Cultural adaptation of physical activity self-report instruments.
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ABSTRACT:
SUBMITTER: Arredondo EM
PROVIDER: S-EPMC5555114 | biostudies-other | 2012 Jan
REPOSITORIES: biostudies-other
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Project description:BackgroundPhysical activity self-report instruments in the US have largely been developed for and validated in White samples. Despite calls to validate existing instruments in more diverse samples, relatively few instruments have been validated in US Blacks. Emerging evidence suggests that these instruments may have differential validity in Black populations.PurposeThis report reviews and evaluates the validity and reliability of self-reported measures of physical activity in Blacks and makes recommendations for future directions.MethodsA systematic literature review was conducted to identify published reports with construct or criterion validity evaluated in samples that included Blacks. Studies that reported results separately for Blacks were examined.ResultsThe review identified 10 instruments validated in nine manuscripts. Criterion validity correlations tended to be low to moderate. No study has compared the validity of multiple instruments in a single sample of Blacks.ConclusionThere is a need for efforts validating self-report physical activity instruments in Blacks, particularly those evaluating the relative validity of instruments in a single sample.
| S-EPMC2964560 | biostudies-literature
Project description:BackgroundCross-cultural adaptation is a necessary process to effectively use existing instruments in other cultural and language settings. The process of cross-culturally adapting, including translation, of existing instruments is considered a critical set to establishing a meaningful instrument for use in another setting. Using a multi-step approach is considered best practice in achieving cultural and semantic equivalence of the adapted version. We aimed to ensure the content validity of our instruments in the cultural context of KwaZulu-Natal, South Africa.MethodsThe Iowa Infant Feeding Attitudes Scale, Breastfeeding Self-Efficacy Scale-Short Form and additional items comprise our consolidated instrument, which was cross-culturally adapted utilizing a multi-step approach during August 2012. Cross-cultural adaptation was achieved through steps to maintain content validity and attain semantic equivalence in the target version. Specifically, Lynn's recommendation to apply an item-level content validity index score was followed. The revised instrument was translated and back-translated. To ensure semantic equivalence, Brislin's back-translation approach was utilized followed by the committee review to address any discrepancies that emerged from translation.ResultsOur consolidated instrument was adapted to be culturally relevant and translated to yield more reliable and valid results for use in our larger research study to measure infant feeding determinants effectively in our target cultural context.ConclusionsUndertaking rigorous steps to effectively ensure cross-cultural adaptation increases our confidence that the conclusions we make based on our self-report instrument(s) will be stronger. In this way, our aim to achieve strong cross-cultural adaptation of our consolidated instruments was achieved while also providing a clear framework for other researchers choosing to utilize existing instruments for work in other cultural, geographic and population settings.
| S-EPMC4185181 | biostudies-literature
Project description:BackgroundThe lack of instruments to assess the level of physical activity in pregnant women, led to the development of the PPAQ (Pregnancy Physical Activity Questionnaire), a self-administered questionnaire, which has already been translated in several countries and has already been used in several studies.Aim(s)Translate and adapt the PPAQ into Portuguese and test its reliability and validity.MethodsAn analytical observational study was carried out. Linguistic and semantic equivalence was performed through translation and back-translation and content validity was tested by a panel of experts. To test reliability, a test-retest was performed on a sample of 184 pregnant women, with an interval of 7 days and the ICC was used. To test the criterion validity, Pearson's correlation coefficient (r) was used between the PPAQ and the accelerometer, in a sample of 226 pregnant women.FindingsThe questionnaire was considered comprehensive. The ICC values of Reliability were: total score (0.77); sedentary activities (0.87); light-intensity activities (0.76); moderate-intensity activities (0.76); vigorous-intensity activities (0.70). For criterion validity was obtained a coefficient correlation of r = -0.030, considered weak and negative, for total activity.DiscussionThis study describes the translation and validation process of the PPAQ questionnaire from English to Portuguese. The final version of the PPAQ was considered as a valid instrument in terms of content to measure physical activity and was referred to as being simple to apply and easy to understand.ConclusionThe PPAQ has content validity, excellent reliability and weak criterion validity, as in the original version.
| S-EPMC9831324 | biostudies-literature
Project description:The theoretical-methodological process of cross-cultural adaptation of scales is fundamental for the expansion of research possibilities related to a given area and population, as instrument adequacy allows for the consistent assessment of the construct being studied. This article aims to highlight the different theoretical-methodological processes of cross-cultural adaptations of scales for assessing body image among young university students. The articles were selected in February 2020, with the following search descriptors: ("body image") and (young or "college students" or graduating or graduat *) and ("cross-cultural validation" or "cross-cultural adaptation"), in three databases-Scopus, PsycINFO, and Web of Science, without any time restrictions. Altogether, 304 studies were surveyed on the different bases mentioned above, and 14 studies published between 2010 and 2019 were evaluated. This study highlighted the methodological procedures used in the process of cross-cultural adaptation, as well as the population, the types of validity and reliability, and also the main limitations, strengths, and results reported in each study included in this review. The information presented in this review will allow new researchers to make more appropriate choices about instruments for assessing body image in young university students, in addition to presenting the methodological evolution on this theme.
| S-EPMC8053638 | biostudies-literature
Project description:Objective To perform the translation and cultural adaptation to Brazilian Portuguese of the Children's Physical Activity Questionnaire Methods The process involved the stages of translation, synthesis, back-translation, and revision by the translation group. A prefinal version of the questionnaire was then created, and, subsequently, the final version. Results Due to the lifestyle of the population, eight activities described in the questionnaire were changed to adapt it to Brazilian culture: six sports activities and two leisure activities. Eight parents/legal guardians answered the questionnaire during the pretest, quickly, without inconsistencies, and without reporting difficulties in understanding when the final interview was conducted. Conclusion The translation and cultural adaptation of the Children's Physical Activity Questionnaire to Brazilian Portuguese resulted in the version called C-PAQ.PT.
| S-EPMC8558940 | biostudies-literature
Project description:BACKGROUND: The assessment of physical activity is an essential part of understanding patterns and influences of behaviour, designing interventions, and undertaking population surveillance and monitoring, but it is particularly problematic when using self-report instruments with young people. This study reviewed available self-report physical activity instruments developed for use with children and adolescents to assess their suitability and feasibility for use in population surveillance systems, particularly in Europe. METHODS: Systematic searches and review, supplemented by expert panel assessment. RESULTS: Papers (n=437) were assessed as potentially relevant; 89 physical activity measures were identified with 20 activity-based measures receiving detailed assessment. Three received support from the majority of the expert group: Physical Activity Questionnaire for Children/Adolescents (PAQ-C/PAQ-A), Youth Risk Behaviour Surveillance Survey (YRBS), and the Teen Health Survey. CONCLUSIONS: Population surveillance of youth physical activity is strongly recommended and those involved in developing and undertaking this task should consider the three identified shortlisted instruments and evaluate their appropriateness for application within their national context. Further development and testing of measures suitable for population surveillance with young people is required.
| S-EPMC3019119 | biostudies-literature
Project description:Childhood obesity is a global problem, disproportionately affecting children in low-to-middle income countries (LMIC). Despite this evidence, no previous study has adapted instruments measuring children's movement behaviors and associated parenting practices for use in LMIC families. This study reports the results of a cross-cultural adaptation of previously validated measures of children's movement behaviors and parenting practices in economically disadvantaged Brazilian families. Study 1 involved translation of the instruments from English to Portuguese. A team of translators (fluent in both English and Portuguese) and researchers followed established procedures for translating measurement scales, identifying problematic items, and reaching consensus on discrepancies. Study 2 involved cognitive interviews with 24 parents from urban and rural North-eastern Brazil addressing the format, content, and clarity of the items. Half the parents provided feedback on the first 33 items of the questionnaire, with the remaining parents providing feedback on the final 29 items. Notes were recorded during the interview and parents' feedback summarized in a report. In the translation and back-translation, 15 discrepancies were identified. These were mostly due to multiple Portuguese words having the same meaning in English. The research team discussed these discrepancies and consensus was reached to ensure that the concepts depicted in the Portuguese version were consistent with the English version. In the cognitive interviews, parents identified minor problems with item comprehension resulting in minor adaptations to response options, recall period, and format of the questionnaire. The process of translation and cognitive interviews conducted in Brazilian families resulted in an appropriate cultural adaptation of scales measuring children's movement behaviors and parenting practices. Future studies should evaluate the validity and reliability of the measures in LMIC families.
| S-EPMC7794996 | biostudies-literature
Project description:Objectives:The purpose of the study was to cross-culturally adapt the Rapid Assessment of Physical Activity (RAPA) for Arabic speaking people and examine the test-retest reliability and the construct validity in Saudi older adults. Methods:Test-retest reliability was assessed over two testing visits occurring one week apart. The construct validity was examined between RAPA and Short Physical Performance Battery (SPPB) and Timed Up and Go (TUG) tests. Results:The original RAPA was translated into Arabic following standardized guidelines. For the test-retest reliability, the weighted kappa was 0.87 (95% confidence interval: 0.76-0.98), which indicates good reliability. There was a significant correlation between the Arabic version of RAPA and the SPPB (Spearman's correlation coefficients (r) = 0.536, p < 0.001), and the TUG test (r = -0.435, p < 0.010). Conclusions:The Arabic version of the RAPA questionnaire adapted for Saudi older adults provides an easy, valid, and reliable way to measure physical activity.
| S-EPMC7488385 | biostudies-literature
Project description:Calibration equations offer potential to improve the accuracy and utility of self-report measures of physical activity (PA) and sedentary behavior (SB) by rescaling potentially biased estimates. The present study evaluates calibration models designed to estimate PA and SB in a representative sample of adults from the Physical Activity Measurement Study.Participants in the Physical Activity Measurement Study project completed replicate single-day trials that involved wearing a Sensewear armband (SWA) monitor for 24 h followed by a telephone administered 24-h PA recall (PAR). Comprehensive statistical model selection and validation procedures were used to develop and test separate calibration models designed to predict objectively measured SB and moderate-to-vigorous PA (MVPA) from self-reported PAR data. Equivalence testing was used to evaluate the equivalence of the model-predicted values with the objective measures in a separate holdout sample.The final prediction model for both SB and MVPA included reported time spent in SB and MVPA, as well as terms capturing sex, age, education, and body mass index. Cross-validation analyses on an independent sample exhibited high correlations with observed SB (r = 0.72) and MVPA (r = 0.75). Equivalence testing demonstrated that the model-predicted values were statistically equivalent to the corresponding objective values for both SB and MVPA.The results demonstrate that simple regression models can be used to statistically adjust for overestimation or underestimation in self-report measures among different segments of the population. The models produced group estimates from the PAR that were statistically equivalent to the observed time spent in SB and MVPA obtained from the objective SWA monitor; however, additional work is needed to correct for estimates of individual behavior.
| S-EPMC5474174 | biostudies-literature
Project description:BackgroundBipolar disorder (BD) and borderline personality disorder (BPD) share overlapping phenomenology and are frequently misdiagnosed. This study investigated the diagnostic accuracy of the Mood Disorder Questionnaire (MDQ) and McLean Screening Instrument for Borderline Personality Disorder (MSI) in a clinical inpatient setting and whether individual screening items could differentiate BD from BPD.Methods757 sequential inpatients admitted to a Mood Disorder Unit completed both the MDQ and MSI. Screen positive for the MDQ was defined as ≥7/13 symptoms endorsed with concurrence and at least moderate impact. Screen positive for the MSI was defined as a score of ≥7. The clinical discharge summary diagnosis completed by a board-certified psychiatrist was used as the reference standard to identify concordance rates of a positive screen with clinical diagnosis. Individual items predicting one disorder and simultaneously predicting absence of other disorder by odds ratio (OR>and <1) were identified.ResultsBoth screening instruments were more specific than sensitive (MDQ 83.7%/ 67.8%, MSI 73.2% / 63.3%). MDQ individual items (elevated mood, grandiosity, increased energy, pressured speech, decreased need for sleep, hyperactivity) were significant predictors of BD diagnosis and non-predictors of BPD diagnosis. Whereas MSI subitem, self-harm behaviors/suicidal attempts predicted BPD in the absence of BD; distrust and irritability were additional predictors of BPD.ConclusionWhile this study is limited by the lack of structured diagnostic interview, these data provide differential symptoms to discriminate BD and BPD. Further work with larger datasets and more rigorous bioinformatics machine learning methodology is encouraged to continue to identify distinguishing features of these two disorders to guide diagnostic precision and subsequent treatment recommendations.
| S-EPMC8323027 | biostudies-literature