Qualitative Attributes and Measurement Properties of Physical Activity Questionnaires

The large number of available physical activity (PA) questionnaires makes it difficult to select the most appropriate questionnaire for a certain purpose. This choice is further hampered by incomplete reporting and unsatisfactory evaluation of the content and measurement properties of the questionnaires. We provide a checklist for appraising the qualitative attributes and measurement properties of PA questionnaires, as a tool for selecting the most appropriate PA questionnaire for a certain target population and purpose. The checklist is called the Quality Assessment of Physical Activity Questionnaire (QAPAQ). This review is one of a group of four reviews in this issue of Sports Medicine on the content and measurement properties of physical activity questionnaires.Part 1 of the checklist can be used to appraise the qualitative attributes of PA questionnaires, i.e. the construct to be measured by the questionnaire, the purpose and target population for which it was developed, the format, interpretability and ease of use.Part 2 of the checklist can be used to appraise the measurement properties of a PA questionnaire, i.e. reliability (parameters of measurement error and reliability coefficients), validity (face and content validity, criterion validity and construct validity) and responsiveness.The QAPAQ can be used to select the most appropriate PA questionnaire for a certain purpose, but it can also be used to design or report a study on measurement properties of PA questionnaires. Using such a checklist will contribute to improving the assessment, reporting and appraisal of the content and measurement properties of PA questionnaires.

[1]  B. Ainsworth,et al.  Evaluation of the kaiser physical activity survey in women. , 2000, Medicine and science in sports and exercise.

[2]  A. Rigby,et al.  Statistical methods in epidemiology. v. Towards an understanding of the kappa coefficient , 2000, Disability and rehabilitation.

[3]  B. Giraudeau,et al.  Planning a reproducibility study: how many subjects and how many replicates per subject for an expected width of the 95 per cent confidence interval of the intraclass correlation coefficient , 2001, Statistics in medicine.

[4]  C. McHorney,et al.  Individual-patient monitoring in clinical practice: are available health status surveys adequate? , 1995, Quality of Life Research.

[5]  E. Waclawski Health Measurement Scales—A Practical Guide to Their Development and Use , 2010 .

[6]  A. Beckett,et al.  AKUFO AND IBARAPA. , 1965, Lancet.

[7]  Martine Thomis,et al.  Reliability and Validity of the Flemish Physical Activity Computerized Questionnaire in Adults , 2007, Research quarterly for exercise and sport.

[8]  W. Mechelen,et al.  Self-Administered Physical Activity Questionnaires for the Elderly , 2010, Sports medicine.

[9]  T. Ohkubo,et al.  Validation of walking questionnaire for population-based prospective studies in Japan: comparison with pedometer. , 2002, Journal of epidemiology.

[10]  B Kirshner,et al.  A methodological framework for assessing health indices. , 1985, Journal of chronic diseases.

[11]  B. Sternfeld,et al.  Physical activity questionnaire comprehension: lessons from cognitive interviews. , 2009, Medicine and science in sports and exercise.

[12]  Y. Lagerros Physical activity—the more we measure, the more we know how to measure , 2009, European Journal of Epidemiology.

[13]  C. Terwee,et al.  The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. , 2010, Journal of clinical epidemiology.

[14]  Pagona Lagiou,et al.  Assessment of physical activity and energy expenditure in epidemiological research of chronic diseases , 2007, European Journal of Epidemiology.

[15]  N J Wareham,et al.  The assessment of physical activity in individuals and populations: why try to be more precise about how physical activity is assessed? , 1998, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[16]  J E Frijters,et al.  A short questionnaire for the measurement of habitual physical activity in epidemiological studies. , 1982, The American journal of clinical nutrition.

[17]  C. Terwee,et al.  Quality criteria were proposed for measurement properties of health status questionnaires. , 2007, Journal of clinical epidemiology.

[18]  B. Ainsworth,et al.  A Review of Physical Activity Measures Used Among US Latinos: Guidelines for Developing Culturally Appropriate Measures , 2008, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[19]  K. Westerterp,et al.  Physical Activity Assessment With Accelerometers: An Evaluation Against Doubly Labeled Water , 2007, Obesity.

[20]  C. Terwee,et al.  On assessing responsiveness of health-related quality of life instruments: Guidelines for instrument evaluation , 2003, Quality of Life Research.

[21]  B. Ainsworth,et al.  International physical activity questionnaire: 12-country reliability and validity. , 2003, Medicine and science in sports and exercise.

[22]  B. Ainsworth How do I measure physical activity in my patients? Questionnaires and objective methods , 2008, British Journal of Sports Medicine.

[23]  R A Deyo,et al.  Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. , 1986, Journal of chronic diseases.

[24]  P. Patterson Reliability, validity, and methodological response to the assessment of physical activity via self-report. , 2000, Research quarterly for exercise and sport.

[25]  David L Streiner,et al.  Being Inconsistent About Consistency: When Coefficient Alpha Does and Doesn't Matter , 2003, Journal of personality assessment.

[26]  Thierry Troosters,et al.  How to assess physical activity? How to assess physical fitness? , 2005, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[27]  C. Terwee,et al.  When to use agreement versus reliability measures. , 2006, Journal of clinical epidemiology.

[28]  C. Terwee,et al.  The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study , 2010, Quality of Life Research.

[29]  Diederick E. Grobbee,et al.  Methodological aspects of physical activity assessment in epidemiological studies , 2004, European Journal of Epidemiology.

[30]  N. Wareham,et al.  The validation of physical activity instruments for measuring energy expenditure: problems and pitfalls , 1998, Public Health Nutrition.

[31]  R. Troiano Can there be a single best measure of reported physical activity? , 2009, The American journal of clinical nutrition.

[32]  J M Bland,et al.  Statistical methods for assessing agreement between two methods of clinical measurement , 1986 .

[33]  K. McGraw,et al.  Forming inferences about some intraclass correlation coefficients. , 1996 .

[34]  G Godin,et al.  Self-reported exercise behavior of employees: a validity study. , 1989, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[35]  K N Lohr,et al.  Evaluating quality-of-life and health status instruments: development of scientific review criteria. , 1996, Clinical therapeutics.

[36]  J. M. Cortina,et al.  What Is Coefficient Alpha? An Examination of Theory and Applications , 1993 .

[37]  B. Ainsworth,et al.  Development and reproducibility of the bone loading history questionnaire. , 2006, Medicine and science in sports and exercise.

[38]  W. Mechelen,et al.  Physical Activity Questionnaires for Youth , 2010, Sports medicine.

[39]  Douglas G. Altman,et al.  Practical statistics for medical research , 1990 .

[40]  H J Montoye,et al.  Assessment of the accuracy of physical activity questionnaire occupational data. , 1993, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[41]  P. M. Reid,et al.  Validation of the Arizona Activity Frequency Questionnaire using doubly labeled water. , 2001, Medicine and science in sports and exercise.

[42]  J Alonso,et al.  BMC Medical Research Methodology BioMed Central Study protocol Protocol of the COSMIN study: COnsensus-based Standards for the selection of health Measurement INstruments , 2006 .

[43]  David J. Hand,et al.  Causal variables, indicator variables and measurement scales: an example from quality of life , 2002 .

[44]  J. Wilbur,et al.  A Quantitative Survey to Measure Energy Expenditure in Midlife Women , 1993, Journal of Nursing Measurement.

[45]  Caroline B. Terwee,et al.  Physical Activity Questionnaires for Adults , 2010, Sports medicine.

[46]  A. Marshall,et al.  Reliability and validity of a modified self‐administered version of the Active Australia physical activity survey in a sample of mid‐age women , 2008, Australian and New Zealand journal of public health.

[47]  P. Freedson,et al.  Reproducibility of a self-administered lifetime physical activity questionnaire among female college alumnae. , 2002, American journal of epidemiology.