Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Medical Research Methodology
Published in: BMC Medical Research Methodology 1/2011

Open Access 01-12-2011 | Research article

Psychometric properties of two physical activity questionnaires, the AQuAA and the PASE, in cancer patients

Authors: Roberto DK Liu, Laurien M Buffart, Marie José Kersten, Marjolein Spiering, Johannes Brug, Willem van Mechelen, Mai JM Chinapaw

Published in: BMC Medical Research Methodology | Issue 1/2011

Login to get access

Abstract

Background

This study aimed to evaluate the reliability and validity of two self-report physical activity (PA) questionnaires - the AQuAA (Activity Questionnaire for Adults and Adolescents) and PASE (Physical Activity Scale for the Elderly) - in cancer patients.

Methods

Test-retest reliability was determined by administering the questionnaires twice within 5 days. Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and smallest detectable difference (SDD) were calculated. Construct validity was determined by comparing the questionnaire results with ActiGraph accelerometer scores using Spearman correlation coefficients (rs) and ICCs. Content validity was examined using the Three-Step Test-Interview (TSTI).

Results

Reliability for the AQuAA scores were fair to excellent (ICC = 0.57 to 0.78). Reliability for the PASE scores ranged from good to excellent (ICC = 0.67 to 0.90). Correlations between the ActiGraph and the AQuAA and the PASE were low (rs = 0.05 and 0.16 respectively, and ICC = -0.001 to 0.44). The TSTI showed that participants experienced difficulties with the examples provided with the questions, the perceptions of intensity level of PA, and with recalling the time spent on PA.

Conclusions

Both questionnaires showed good to excellent test-retest reliability for most scores. Construct validity of both questionnaires was low, as indicated by the low correlations with the ActiGraph. Except for a few difficulties that participants perceived when filling out the questionnaires, the content validity of both questionnaires was good.
Appendix
Available only for authorised users
Literature
1.
Meneses K, Benz R: Quality of life in cancer survivorship: 20 years later. Semin Oncol Nurs. 2010, 26: 36-46. 10.1016/j.soncn.2009.11.006.CrossRefPubMed
2.
3.
Lucia A, Earnest C, Perez M: Cancer-related fatigue: can exercise physiology assist oncologists?. Lancet Oncol. 2003, 4: 616-625. 10.1016/S1470-2045(03)01221-X.CrossRefPubMed
4.
Harrington CB, Hansen JA, Moskowitz M, Todd BL, Feuerstein M: It's not over when it's over: long-term symptoms in cancer survivors--a systematic review. Int J Psychiatry Med. 2010, 40: 163-181. 10.2190/PM.40.2.c.CrossRefPubMed
5.
Irwin ML: Physical activity interventions for cancer survivors. Br J Sports Med. 2009, 43: 32-38. 10.1136/bjsm.2008.053843.CrossRefPubMed
6.
Meyerhardt JA, Giovannucci EL, Ogino S, Kirkner GJ, Chan AT, Willett W, et al: Physical activity and male colorectal cancer survival. Arch Intern Med. 2009, 169: 2102-2108. 10.1001/archinternmed.2009.412.CrossRefPubMedPubMedCentral
7.
Courneya KS, Friedenreich CM: Physical activity and cancer: an introduction. Recent Results Cancer Res. 2011, 186: 1-10. full_text.CrossRefPubMed
8.
Ainsworth BE: How do I measure physical activity in my patients? Questionnaires and objective methods. British Journal of Sports Medicine. 2009, 43: 6-9. 10.1136/bjsm.2008.052449.CrossRefPubMed
9.
Courneya KS, Friedenreich CM, Reid RD, Gelmon K, Mackey JR, Ladha AB, et al: Predictors of follow-up exercise behavior 6 months after a randomized trial of exercise training during breast cancer chemotherapy. Breast Cancer Res Treat. 2009, 114: 179-187. 10.1007/s10549-008-9987-3.CrossRefPubMed
10.
Pinto BM, Rabin C, Dunsiger S: Home-based exercise among cancer survivors: adherence and its predictors. Psychooncology. 2009, 18: 369-376. 10.1002/pon.1465.CrossRefPubMedPubMedCentral
11.
Hong S, Bardwell WA, Natarajan L, Flatt SW, Rock CL, Newman VA, et al: Correlates of physical activity level in breast cancer survivors participating in the Women's Healthy Eating and Living (WHEL) Study. Breast Cancer Res Treat. 2007, 101: 225-232. 10.1007/s10549-006-9284-y.CrossRefPubMed
12.
Terwee CB, Mokkink LB, van Poppel MN, Chinapaw MJ, van Mechelen W, de Vet HC: Qualitative attributes and measurement properties of physical activity questionnaires: a checklist. Sports Med. 2010, 40: 525-537. 10.2165/11531370-000000000-00000.CrossRefPubMed
13.
Johnson-Kozlow M, Sallis JF, Gilpin EA, Rock CL, Pierce JP: Comparative validation of the IPAQ and the 7-Day PAR among women diagnosed with breast cancer. Int J Behav Nutr Phys Act. 2006, 3: 7-10.1186/1479-5868-3-7.CrossRefPubMedPubMedCentral
14.
Johnson-Kozlow M, Rock CL, Gilpin EA, Hollenbach KA, Pierce JP: Validation of the WHI brief physical activity questionnaire among women diagnosed with breast cancer. Am J Health Behav. 2007, 31: 193-202.CrossRefPubMed
15.
Cramp F, Daniel J: Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2008, CD006145-
16.
De Backer IC, Schep G, Backx FJ, Vreugdenhil G, Kuipers H: Resistance Training in Cancer Survivors: A Systematic Review. Int J Sports Med. 2009, 30: 703-712. 10.1055/s-0029-1225330.CrossRefPubMed
17.
Chinapaw M, Slootmaker S, Schuit A, van Zuidam M, van Mechelen W: Reliability and validity of the Activity Questionnaire for Adults and Adolescents (AQuAA). BMC Med Res Methodol. 2009, 9: 58-10.1186/1471-2288-9-58.CrossRefPubMedPubMedCentral
18.
Washburn RA, Smith KW, Jette AM, Janney CA: The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993, 46: 153-162. 10.1016/0895-4356(93)90053-4.CrossRefPubMed
19.
May AM, van Weert E, Korstjens I, Hoekstra-Weebers JE, van der Schans CP, Zonderland ML, et al: Improved physical fitness of cancer survivors: a randomised controlled trial comparing physical training with physical and cognitive-behavioural training. Acta Oncol. 2008, 47: 825-834. 10.1080/02841860701666063.CrossRefPubMed
20.
May AM, Korstjens I, van Weert E, van den Borne B, Hoekstra-Weebers JE, van der Schans CP, et al: Long-term effects on cancer survivors' quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial. Support Care Cancer. 2009, 17: 653-663. 10.1007/s00520-008-0519-9.CrossRefPubMed
21.
Washburn RA, Zhu W, McAuley E, Frogley M, Figoni SF: The physical activity scale for individuals with physical disabilities: development and evaluation. Arch Phys Med Rehabil. 2002, 83: 193-200. 10.1053/apmr.2002.27467.CrossRefPubMed
22.
Schuit AJ, Schouten EG, Westerterp KR, Saris WH: Validity of the Physical Activity Scale for the Elderly (PASE): according to energy expenditure assessed by the doubly labeled water method. J Clin Epidemiol. 1997, 50: 541-546. 10.1016/S0895-4356(97)00010-3.CrossRefPubMed
23.
Freedson PS, Melanson E, Sirard J: Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998, 30: 777-781. 10.1097/00005768-199805000-00021.CrossRefPubMed
24.
Lynch BM, Dunstan DW, Healy GN, Winkler E, Eakin E, Owen N: Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003-2006). Cancer Causes Control. 2010, 21: 283-288. 10.1007/s10552-009-9460-6.CrossRefPubMed
25.
Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al: The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010, 63: 737-745. 10.1016/j.jclinepi.2010.02.006.CrossRefPubMed
26.
Terwee CB, Bot SD, De Boer MR, van der Windt DA, Knol DL, Dekker J, et al: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007, 60: 34-42. 10.1016/j.jclinepi.2006.03.012.CrossRefPubMed
27.
Streiner DL, Norman GR: Health measurement scales: a practical guide to their development and use. 1995, Oxford: Oxford University Press, 104-127.
28.
Fleis JL, Levin B, Paik MC: Statistical methods for rates and proportions. 2003, Hoboken, NJ: John Wiley & Sons, 598-626.CrossRef
29.
Buffart LM, Roebroeck ME, Janssen WG, Hoekstra A, Hovius SE, Stam HJ: Comparison of instruments to assess hand function in children with radius deficiencies. J Hand Surg Am. 2007, 32: 531-540. 10.1016/j.jhsa.2007.01.011.CrossRefPubMed
30.
Miller GA: The magical number seven, plus or minus two: some limits on our capacity for processing information. 1956. Psychol Rev. 1994, 101: 343-352. 10.1037/0033-295X.101.2.343.CrossRefPubMed
31.
Forsen L, Loland NW, Vuillemin A, Chinapaw MJ, van Poppel MN, Mokkink LB, et al: Self-administered physical activity questionnaires for the elderly: a systematic review of measurement properties. Sports Med. 2010, 40: 601-623. 10.2165/11531350-000000000-00000.CrossRefPubMed
32.
van Poppel MN, Chinapaw MJ, Mokkink LB, van Mechelen W, Terwee CB: Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med. 2010, 40: 565-600. 10.2165/11531930-000000000-00000.CrossRefPubMed
33.
Hak T, van der Veer K, Jansen H: The Three-Step Test-Interview (TSTI): An observational instrument for pretesting self-completion questionnaires. Survey Research Methods. 2008, 2: 143-150.
34.
Jansen H, Hak T: The Productivity of the Three-Step Test-Interview (TSTI) Compared to an Expert Review of a Self-administered Questionnaire on Alcohol Consumption. Journal of Official Statistics. 2005, 21: 103-120.
35.
Westerman MJ, Hak T, Sprangers MA, Groen HJ, van der Wal G, The AM: Listen to their answers! Response behaviour in the measurement of physical and role functioning. Qual Life Res. 2008, 17: 549-558. 10.1007/s11136-008-9333-6.CrossRefPubMedPubMedCentral
36.
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007, 39: 1423-1434. 10.1249/mss.0b013e3180616b27.CrossRefPubMed
37.
Dinger MK, Oman RF, Taylor EL, Vesely SK, Able J: Stability and convergent validity of the Physical Activity Scale for the Elderly (PASE). J Sports Med Phys Fitness. 2004, 44: 186-192.PubMed
38.
Hendelman D, Miller K, Baggett C, Debold E, Freedson P: Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Med Sci Sports Exerc. 2000, 32: S442-S449. 10.1097/00005768-200009001-00002.CrossRefPubMed
39.
Metcalf BS, Curnow JS, Evans C, Voss LD, Wilkin TJ: Technical reliability of the CSA activity monitor: The EarlyBird Study. Med Sci Sports Exerc. 2002, 34: 1533-1537. 10.1097/00005768-200209000-00022.CrossRefPubMed
40.
Sallis JF, Saelens BE: Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000, 71: S1-14.CrossRefPubMed
41.
Strath SJ, Bassett DR, Swartz AM: Comparison of MTI accelerometer cut-points for predicting time spent in physical activity. Int J Sports Med. 2003, 24: 298-303. 10.1055/s-2003-39504.CrossRefPubMed
42.
Metzger JS, Catellier DJ, Evenson KR, Treuth MS, Rosamond WD, Siega-Riz AM: Patterns of objectively measured physical activity in the United States. Med Sci Sports Exerc. 2008, 40: 630-638. 10.1249/MSS.0b013e3181620ebc.CrossRefPubMed
Metadata
Title
Psychometric properties of two physical activity questionnaires, the AQuAA and the PASE, in cancer patients
Authors
Roberto DK Liu
Laurien M Buffart
Marie José Kersten
Marjolein Spiering
Johannes Brug
Willem van Mechelen
Mai JM Chinapaw
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Medical Research Methodology / Issue 1/2011
Electronic ISSN: 1471-2288
DOI
https://doi.org/10.1186/1471-2288-11-30

Other articles of this Issue 1/2011

BMC Medical Research Methodology 1/2011 Go to the issue

Research article

Optimizing the diagnostic power with gastric emptying scintigraphy at multiple time points

Research article

Using qualitative synthesis to explore heterogeneity of complex interventions

Research article

Re-evaluating a vision-related quality of life questionnaire with item response theory (IRT) and differential item functioning (DIF) analyses

Research article

Large-scale, prospective, observational studies in patients with psoriasis and psoriatic arthritis: A systematic and critical review

Research article

A self-controlled case series to assess the effectiveness of beta blockers for heart failure in reducing hospitalisations in the elderly

Research article

How to handle mortality when investigating length of hospital stay and time to clinical stability