I want to move my body - right now! The CRAVE Scale to measure state motivation for physical activity and sedentary behavior

Energy expenditure undulates throughout the day and likely motivation for it. The aim of this investigation was to create a short assessment (CRAVE) to measure transient wants or desires for physical activity and sedentary behaviors. Five studies were conducted to construct and validate the scale, with 1035 subjects completing the scale a total of 1,697 times. In Study 1, participants (n= 402, M_age = 20.9 +/- 3.2) completed a questionnaire inquiring about the 'want' or 'desire' to perform behaviors 'at the present moment'. Seven items related to physical activity (e.g., move my body). Eight items addressed sedentary behaviors (e.g., rest my body). Exploratory factor analysis revealed that 13 items should be retained, loading onto two factors (rest, move). In Study 2 (n= 444, M_age = 20.3 +/- 2.9) a confirmatory factor analysis revealed a good fit for the model (CFI=.99, RMSEA=.049). Items loaded strongly onto two latent factors (>.7). Rest/move were inversely related for both sets of factor analyses (-.75 for both). In Study 3, 127 participants (M_age= 28.1 +/- 7.9) completed the CRAVE up to 10 times over a 2-year period. Cronbach alphas were high (>.86). A linear mixed model revealed that test-retest reliability was stronger when the CRAVE was administered twice on the same day (>.73) than compared to retest over 6-month intervals (>.37). In Study 4, a maximal treadmill test was completed by 21 participants (M_age = 20.5 +/- 1.4). The CRAVE was completed immediately pre and post, along with other surveys for perceived physical fatigue. Desire to move decreased 35% and rest increased 61%. Changes in perceived physical fatigue correlated with move (r= -.52) and rest (r= .53). In Study 5, 41 university students (M_age = 22.5 +/- 5.1) sat quietly during a 50-minute lecture. They completed the CRAVE at 3 times points along with the Activation/Deactivation Checklist. Desire to move increased 15% while rest decreased 15%. Perceived energy, but not tension, was related to both move (r= .38) and rest (r= -.38). In conclusion, the CRAVE scale has good psychometric properties. Future studies need to explore how desires to move and rest relate to dynamic changes in physical activity and sedentarism.

Download Full-text

Development of a Test to Assess the Attitudes of Older Adults Toward Physical Activity and Exercise

Journal of Aging and Physical Activity ◽

10.1123/japa.5.2.111 ◽

1997 ◽

Vol 5 (2) ◽

pp. 111-125 ◽

Cited By ~ 7

Author(s):

Peter C. Terry ◽

Stuart J.H. Biddle ◽

Nikolaos Chatzisarantis ◽

Robert D. Bell

Keyword(s):

Physical Activity ◽

Health Promotion ◽

Factor Analysis ◽

Older Persons ◽

Test Construction ◽

Vigorous Exercise ◽

Internal Reliability ◽

Confirmatory Factor ◽

Two Factors ◽

Physical Activity And Exercise

The development of the Older Persons’ Attitudes Toward Physical Activity and Exercise Questionnaire (OPAPAEQ) is reported. Working from first principles in psychometric test construction, the OPAPAEQ was developed and tested with 471 Canadians aged over 50 years. Through exploratory factor analysis and internal reliability analyses, four subscales were identified and labeled: Tension Release, Health Promotion, Vigorous Exercise, and Social Benefits. The four-factor structure was confirmed using confirmatory factor analysis. Small gender differences were noted on two factors, but no age differences were located. The OPAPAEQ is a tool suitable for further analysis of an age group identified as increasingly important in exercise and health promotion.

Download Full-text

A Short Version of the Physical Activity Enjoyment Scale: Development and Psychometric Properties

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182111035 ◽

2021 ◽

Vol 18 (21) ◽

pp. 11035

Author(s):

Cheng Chen ◽

Susanne Weyland ◽

Julian Fritsch ◽

Alexander Woll ◽

Claudia Niessner ◽

...

Keyword(s):

Physical Activity ◽

Factor Analysis ◽

Construct Validity ◽

Psychometric Properties ◽

Internal Consistency ◽

Concurrent Validity ◽

Retest Reliability ◽

Confirmatory Factor ◽

Test Retest Reliability ◽

Activity Enjoyment

Objective: The purposes of this paper were to (a) develop a new short, theory-driven, version of the physical activity enjoyment scale (PACES-S) using content analysis; and (b) subsequently to measure the psychometric properties (construct validity, internal consistency, test–retest reliability, and concurrent validity) of the PACES-S for adolescents. Methods: Six experts used a four-point Likert scale to assess the content validity of each of the 16 items of the physical activity enjoyment scale according to a provided definition of physical activity enjoyment. Based on the results, exploratory factor analysis was used to analyze survey data from a longitudinal study of 182 individuals (Measure 1 of Study 1: 15.75 ± 3.39 yrs; 56.6% boys, 43.4% girls), and confirmatory factor analysis (Measure 2 of Study 1: 15.69 ± 3.44 yrs; 56.3% boys, 43.7% girls) was used to analyze the survey data from a cross-sectional study of 3219 individuals (Study 2; 15.99 ± 3.10 yrs; 47.8% boys, 52.2% girls) to assess the construct validity of the new measure. To assess the reliability, test–retest reliability was assessed in Study 1 and internal consistency in Study 1 and 2. For the concurrent validity, correlations with self-reported and device-based physical activity behavior were assessed in both studies. Results: Four out of sixteen items were selected for PACES-S. Exploratory factor analysis and confirmatory factor analyses identified and supported its factorial validity (χ2 = 53.62, df = 2, p < 0.001; RMSEA = 0.073; CFI = 0.99; RFI = 0.96; NFI = 0.99; TLI = 0.96; IFI = 0.99). Results showed good test–retest reliability (r = 0.76) and internal consistency (a = 0.82 to 0.88). Regarding concurrent validity, the results showed positive correlations with a physical activity questionnaire (Study 1: r = 0.36), with a physical activity diary (Study 1: r = 0.44), and with accelerometer-recorded data (Study 1: r = 0.32; Study 2: r = 0.21). Conclusions: The results indicate that PACES-S is a reliable and valid instrument that may be particularly useful to measure physical activity enjoyment in large-scale studies. It shows comparable measurement properties as the long version of PACES.

Download Full-text

Validation of three-item Fatigue Severity Scale for patients with substance use disorder: a cohort study from Norway for the period 2016-2020

10.21203/rs.3.rs-33806/v2 ◽

2020 ◽

Author(s):

Jørn Henrik Vold ◽

Rolf Gjestad ◽

Christer Aas ◽

Eivind Meland ◽

Kjell Arne Johansson ◽

...

Keyword(s):

Factor Analysis ◽

Internal Consistency ◽

Mixed Model ◽

Linear Mixed Model ◽

Health Assessment ◽

Severity Scale ◽

Mixed Model Analysis ◽

Confirmatory Factor ◽

Health Assessments ◽

Fatigue Severity

Abstract Background Little attention has been paid to customising fatigue questionnaires for patients with Substance Use Disorders (SUDs). The present study aims to validate and shorten the nine-item Fatigue Severity Scale (FSS-9) and Visual Analogue Fatigue Scale (VAFS) for use with this population.MethodsWe used data from a nested cohort with annual health assessments with responses on the FSS-9 and VAFS. During the period 2016–2020, 917 health assessments were collected from 655 patients with SUD in Bergen and Stavanger, Norway. A total of 225 patients answered the health assessment at least twice. We defined baseline as the first annual health assessment when the health assessments were sorted chronologically per patient. We checked for internal consistency, and we used longitudinal confirmatory factor analysis and linear mixed model analysis to validate and shorten the FSS-9 and VAFS. ResultsThe internal consistency of the FSS-9 was excellent with a Cronbach’s α of 0.94 at baseline and 0.93 at the second annual health assessment. When shortening the FSS-9 to a three-item FSS (FSS-3, items 5–7), the Cronbach’s α was 0.87 at baseline and 0.84 at the second health assessment. The internal consistency was not affected when the VAFS was added to the FSS-9 and the FSS-3. The longitudinal confirmatory factor analysis model between baseline and the second health assessment showed a well-fitting model for the FSS-3 (χ2 = 13.33, degree of freedom = 8, P = 0.101) with a correlation of r = 0.52 and P < 0.001 between the annual health assessments. The linear mixed model analysis showed equal linear changes at the individual level for the FSS-3 (slope: 0.00, P > 0.05) and FSS-9 (slope: 0.01, P > 0.05) between the health assessments.ConclusionThe ten items (FSS-9 plus VAFS) could be shortened to a three-item FSS with excellent validity and reliability for patients with SUDs. Shortened and validated fatigue scales may be a way to ensure reliable results in this population.

Download Full-text

Validation and Shortening Questionnaires Used in Surveys and Trials on Populations with Substance use Disorders: A Method using the Fatigue Severity Scale

10.21203/rs.3.rs-33806/v1 ◽

2020 ◽

Author(s):

Jørn Henrik Vold ◽

Rolf Gjestad ◽

Christer Aas ◽

Eivind Meland ◽

Kjell Arne Johansson ◽

...

Keyword(s):

Substance Use ◽

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Substance Use Disorders ◽

Internal Consistency ◽

Mixed Model ◽

Linear Mixed Model ◽

Severity Scale ◽

Confirmatory Factor ◽

Fatigue Severity

Abstract BackgroundPrecise and valid measurements of health outcomes and exposures among people with substance use disorders (SUDs) is essential to improve health services and health within this group. Unfortunately, many of the standardized questionnaires are validated on other populations and are often too comprehensive, and insufficiently adapted to the group. This may introduce limitations on several aspects that can be assessed but also biases due to research participation fatigue. New methods are needed to validate shortened and adapted questionnaires for this population. This study aims to present a method on how to shorten validated questionnaires and assure a construct validity when applied to SUD populations. MethodsWe used the data from a nested cohort with responses on a nine-item Fatigue Severity Scale (FSS-9), and Visual Analog Fatigue Scale (VAFS) collected from 655 people with SUD in Bergen and Stavanger, Norway, in the period 2016-2020. A total of 225 people filled out FSS-9 and VAFS at least twice. We defined baseline as the first measurement of FSS and VAFS when the measurements were sorted chronologically per participant. A three-step method was used for validation and shortening: Checking of internal consistency; longitudinal confirmatory factor analysis; linear mixed model analysis.ResultsThe internal consistency of FSS-9 was excellent with a Cronbach’s coefficient α on 0.94 at baseline and 0.92 at the second measurement. When shortening FSS-9 to a three-item FSS (FSS-3) (items 5-7), the Cronbach’s coefficient α was 0.87 at baseline and 0.85 at the second measurement. The internal consistency was not affected when VAFS was added to FSS-9 and FSS-3, respectively. The longitudinal confirmatory factor analysis model between baseline and second measurement showed a well-fitted model for FSS-3 (χ2 = 13.33, degree of freedom = 8, P = 0.101) with a correlation on r = 0.52, P < 0.001 between the measurements. The linear mixed model analysis showed equal linear changes at individual level for FSS-3 (slope: 0.00, P > 0.05) and FSS-9 (slope: 0.01, P > 0.05) between the measurements.ConclusionThe ten items could be shortened to a three-item version with excellent validity and reliability. This method could be useful for validating and shortening other questionnaires among patients with SUD and other populations.

Download Full-text

Measurement of Motivation States for Physical Activity and Sedentary Behavior: Development and Validation of the CRAVE Scale

Frontiers in Psychology ◽

10.3389/fpsyg.2021.568286 ◽

2021 ◽

Vol 12 ◽

Author(s):

Matthew A. Stults-Kolehmainen ◽

Miguel Blacutt ◽

Nia Fogelman ◽

Todd A. Gilson ◽

Philip R. Stanforth ◽

...

Keyword(s):

Physical Activity ◽

University Students ◽

Structural Equation ◽

Equation Model ◽

Present Moment ◽

Sedentary Behaviors ◽

Validity And Reliability ◽

Behavior Development ◽

Two Factors ◽

Development And Validation

Physical activity, and likely the motivation for it, varies throughout the day. The aim of this investigation was to create a short assessment (CRAVE: Cravings for Rest and Volitional Energy Expenditure) to measure motivation states (wants, desires, urges) for physical activity and sedentary behaviors. Five studies were conducted to develop and evaluate the construct validity and reliability of the scale, with 1,035 participants completing the scale a total of 1,697 times. In Study 1, 402 university students completed a questionnaire inquiring about the want or desire to perform behaviors “at the present moment (right now).” Items related to physical activity (e.g., “move my body”) and sedentary behaviors (e.g., “do nothing active”). An exploratory structural equation model (ESEM) revealed that 10 items should be retained, loading onto two factors (5 each for Move and Rest). In Study 2, an independent sample (n = 444) confirmed these results and found that Move and Rest desires were associated with stage-of-change for exercise behavior. In Study 3, 127 community-residing participants completed the CRAVE at 6-month intervals over two years- two times each session. Across-session interclass correlations (ICC) for Move (ICC = 0.72–0.95) and Rest (ICC = 0.69–0.88) were higher than when they were measured across 24-months (Move: ICC = 0.53; Rest: ICC = 0.49), indicating wants/desires have state-like qualities. In Study 4, a maximal treadmill test was completed by 21 university students. The CRAVE was completed immediately pre and post. Move desires decreased 26% and Rest increased 74%. Changes in Move and Rest desires were moderately associated with changes in perceived physical fatigue and energy. In Study 5, 41 university students sat quietly during a 50-min lecture. They completed the CRAVE at 3 time points. Move increased 19.6% and Rest decreased 16.7%. Small correlations were detected between move and both perceived energy and tiredness, but not calmness or tension. In conclusion, the CRAVE scale has good psychometric properties. These data also support tenets of the WANT model of motivation states for movement and rest (Stults-Kolehmainen et al., 2020a). Future studies need to explore how desires to move/rest relate to dynamic changes in physical activity and sedentarism.

Download Full-text

Hierarchical Modelling of Facial Perceptions: A Secondary Analysis of Aggressiveness Ratings

10.31234/osf.io/5bv2p ◽

2020 ◽

Author(s):

Mark Christopher Adkins ◽

Nataly Beribisky ◽

Stephan Bonfield ◽

Linda Farmus

Keyword(s):

Factor Analysis ◽

Mixed Model ◽

Structural Information ◽

Secondary Analysis ◽

Specific Factor ◽

Primary Analysis ◽

Model Framework ◽

Psychological Science ◽

Individual Traits ◽

Confirmatory Factor

The Psychological Science Accelerator’s (PSA) primary project tested for latent structure using exploratory factor analysis and confirmatory factor analysis but we decided to diverge from this approach and model individual traits separately. Our interest mainly was in examining the interplay between “stimulus ethnicity” and “stimulus sex” to discover how differing levels of these criterion differ across region, country, lab etc. While the necessary and prerequisite hierarchical structural information about each trait could certainly be found within the primary project’s dataset, we did not assume that any specific factor structure from the PSA’s primary analysis would necessarily hold, therefore we based our decision to model the data from each trait separately using a mixed model framework.

Download Full-text

Translation, cross-cultural adaptation and psychometric evaluation of the Thai version of the fear-avoidance beliefs questionnaire in patients with non-specific neck pain

Scandinavian Journal of Pain ◽

10.1515/sjpain-2020-0116 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Taweewat Wiangkham ◽

Nattawan Phungwattanakul ◽

Patcharin Tedsombun ◽

Isara Kongmee ◽

Wanisara Suwanmongkhon ◽

...

Keyword(s):

Physical Activity ◽

Factor Analysis ◽

Neck Pain ◽

Psychometric Evaluation ◽

Cross Cultural ◽

Fear Avoidance ◽

Retest Reliability ◽

Fear Avoidance Beliefs ◽

Test Retest Reliability ◽

Fear Avoidance Beliefs Questionnaire

AbstractObjectivesFear-avoidance beliefs questionnaire (FABQ) is a self-report, valid and reliable questionnaire to quantify fear and avoidance beliefs related to physical activity and work. Furthermore, it can be used to predict prolong disability in patients with non-specific neck pain. Although it was originally developed to manage patients with low back pain, it has also been studied in individuals with neck pain. This questionnaire was translated into several languages following reports of potential benefits in patients with neck pain. Recently, Thai neck clinical trials, international multi-centre trials and data sharing are growing throughout the world but no validated Thai version of the FABQ is available for clinical and research uses. Our objectives were to translate and cross-culturally adapt the FABQ into Thai version and evaluate its psychometric properties in Thai patients with non-specific neck pain.MethodsCross-cultural translation and adaptation of the FABQ were conducted according to standard guidelines. A total of 129 participants with non-specific neck pain were invited to complete the Thai versions of the FABQ (FABQ-TH), neck disability index and visual analogue scale for pain intensity. Psychometric evaluation included exploratory factor analysis, internal consistency, test-retest reliability, agreement, and convergent validity. Thirty participants completed the FABQ-TH twice with a 48-h interval between tests to assess the test-retest reliability.ResultsFactor analysis identified four components for the FABQ-TH (66.69% of the total variance). The intraclass correlation coefficient of test-retest reliability was excellent for the total score (0.986), work attitudes (0.995), physical activity attitudes (0.958), physical activity experiences (0.927), and expected recovery (0.984). Cronbach’s alpha for internal consistency was excellent (range 0.87–0.88) for all items. The minimal detectable change of the FABQ-TH was 5.85. The FABQ-TH correlated to its subscales (range 0.470–0.936), indicating the strongest association with work attitude. The weakest correlation was observed between the FABQ-TH and disability (rs=0.206, p=0.01). Missing data and significant floor or ceiling effects were not found.ConclusionsThe Thai version of the FABQ for non-specific neck pain was successfully adapted. It is a valid and reliable instrument to quantify fear and avoidance beliefs among patients with non-specific neck pain who speak and read Thai.

Download Full-text

Development of the Adherence to Healthy Behaviors Scale

Clinical Nursing Research ◽

10.1177/1054773820988629 ◽

2021 ◽

pp. 105477382098862

Author(s):

Chen-Hui Huang ◽

Dhea Natashia ◽

Tzu-Chia Lin ◽

Miaofen Yen

Keyword(s):

Factor Analysis ◽

Protective Factor ◽

Model Fit ◽

Convenience Sample ◽

Healthy Behaviors ◽

Confirmatory Factor ◽

Reliable Instrument ◽

Principal Axis Factor Analysis ◽

Southern Taiwan ◽

Test Retest Reliability

Adherence to healthy behaviors is a protective factor in the disease progression of chronic kidney disease (CKD). Measuring adherence can lead to the recognition of unhealthy behaviors and the suggestion of programs to prevent poor health outcomes. An assessment measurement for patients with CKD not requiring dialysis was developed and psychometrically tested. A convenience sample ( n = 330) of patients with CKD attending a nephrology clinic in southern Taiwan completed the 13-item Adherence to Healthy Behaviors Scale (AHBS). A principal axis factor analysis and a parallel analysis demonstrated a three-factor structure accounting for 47.16% of the total variance. Confirmatory factor analysis indicated a good model fit. The criterion-related validity was adequate ( r = .51; p < .000), with a Cronbach’s alpha of .70; the test-retest reliability demonstrated good stability ( r = .70; p < .000). The AHBS is a valid, reliable instrument to assess adherence to healthy behaviors among patients with CKD.

Download Full-text

How COVID-19 lockdown and reopening affected daily steps: evidence based on 164,630 person-days of prospectively collected data from Shanghai, China

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-021-01106-x ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Ding Ding ◽

Minna Cheng ◽

Borja del Pozo Cruz ◽

Tao Lin ◽

Shuangyuan Sun ◽

...

Keyword(s):

Physical Activity ◽

At Risk ◽

Body Composition ◽

Mixed Model ◽

Linear Mixed Model ◽

University Education ◽

Control Group ◽

Daily Step ◽

Step Counts ◽

Reduced Physical Activity

Abstract Background COVID-19 lockdowns may lead to physical inactivity, a major risk factor for non-communicable diseases. This study aims to determine: 1) the trajectory in daily step counts before, during and after the lockdown in China, and 2) the characteristics associated with the trajectories. Methods From December 2019 to July 2020, smartphone-based step counts were continuously collected in 815 Chinese adults residing in Shanghai over 202 days across three phases: before, during, and after the lockdown. Participant characteristics were reported, and height, weight and body composition measured before the lockdown. A ‘sharp’ regression discontinuity design with cluster robust standard errors was used to test the effect of the lockdown and reopening on daily steps and a linear mixed model was used to examine the characteristics associated with trajectories during the observed period. Results Based on 164,630 person-days of data, we found a sharp decline in daily step counts upon the lockdown (24/01/2020) by an average of 3796 (SE = 88) steps, followed by a significant trend of increase by 34 steps/day (SE = 2.5; p < .001) until the end of the lockdown (22/03/2020). This increasing trend continued into the reopening phase at a slower rate of 5 steps per day (SE = 2.3; p = 0.029). Those who were older, married, university educated, insufficiently active, had an ‘at risk’ body composition, and those in the control group, were slower at recovering step counts during the lockdown, and those who were older, married, without university education and with an ‘at risk’ body composition recovered step counts at a slower pace after the reopening. Conclusions Despite later increases in step counts, COVID-19 lockdown led to a sustained period of reduced physical activity, which may have adverse health implications. Governments and health professionals around the world should continue to encourage and facilitate physical activity during the pandemic.

Download Full-text

Psychometric Properties of the Modified Social Environment Questionnaire in Chinese Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.2017-0044 ◽

2018 ◽

Vol 26 (4) ◽

pp. 530-536 ◽

Cited By ~ 1

Author(s):

Ka-Man Leung ◽

Pak-Kwong Chung ◽

Tin-Lok Yuen ◽

Jing Dong Liu ◽

Donggen Wang

Keyword(s):

Older Adults ◽

Factor Analysis ◽

Hong Kong ◽

Confirmatory Factor Analysis ◽

Psychometric Properties ◽

Measurement Invariance ◽

Social Environment ◽

Convergent Validity ◽

Confirmatory Factor ◽

Test Retest Reliability

This study evaluated the psychometric properties of a Chinese version of the 24-item Social Environment Questionnaire (SEQ-C). Confirmatory factor analysis was used to examine the factor validity and measurement invariance (Purpose 1) of the SEQ-C in 453 older adults in Hong Kong. Convergent validity (Purpose 2) and test–retest reliability (Purpose 3) were also measured. The results of the confirmatory factor analysis and measurement invariance supported the four-factor structure (representing companionship, encouragement, neighborhood social cohesion, and role models) of the SEQ-C, in a 15-item model that closely fitted the data. The SEQ-C was also found to have acceptable to satisfactory internal consistency, test–retest reliability, composite reliability, and moderate convergent validity in correlating perceived social support. This study showed that the SEQ-C is a suitable means of measuring the social environments of older adults in Hong Kong.

Download Full-text