Validity of the PROMIS^® Early Childhood Physical Activity Scale among toddlers.

IF 5.6 1区医学 Q1 NUTRITION & DIETETICS

International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-09-26 DOI:10.1186/s12966-024-01655-x

Soyang Kwon, Bridget Armstrong, Nina Wetoska, Selin Capan

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引用次数: 0

Abstract

Background: The PROMIS^® Early Childhood Physical Activity (PROMIS EC PA) scale is a recently developed PROMIS Early Childhood measure to assess PA among children aged 1-5 years. The purpose of this study was to examine test-retest reliability and convergent validity of the PROMIS EC PA scale among toddlers.

Method: An ancillary study was conducted in the toddler-mother dyad sample of the Child and Mother Physical Activity Study. Mothers completed the 7-item PROMIS EC PA scale twice: during a study visit (test) and on the last day when their child's wore an ActiGraph accelerometer on the hip for 7 days (retest). The PROMIS EC PA summed score was calculated by totaling scores from items 1-5. Test-retest reliability was assessed using intraclass correlation coefficient (ICC) for test and retest PROMIS EC PA. Convergent validity was assessed using rank correlation coefficients (rho) between PROMIS EC PA scores and accelerometer-measured moderate- and vigorous-intensity PA (MVPA).

Results: Among 74 participants (56% female; 19 ± 4 months of mean age with range of 12-30 months), average accelerometer-measured MVPA was 76 ± 24 min/day. The median number of days between PROMIS EC PA test and retest was 8 days (IQR = 6 to 8), with an average PROMIS EC PA summed score of 11.0 ± 3.5 at test and 10.5 ± 3.4 at retest. ICC for the test-retest PROMIS EC PA summed scores was 0.72 (95% CI = 0.59-0.82). The rank correlation between the PROMIS EC PA summed score and accelerometer-measured MVPA was 0.13 (95% CI=-0.10 to 0.35; p = 0.28).

Conclusion: In a sample of children aged 12-30 months, test-retest reliability for the PROMIS EC PA scale was moderate and its convergent validity against accelerometer-measured MVPA was poor. Prior to a widespread use of the PROMIS EC PA scale in large-scale research and clinical practice, the tool should be further refined and validated to elucidate how young children's lived PA experience as measured in the PROMIS EC PA scale is relevant to their health and wellbeing outcomes.

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PROMIS® 幼儿体育活动量表在幼儿中的有效性。

背景：PROMIS® 早期儿童体力活动（PROMIS EC PA）量表是最近开发的一种PROMIS早期儿童量表，用于评估1-5岁儿童的体力活动。本研究的目的是考察 PROMIS EC 体力活动量表在幼儿中的重测信度和收敛效度：方法：在 "儿童和母亲体育活动研究 "的幼儿-母亲二元样本中进行了一项辅助研究。母亲们两次完成了 7 个项目的 PROMIS EC PA 量表：一次是在研究访问期间（测试），另一次是在孩子臀部佩戴 ActiGraph 加速计 7 天的最后一天（复测）。PROMIS EC PA 的总分由 1-5 项的总分计算得出。使用类内相关系数（ICC）评估了PROMIS EC PA测试和重测的测试-重测可靠性。使用 PROMIS EC PA 分数与加速度计测量的中度和高强度 PA（MVPA）之间的等级相关系数（rho）评估收敛有效性：在 74 名参与者（56% 为女性；平均年龄为 19 ± 4 个月，年龄范围为 12-30 个月）中，加速计测量的平均 MVPA 为 76 ± 24 分钟/天。PROMIS EC PA测试和复测之间的中位天数为8天（IQR = 6至8），测试和复测时的PROMIS EC PA总分分别为（11.0 ± 3.5）和（10.5 ± 3.4）。测试-复测 PROMIS EC PA 总分的 ICC 为 0.72 (95% CI = 0.59-0.82)。PROMIS EC PA总分与加速计测量的MVPA之间的等级相关性为0.13（95% CI=-0.10至0.35；P=0.28）：结论：在 12-30 个月大的儿童样本中，PROMIS EC PA 量表的测试-再测信度为中等，其与加速度计测量的 MVPA 的收敛效度较差。在大规模研究和临床实践中广泛使用PROMIS幼儿生活活动量表之前，应进一步完善和验证该工具，以阐明PROMIS幼儿生活活动量表所测量的幼儿生活活动经验与他们的健康和幸福结果之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Nutrition and Physical Activity 医学-生理学

CiteScore

13.80

自引率

3.40%

发文量

138

审稿时长

4-8 weeks

期刊介绍： International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) is an open access, peer-reviewed journal offering high quality articles, rapid publication and wide diffusion in the public domain. IJBNPA is devoted to furthering the understanding of the behavioral aspects of diet and physical activity and is unique in its inclusion of multiple levels of analysis, including populations, groups and individuals and its inclusion of epidemiology, and behavioral, theoretical and measurement research areas.