Translation of the International Physical Activity Questionnaire to Maltese and Reliability Testing

The International Physical Activity Questionnaire (IPAQ) is a widely used self-reported physical activity (PA) measure developed to allow for international cross-country comparisons. Due to its unavailability, the aim of this study was to translate the IPAQ-long to Maltese and undertake reliability testing. The IPAQ-long English version was translated into Maltese following the IPAQ guidelines, which included backwards translation. Maltese-speaking participants, aged between 18 and 69 years, were recruited through convenience sampling (n = 170). Participants completed the IPAQ-long twice within an 8- to 48-hr period. PA was calculated in MET minutes per week, and reliability was calculated using the Spearman correlation, intraclass correlation coefficient, concordance correlation coefficient, and Bland–Altman plots. A total of 155 participants completed the questionnaire at two time points. Spearman correlation was .83 (.76–.88) for total PA and .84 (.77–.89) for total sitting time. The intraclass correlation coefficient was .83 (.76–.88) and the concordance correlation coefficient was .75–.87 for total PA. The lowest reliability was for total transport, with a concordance correlation coefficient of .21−.45. Bland–Altman plots highlight that 95% of the differences fell within 2 SDs from the mean. Since the Maltese IPAQ-long has similar reliability to the English version, the authors recommend that health care professionals and PA practitioners use this tool when examining population-level PA among Maltese-speaking individuals.

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AB0798 IS THERE A REPRODUCIBILITY OF THE HISTOGRAM AND GRAY SCALE IN ECOEXTRUCTURAL DAMAGES IN RHEUMATOTOLOGICAL DISEASES?

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3269 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1423.2-1424

Author(s):

J. A. Mendonça ◽

I. Siste de Almeida Aoki ◽

C. C. Cavuto ◽

V. A. Leandro-Merhi ◽

J. L. B. D. Aquino

Keyword(s):

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Rheumatic Diseases ◽

Femoral Condyle ◽

Intraclass Correlation ◽

Correlation Coefficients ◽

Concordance Correlation Coefficient ◽

Image Method ◽

Concordance Correlation ◽

Gray Scale

Background:The gray scale (GS) in high resolution ultrasound is already well validated for use in rheumatological diseases, but the color map or the histogram, can be considered a new proposal, to better define and complement the echotextural damages detection1.Objectives:To calculate the lesions area measures reproducibility index in arthropathies, between 3 blind evaluators and correlate these measures using the GS and the histogram.Methods:Observational and retrospective study approved by the ethics committee of the Pontifical Catholic University of Campinas, with the opinion number: 1.526.307. A total of 29 patients have been assessed (31% males and 69% females) on period 2014 to 2019 in Rheumatology service. A MyLab 50 -Esaote equipment was used with frequency transducer that ranged between 6.0 and 18.0 MHz, 10 different area measures were performed from each recorded images previously, by the GS and the histogram. Statistical analysis: Spearman’s correlation coefficients, Lin’s concordance coefficient (CCC) and the intraclass correlation coefficient (ICC) and their respective 95% confidence intervals, with the SPSS software package for Windows v. 17.0 (SPSS Inc., Chicago, IL, USA).Results:Average age 43.5 ± 21.5 years of age; with disease duration that varied between ≤ 1 month (48.3%) and ≥36 months (24.1%); with the following diseases: juvenile idiopathic arthritis (17.24%); osteoarthritis (13.79%); psoriatic arthritis (13.79%); undifferentiated spondyloarthritis (3.44%); gout (20.68%); rheumatoid arthritis (27.58%) and reactive arthritis (3.44%). A total of 840 measures of exudative (27.58%), proliferative (27.58%) and snowstorm appearance (6.89%) synovitis were performed; femoral-condyle cartilage (3.44%); synovial cyst (3.44%); paratendinitis (6.89%); calcification (3.44%); nail enthesitis (3.44%); tenosynovitis (6.89%) and tophi (10.34%) (Figure 1). The concordance correlation coefficient showed values closer to 1; p <0.001, the intraclass correlation coefficients with excellent reproducibility (ICC ≥ 0.75); p <0.001, always in relation to the three evaluators (Table 1) and the Spearman correlation between the GS and the histogram ranged from rs = 0.665 to rs = 1,000; p <0.001.Conclusion:The histogram can be considered an image method to better identify echotextural damages.References:[1]Mendonça J, Provenza J, Guissa V, et al AB1059 2D Histogram Ultrasound and 3D Ultrasound Correlation in Rheumatic Diseases Annals of the Rheumatic Diseases 2015; 74:1253-1254.Table 1.Concordance Correlation Coefficient (CCC) and Intraclass Correlation Coefficient (ICC):EvaluatorsGS - CCC(IC 95%)p-valorHistogram (IC 95%)p-valor1 e 20,998(0,994-0,999)<0,0010,999(0,995-1,000)<0,0011 e 30,998(0,995-0,999)<0,0010,999(0,995-1,000)<0,0012 e 30,992(0,980-0,997)<0,010,996(0,979-0,999)<0,01Standard by US 2DICCp-valorGS0,997(0,992-0,999)<0,001Histogram0,998(0,992-0,999)<0,001Legends: Gray Scale (GS).Figure 1.Patient with gout: A and B: Tophi area measures (star) in right metatarsos and efusion (arrow) by GS (45 mm2) and histogram (39 mm2), respectively.Disclosure of Interests:José Alexandre Mendonça Speakers bureau: Novartis, Janssen, Bristol, UCB, Isabella Siste de Almeida Aoki: None declared, Caique Chagas Cavuto: None declared, Vânia Aparecida Leandro-Merhi: None declared, José Luis Braga de Aquino: None declared

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Combining F-Scan and GAITRite® for use in Clinical Gait Analysis: A Validation Study.

10.21203/rs.3.rs-93976/v1 ◽

2020 ◽

Author(s):

Stephanie Speight ◽

Selina Reidy ◽

John Stephenson ◽

Sarah Reel

Keyword(s):

Gait Analysis ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Cost Effective ◽

Quality Data ◽

Concordance Correlation Coefficient ◽

Concordance Correlation ◽

Mean Values ◽

Level Of Agreement

Abstract BackgroundClinical gait analysis is widely used to aid the assessment and diagnosis of symptomatic pathologies. Equipment based analysis provides clinicians with a more comprehensive assessment using pressure systems such as F-scan, or analysis of the spatial-temporal parameters of gait using GAITRite. There are systems however such as Strideway™ that can measure these parameters simultaneously, but can be expensive. This study aimed to determine whether standalone systems can be used collectively while still providing quality data, as a cost-effective alternative.MethodsTwenty-six participants walked on a standard floor and a GAITRite walkway, three times wearing the F-Scan system. Mid gait protocols were utilised by analysing the contact pressure of the 2 nd metatarsophalangeal joint of the third, fifth and seventh step from each walk. The Bland-Altman method was used to determine a level of agreement between the two surfaces, using mean values from all walks of all participants who successfully completed all required walks. The intraclass correlation coefficient and Lin’s concordance correlation coefficient were calculated as indices of reliability.ResultsThe intraclass correlation coefficient was calculated to be 0.991 and Lin’s concordance correlation coefficient for the data was calculated to be 0.956, indicating very good reproducibility.ConclusionsThe level of agreement in plantar pressures observed on the two surfaces was very high, suggesting that it is feasible to use F-Scan and GAITRite® together in a clinical setting, as an alternative to other less cost-effective standalone systems.

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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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A Comparison of Confidence Interval Methods for the Concordance Correlation Coefficient and Intraclass Correlation Coefficient with Small Number of Raters

Journal of Biopharmaceutical Statistics ◽

10.1080/10543406.2013.863780 ◽

2014 ◽

Vol 24 (2) ◽

pp. 272-293 ◽

Cited By ~ 4

Author(s):

Dai Feng ◽

Vladimir Svetnik ◽

Alexandre Coimbra ◽

Richard Baumgartner

Keyword(s):

Confidence Interval ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Interval Methods ◽

Concordance Correlation Coefficient ◽

Concordance Correlation

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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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Adaptation and reproducibility of a questionnaire to evaluate physical activity among the Comcáac (Seri) community of Sonora, Mexico

Acta Universitaria ◽

10.15174/au.2017.1272 ◽

2017 ◽

Vol 27 (1) ◽

pp. 76-82 ◽

Cited By ~ 1

Author(s):

Marcos Lavandera-Torres ◽

Julián Esparza-Romero

Keyword(s):

Physical Activity ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Future Research ◽

Physical Activity Questionnaire ◽

Obesity And Diabetes ◽

Occupational Activities ◽

Spearman Coefficient ◽

Activity Questionnaire

Physical activity questionnaire (PAQ) is the most widely used method for evaluation of physical activity (PA). The aim of this study was to adapt and evaluate reproducibility of a PAQ in Comcáac community of Sonora, Mexico. Adaptation of PAQ was conducted through interviews with key residents. Reproducibility was evaluated applying PAQ twice to 26 persons within 20 or more years old, using Spearman coefficient ρ and intraclass correlation coefficient (ICC). High correlations (p < 0.05) were found in total previous-year and previous-week recreational activities (ρ= 0.82 and ρ= 0.76, respectively). Correlations were equally high for occupational activities group related to craftwork manufacture (ρ= 0.96 and ρ= 0.74) and fishery activities (ρ= 0.93 and ρ= 0.78) for previous-year and previous-week, respectively. Adapted PAQ could be a useful tool to evaluate PA pattern in community and can be used in future research on association between PA, obesity and diabetes.

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Using Telerehabilitation to Deliver a Home Exercise Program to Youth With Arthrogryposis: Single Cohort Pilot Study

Journal of Medical Internet Research ◽

10.2196/27064 ◽

2021 ◽

Vol 23 (7) ◽

pp. e27064

Author(s):

Marianne Gagnon ◽

Gabriela Marino Merlo ◽

Rita Yap ◽

Jessica Collins ◽

Caroline Elfassy ◽

...

Keyword(s):

Physical Activity ◽

Data Collection ◽

Correlation Coefficient ◽

Intraclass Correlation ◽

Exercise Program ◽

Daily Activities ◽

Home Exercise ◽

Home Exercise Program ◽

Data Collection Instrument ◽

Activity Questionnaire

Background Arthrogryposis multiplex congenita (AMC) is characterized by joint contractures and muscle weakness, which limit daily activities. Youths with AMC require frequent physical therapeutic follow-ups to limit the recurrence of contractures and maintain range of motion (ROM) and muscle strength; however, access to specialized care may be limited because of geographical distance. Telerehabilitation can offer a potential solution for delivering frequent follow-ups for youth with AMC, but research on the use of telerehabilitation in children with musculoskeletal disorders is scarce. Objective The study aims to evaluate the feasibility of delivering a home exercise program (HEP) by using telerehabilitation for youth with AMC. We also aim to explore the effectiveness of the HEP as a secondary aim. Methods Youths aged between 8 and 21 years with AMC were recruited at the Shriners Hospitals for Children–Canada. The participants completed baseline and post-HEP questionnaires (the Physical Activity Questionnaire for Adolescents, Pediatrics Outcomes Data Collection Instrument, and Adolescent and Pediatric Pain Tool), and clinicians assessed their active ROM using a virtual goniometer. Clinicians used the Goal Attainment Scale with the participants to identify individualized goals to develop a 12-week HEP and assess the achievement of these goals. Follow-ups were conducted every 3 weeks to adjust the HEP. Data on withdrawal rates and compliance to the HEP and follow-ups were collected to assess the feasibility of this approach. The interrater reliability of using a virtual goniometer was assessed using the intraclass correlation coefficient and associated 95% CI. Nonparametric tests were used to evaluate feasibility and explore the effectiveness of the HEP. Results Of the 11 youths who were recruited, 7 (median age: 16.9 years) completed the HEP. Of the 47 appointments scheduled, 5 had to be rescheduled in ≤24 hours. The participants performed their HEP 2.04 times per week (95% CI 1.25-4.08) and reported good satisfaction with the approach. A general intraclass correlation coefficient of 0.985 (95% CI 0.980-0.989) was found for the web-based ROM measurement. Individualized goals were related to pain management; endurance in writing, standing, or walking; sports; and daily activities. In total, 12 of the 15 goals set with the participants were achieved. Statistically significant improvements were observed in the pain and comfort domain of the Pediatrics Outcomes Data Collection Instrument (preintervention: median 71; 95% CI 34-100; postintervention: median 85; 95% CI 49-100; P=.08) and Physical Activity Questionnaire for Adolescents (preintervention: median 1.62; 95% CI 1.00-2.82; postintervention: median 2.32; 95% CI 1.00-3.45; P=.046). Conclusions The remote delivery of an HEP for youth with AMC is feasible. Promising results were found for the effectiveness of the HEP in helping youths with AMC to achieve their goals. The next step will be to assess the effectiveness of this exercise intervention in a randomized controlled trial. International Registered Report Identifier (IRRID) RR2-10.2196/18688

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The Reliability and Validity of the Turkish Kaiser Physical Activity Survey for Pregnant Women

Journal of Physical Activity and Health ◽

10.1123/jpah.2018-0573 ◽

2019 ◽

Vol 16 (11) ◽

pp. 962-967

Author(s):

Esra Uzelpasaci ◽

Türkan Akbayrak ◽

Serap Özgül ◽

Ceren Orhan ◽

Emine Baran ◽

...

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Reliability And Validity ◽

Retest Reliability ◽

Test Retest Reliability ◽

Activity Survey ◽

Activity Questionnaire

Background: Evaluation of physical activity by condition-specific surveys provides more accurate results than generic physical activity questionnaires. The aim of this study was to investigate the reliability and validity of the Kaiser Physical Activity Survey (KPAS) in Turkish pregnant women. Methods: In the translation and cultural adaptation of the KPAS, the 6-phase guidelines recommended in the literature were followed. The study included a total of 151 pregnant women who were assessed using the Turkish version of KPAS, the Pregnancy Physical Activity Questionnaire, and the SenseWear Pro3 Armband. To determine the test–retest reliability, the KPAS was reapplied after 7 days. The psychometric properties of KPAS were analyzed with respect to internal consistency, test–retest reliability, and concurrent validity. Results: Cronbach α coefficient indicating the internal consistency of the Turkish KPAS was found to be .60 to .80, showing moderate reliability. The intraclass correlation coefficient for test–retest reliability was very strong (intraclass correlation coefficient: .96–.98). The total KPAS scores were found to be moderately correlated with the total Pregnancy Physical Activity Questionnaire score and the total energy expenditure value on the SenseWear Pro3 Armband. Conclusions: This study showed that KPAS is a valid and reliable instrument for evaluating physical activity in Turkish pregnant women in different aspects.

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