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Published in: Journal of Public Health 5/2019

01-10-2019 | Original Article

Thai diabetes prevention education program: development and validation of the Thai physical activity questionnaire for at-risk people

Authors: Maenum Chirdkiatisak, Kitti Sranacharoenpong, Piyanit Churak, Panrawee Praditsorn

Published in: Journal of Public Health | Issue 5/2019

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Abstract

Aim

This study aimed to develop and validate the Thai physical activity questionnaire (Thai-PAQ) for Thai people at risk for type 2 diabetes (T2D).

Subjects and methods

After development and validation of the questionnaire, 95 people at risk for T2D were recruited. The Thai-PAQ was developed based on the International-PAQ. The Thai-PAQ was evaluated by three experts to ensure content validity. The at-risk people were interviewed using the Thai-PAQ for the previous 7 days’ activities. Spearman’s correlation was used to compare the accelerometer and Thai-PAQ for concurrent validity. Interclass correlation was used to evaluate the reliability of the Thai-PAQ separated by 3 days. Chi-square test was used to represent significant differences (p < 0.05) in the proportion of participants meeting the current physical activity guidelines.

Results

The content validity of the Thai-PAQ was 0.91. The total physical activity from the Thai-PAQ (MET-min week−1), which included the part-time occupation domain and excluded the part-time occupation domain, was significantly correlated with the total physical activity (counts week−1) according to the ActiGraph accelerometer (r = 0.57 and 0.54, p < 0.01, respectively). The 3-day test-retest reliability of the total physical activity of the developed PAQ was 0.86 (p < 0.05) when including the part-time occupation domain and was 0.85 (p < 0.05) when excluding the part-time occupation domain.

Conclusions

The study showed that that concurrent validity had high correlation compared with the ActiGraph accelerometer. Reliability was also acceptable as high reliability. The Thai-PAQ is considered useful for communities as well as a means to ultimately promote physical activity in communities.
Literature
go back to reference Aekplakorn W et al (2006) A risk score for predicting incident diabetes in the Thai population. Diabetes Care 29:1872–1877CrossRefPubMed Aekplakorn W et al (2006) A risk score for predicting incident diabetes in the Thai population. Diabetes Care 29:1872–1877CrossRefPubMed
go back to reference Aekplakorn W et al (2011) Prevalence and management of diabetes and metabolic risk factors in Thai adults: the Thai National Health Examination Survey IV, 2009. Diabetes Care 34:1980–1985CrossRefPubMedPubMedCentral Aekplakorn W et al (2011) Prevalence and management of diabetes and metabolic risk factors in Thai adults: the Thai National Health Examination Survey IV, 2009. Diabetes Care 34:1980–1985CrossRefPubMedPubMedCentral
go back to reference Ainsworth BE et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32:S498–S504CrossRefPubMed Ainsworth BE et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32:S498–S504CrossRefPubMed
go back to reference Armstrong T, Bull F (2006) Development of the World Health Organization global physical activity questionnaire (GPAQ). J Public Health 14:66–70CrossRef Armstrong T, Bull F (2006) Development of the World Health Organization global physical activity questionnaire (GPAQ). J Public Health 14:66–70CrossRef
go back to reference Berthouze SE, Minaire PM, Chatard JC, Boutet C, Castells J, Lacour JR (1993) A new tool for evaluating energy expenditure: the “QAPSE” development and validation. Med Sci Sports Exerc 25:1405–1414CrossRefPubMed Berthouze SE, Minaire PM, Chatard JC, Boutet C, Castells J, Lacour JR (1993) A new tool for evaluating energy expenditure: the “QAPSE” development and validation. Med Sci Sports Exerc 25:1405–1414CrossRefPubMed
go back to reference Boon RM, Hamlin MJ, Steel GD, Ross JJ (2010) Validation of the New Zealand physical activity questionnaire (NZPAQ-LF) and the international physical activity questionnaire (IPAQ-LF) with accelerometry. Br J Sports Med 44(10):741–746CrossRefPubMed Boon RM, Hamlin MJ, Steel GD, Ross JJ (2010) Validation of the New Zealand physical activity questionnaire (NZPAQ-LF) and the international physical activity questionnaire (IPAQ-LF) with accelerometry. Br J Sports Med 44(10):741–746CrossRefPubMed
go back to reference Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Earlbaum Associates, New Jersey Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Earlbaum Associates, New Jersey
go back to reference Craig CL et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381–1395CrossRefPubMed Craig CL et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381–1395CrossRefPubMed
go back to reference Deng HB, Macfarlane DJ, Thomas GN, Lao XQ, Jiang CQ, Cheng KK, Lam TH (2008) Reliability and validity of the IPAQ-Chinese: the Guangzhou biobank cohort study. Med Sci Sports Exerc 40:303–307CrossRefPubMed Deng HB, Macfarlane DJ, Thomas GN, Lao XQ, Jiang CQ, Cheng KK, Lam TH (2008) Reliability and validity of the IPAQ-Chinese: the Guangzhou biobank cohort study. Med Sci Sports Exerc 40:303–307CrossRefPubMed
go back to reference Diabetes Prevention Program Research Group (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002:393–403 Diabetes Prevention Program Research Group (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002:393–403
go back to reference Dinger MK, Behrens TK, Han JL (2006) Validity and reliability of the international physical activity questionnaire in college students. Am J Health Educ 37:337–343CrossRef Dinger MK, Behrens TK, Han JL (2006) Validity and reliability of the international physical activity questionnaire in college students. Am J Health Educ 37:337–343CrossRef
go back to reference Freedson PS, Miller K (2000) Objective monitoring of physical activity using motion sensors and heart rate. Res Q Exerc Sport 71:21–29CrossRefPubMed Freedson PS, Miller K (2000) Objective monitoring of physical activity using motion sensors and heart rate. Res Q Exerc Sport 71:21–29CrossRefPubMed
go back to reference Garber CE et al (2011) Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359CrossRefPubMed Garber CE et al (2011) Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359CrossRefPubMed
go back to reference Hendelman D, Miller K, Baggett C, Debold E, Freedson P (2000) Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Med Sci Sports Exerc 32:S442–S449CrossRefPubMed Hendelman D, Miller K, Baggett C, Debold E, Freedson P (2000) Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Med Sci Sports Exerc 32:S442–S449CrossRefPubMed
go back to reference Howley ET (2001) Type of activity: resistance, aerobic and leisure versus occupational physical activity. Med Sci Sports Exerc 33:S364–S369CrossRefPubMed Howley ET (2001) Type of activity: resistance, aerobic and leisure versus occupational physical activity. Med Sci Sports Exerc 33:S364–S369CrossRefPubMed
go back to reference International Physical Activity Questionnaire (2005) International physical activity questionnaire. www.ipaq.ki.se. Accessed 15 May 2018 International Physical Activity Questionnaire (2005) International physical activity questionnaire. www.​ipaq.​ki.​se. Accessed 15 May 2018
go back to reference Ishikawa-Takata K et al (2008) Physical activity level in healthy free-living Japanese estimated by doubly labelled water method and international physical activity questionnaire. Eur J Clin Nutr 62:885CrossRefPubMed Ishikawa-Takata K et al (2008) Physical activity level in healthy free-living Japanese estimated by doubly labelled water method and international physical activity questionnaire. Eur J Clin Nutr 62:885CrossRefPubMed
go back to reference Laporte RE, Montoye HJ, Caspersen CJ (1985) Assessment of physical activity in epidemiologic research: problems and prospects. Public Health Rep 100:131PubMedPubMedCentral Laporte RE, Montoye HJ, Caspersen CJ (1985) Assessment of physical activity in epidemiologic research: problems and prospects. Public Health Rep 100:131PubMedPubMedCentral
go back to reference Manley AF (1996) Physical activity and health: a report of the surgeon general. DIANE Publishing, Collingdale Manley AF (1996) Physical activity and health: a report of the surgeon general. DIANE Publishing, Collingdale
go back to reference Mayor S (2007) International diabetes federation consensus on prevention of type 2 diabetes. Int J Clin Pract 61:1773–1775CrossRefPubMed Mayor S (2007) International diabetes federation consensus on prevention of type 2 diabetes. Int J Clin Pract 61:1773–1775CrossRefPubMed
go back to reference Miller DJ, Freedson PS, Kline GM (1994) Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Med Sci Sports Exerc 26:376–382PubMed Miller DJ, Freedson PS, Kline GM (1994) Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Med Sci Sports Exerc 26:376–382PubMed
go back to reference Montoye HJ (1996) Measuring physical activity and energy expenditure. Human Kinetics, Champaign Montoye HJ (1996) Measuring physical activity and energy expenditure. Human Kinetics, Champaign
go back to reference Plasqui G, Westerterp KR (2007) Physical activity assessment with accelerometers: an evaluation against doubly labeled water. Obesity 15:2371–2379CrossRefPubMed Plasqui G, Westerterp KR (2007) Physical activity assessment with accelerometers: an evaluation against doubly labeled water. Obesity 15:2371–2379CrossRefPubMed
go back to reference Pols MA, Peeters PH, Ocké MC, Bueno-de-Mesquita HB, Slimani N, Kemper HC, Collette HJ (1997) Relative validity and repeatability of a new questionnaire on physical activity. Prev Med 26:37–43CrossRefPubMed Pols MA, Peeters PH, Ocké MC, Bueno-de-Mesquita HB, Slimani N, Kemper HC, Collette HJ (1997) Relative validity and repeatability of a new questionnaire on physical activity. Prev Med 26:37–43CrossRefPubMed
go back to reference Pongurgsorn C (2002) A questionnaire for assessment of physical activity in Thailand. Doctoral disertation, University of Illinois at Urbana-Champaign Pongurgsorn C (2002) A questionnaire for assessment of physical activity in Thailand. Doctoral disertation, University of Illinois at Urbana-Champaign
go back to reference Reis JP, Dubose KD, Ainsworth BE, Macera CA, Yore MM (2005) Reliability and validity of the occupational physical activity questionnaire. Med Sci Sports Exerc 37:2075–2083CrossRefPubMed Reis JP, Dubose KD, Ainsworth BE, Macera CA, Yore MM (2005) Reliability and validity of the occupational physical activity questionnaire. Med Sci Sports Exerc 37:2075–2083CrossRefPubMed
go back to reference Sallis JF (2010) Measuring physical activity: practical approaches for program evaluation in native American communities. J Public Health Manag Pract 16:404CrossRefPubMedPubMedCentral Sallis JF (2010) Measuring physical activity: practical approaches for program evaluation in native American communities. J Public Health Manag Pract 16:404CrossRefPubMedPubMedCentral
go back to reference Shai I, Jiang R, Manson JE, Stampfer MJ, Willett WC, Colditz GA, Hu FB (2006) Ethnicity, obesity, and risk of type 2 diabetes in women. Diabetes Care 29:1585–1590CrossRefPubMed Shai I, Jiang R, Manson JE, Stampfer MJ, Willett WC, Colditz GA, Hu FB (2006) Ethnicity, obesity, and risk of type 2 diabetes in women. Diabetes Care 29:1585–1590CrossRefPubMed
go back to reference Singh A, Purohit B (2011) Evaluation of global physical activity questionnaire (GPAQ) among healthy and obese health professionals in Central India. Baltic Journal of Health and Physical Activity 3:34CrossRef Singh A, Purohit B (2011) Evaluation of global physical activity questionnaire (GPAQ) among healthy and obese health professionals in Central India. Baltic Journal of Health and Physical Activity 3:34CrossRef
go back to reference Sranacharoenpong K, Hanning RM (2011) Developing a diabetes prevention education programme for community health-care workers in Thailand: formative findings. Prim Health Care Res Dev 12:357–369CrossRefPubMed Sranacharoenpong K, Hanning RM (2011) Developing a diabetes prevention education programme for community health-care workers in Thailand: formative findings. Prim Health Care Res Dev 12:357–369CrossRefPubMed
go back to reference Suzuki I, Kawakami N, Shimizu H (1998) Reliability and validity of a questionnaire for assessment of energy expenditure and physical activity in epidemiological studies. J Epidemiol 8:152–159CrossRefPubMed Suzuki I, Kawakami N, Shimizu H (1998) Reliability and validity of a questionnaire for assessment of energy expenditure and physical activity in epidemiological studies. J Epidemiol 8:152–159CrossRefPubMed
go back to reference van Poppel MN, Chinapaw MJ, Mokkink LB, Van Mechelen W, Terwee CB (2010) Physical activity questionnaires for adults. Sports Med 40:565–600CrossRefPubMed van Poppel MN, Chinapaw MJ, Mokkink LB, Van Mechelen W, Terwee CB (2010) Physical activity questionnaires for adults. Sports Med 40:565–600CrossRefPubMed
go back to reference Visuthipanich V (2008) Development and testing of a physical activity questionnaire among community-dwelling older Thai adults in Bangkok Mahidol University Visuthipanich V (2008) Development and testing of a physical activity questionnaire among community-dwelling older Thai adults in Bangkok Mahidol University
go back to reference Vongsvat K (2002) The nutrition and health transition in Thailand. Public Health Nutr 5:183–189CrossRef Vongsvat K (2002) The nutrition and health transition in Thailand. Public Health Nutr 5:183–189CrossRef
go back to reference Wattanasit P, Prateepchaikul L, Petpichetchian W, Meininger JC, Kijboonchoo K (2010) Validity and reliability of the modified Thai adolescent’s physical activity questionnaire. Pac Rim Int J Nurs Res 14:79–92 Wattanasit P, Prateepchaikul L, Petpichetchian W, Meininger JC, Kijboonchoo K (2010) Validity and reliability of the modified Thai adolescent’s physical activity questionnaire. Pac Rim Int J Nurs Res 14:79–92
go back to reference Welk G (2002) Physical activity assessments for health-related research. Human Kinetics, Champaign Welk G (2002) Physical activity assessments for health-related research. Human Kinetics, Champaign
go back to reference Wild S, Roglic G, Green A, Sicree R, King H (2004) Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 27:1047–1053CrossRefPubMed Wild S, Roglic G, Green A, Sicree R, King H (2004) Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 27:1047–1053CrossRefPubMed
Metadata
Title
Thai diabetes prevention education program: development and validation of the Thai physical activity questionnaire for at-risk people
Authors
Maenum Chirdkiatisak
Kitti Sranacharoenpong
Piyanit Churak
Panrawee Praditsorn
Publication date
01-10-2019
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 5/2019
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-018-0989-2

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