The concurrent validity of the physical activity vital sign and online physical activity logbook in adolescents with autism

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-09-12 DOI:10.1016/j.mhpa.2024.100632

Anke Arkesteyn , Véronique Cornelissen , Jean Steyaert , Davy Vancampfort , Tine Van Damme

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Abstract

Background and aims

There is an urgent need for valid assessment tools to assess physical activity (PA) levels in adolescents with autism. This study examines the concurrent validity of the Physical Activity Vital Sign (PAVS) and Online Physical Activity Logbook (OPAL) with accelerometry in adolescents with autism. A secondary aim was to explore the association and agreement between self-perceived and objectively measured PA intensity levels.

Methods

Forty-five adolescents with autism (71% males, Mdn = 14.0 (IQR = 13.0–15.5) years) completed the PAVS and OPAL and wore a wGT3X-BT ActiGraph accelerometer twice for seven consecutive days. Concurrent validity was assessed with Spearman correlations (ρ) and Wilcoxon Signed Rank/Paired Sample T-tests.

Results

A poor association was found between the PAVS and accelerometry (ρ = .37). The PAVS overestimated moderate-to-vigorous PA (MVPA) levels [Mdn = 152.1 min (IQR = 76.8–283.9), p < .001]. Poor associations (ρ = −.06 up to −.45) were observed between the OPAL and accelerometry for time spent in sedentary behavior (SB), light PA (LPA), moderate PA (MPA), vigorous PA (VPA) and MVPA. No significant mean and median differences were found for SB and VPA between the two methods respectively. A moderate association was found between self-perceived (OPAL) and objectively measured (accelerometry) VPA (ρ = .60) and MVPA (ρ = .51), while those for LPA and MPA were poor (ρ < .50). No significant median differences were found between self-perceived and objectively measured VPA.

Conclusion

Clinicians and researchers should be very cautious in using the PAVS to assess MVPA levels in adolescents with autism, while the utility of the OPAL, in its current form, is questionable. Adolescents with autism may estimate PA at a vigorous intensity accurately. Future research should further focus on examining the psychometric properties of self-report PA instruments, as well as the ability of adolescents with autism to accurately estimate the intensity of performed PA's.

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自闭症青少年体力活动生命体征和在线体力活动日志的并发有效性

背景和目的目前迫切需要有效的评估工具来评估自闭症青少年的体育活动（PA）水平。本研究探讨了自闭症青少年的体力活动生命体征（PAVS）和在线体力活动日志（OPAL）与加速度测量法的并发有效性。方法45名患有自闭症的青少年（71%为男性，Mdn=14.0（IQR=13.0-15.5）岁）完成了体力活动生命体征（PAVS）和在线体力活动日志（OPAL），并连续七天两次佩戴wGT3X-BT ActiGraph加速度计。通过斯皮尔曼相关性（ρ）和Wilcoxon Signed Rank/配对样本T检验对并发有效性进行了评估。结果发现，PAVS和加速度计之间的关联性很差（ρ = .37）。PAVS 高估了中度到剧烈运动（MVPA）水平[Mdn = 152.1 分钟（IQR = 76.8-283.9），p < .001]。在久坐行为（SB）、轻度 PA（LPA）、中度 PA（MPA）、剧烈 PA（VPA）和 MVPA 所花费的时间方面，观察到 OPAL 与加速度测量之间的关联性较差（ρ = -.06 至 -.45）。两种方法在久坐行为（SB）和剧烈运动时间（VPA）的平均值和中位数上分别没有发现明显差异。在自我感觉（OPAL）和客观测量（加速度计）的 VPA（ρ = .60）和 MVPA（ρ = .51）之间发现了中等程度的相关性，而 LPA 和 MPA 的相关性较差（ρ < .50）。结论临床医生和研究人员在使用 PAVS 评估自闭症青少年的 MVPA 水平时应非常谨慎，而 OPAL 目前形式的实用性也值得怀疑。自闭症青少年可能会准确估计剧烈运动强度。未来的研究应进一步关注自我报告 PA 工具的心理测量特性，以及自闭症青少年准确估计所做 PA 强度的能力。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;