da Silva

Keyword(s):

Physical Activity ◽

Concurrent Validity ◽

High Reliability ◽

Intraclass Correlation ◽

Correlation Coefficients ◽

Test Reliability ◽

Rural Populations ◽

Physical Activity Questionnaire ◽

Global Physical Activity Questionnaire ◽

Activity Questionnaire

The aim of this study was to test reliability of the Global Physical Activity Questionnaire (GPAQ), and its concurrent validity using accelerometers, in a Brazilian rural population. Fifty-five adults (18+ years) living in a rural Brazilian city were selected to wear an accelerometer for one week and to answer the GPAQ twice in a week period interval. Reliability was verified using Intraclass Correlation Coefficients and the concurrent validity was analyzed based on Bland and Altman’s diagrams. We found relatively high reliability for the total physical activity (ICC = 0.78; 95%CI: 0.63; 0.87). The average di erence between both GPAQ measures was 192 minutes (95%CI: -69.63; 453.75). Wider differences were found when participants reported > 400 minutes of physical activity per week. There was limited agreement between the GPAQ and accelerometer measures (total average difference = -1043 minutes; 95%CI: -1452.23; -634.09). Thus, the questionnaire presented limited concurrent validity and acceptable reliability, being able to be used in rural populations. However, there is still a need of new physical activity instruments focused on rural populations.

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Assessing the Physical Activity Questionnaire for Adolescents (PAQ–A): Specific and General Insights from an Ethiopian Context

BioMed Research International ◽

10.1155/2021/5511728 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Eshetu Andarge ◽

Robert Trevethan ◽

Teshale Fikadu

Keyword(s):

Physical Activity ◽

Detailed Examination ◽

Descriptive Statistics ◽

Factor Analyses ◽

Close Inspection ◽

Physical Activity Questionnaire ◽

Exploratory Factor Analyses ◽

Composite Scores ◽

Test Retest Reliability ◽

Activity Questionnaire

The Physical Activity Questionnaire for Adolescents (PAQ–A) has been used in a variety of forms and in a range of countries. This study involves a detailed examination of the PAQ–A to determine its applicability and effectiveness in an Ethiopian setting. We administered the scale to 110 Ethiopian adolescents on two occasions, 5 weeks apart. Data were inspected for features typical of the participants and analyzed to identify interitem correlations, the scale’s factor structure, and a range of descriptive statistics concerning composite scores. Most of the scale’s items were satisfactorily interrelated according to lenient criteria, and most items loaded on a single factor in exploratory factor analyses. However, a number of the scale’s properties were deficient according to stringent or conventionally accepted psychometric criteria. Close inspection of participants’ responses highlighted problems in the way the scale is worded, interpreted by participants, and scored. Although the scale does not capture PA as an homogeneous construct, we argue that this is not a problem and neither is its poor test–retest reliability. We make recommendations concerning presentation and scoring of the PAQ–A that are likely to enhance its validity beyond Ethiopia, and we provide a modified version of the scale.

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