24-hour Movement Questionnaire (QMov24h) for adults: development process and measurement properties.

IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS
Bruno Rodrigues, Pedro B Júdice, Adilson Marques, Eliana V Carraça, Luís Lopes, Eduarda Sousa-Sá, Jorge Encantado, António Videira-Silva, Dylan P Cliff, Romeu Mendes, Rute Santos
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Abstract

Background: Sleep, sedentary behaviour, and physical activity are essential components within the 24-hour time frame. Existing questionnaires used to measure these behaviours have insufficient measurement properties and are unsuitable for assessing compliance with the WHO Physical Activity and 24-hour Movement Guidelines. To describe the development process of the 24-hour Movement Questionnaire (QMov24h) and its testing. The QMov24h was developed to gather detailed information on sleep, sedentary behaviour, and physical activity.

Methods: The sample comprised 117 participants (58% women), aged 30.95 ± 13.56 years. The development process of the QMov24h followed the COSMIN guidelines: (i) Construction of items; (ii) Face validity with end-users; (iii) Content validity with experts; (iv) Criterion validity against accelerometry and convergent validity against diary assessments; and (v) 7-day test-retest reliability.

Results: The QMov24h presented adequate content and face validity. The QMov24h showed moderate criterion validity for sleep (rho=0.343;p<0.001), light physical activity (rho=0.31;p=0.002) and total aerobic physical activity (rho=0.343;p<0.001), as well as strong criterion validity for sedentary behaviour (rho=0.428;p<0.001) and aerobic moderate-to-vigorous physical activity (rho=0.534;p<0.001). Reliability varied from poor to excellent (ICC from 0.38 to 0.962;p<0.001) for all questionnaire variables. Regarding compliance of the 24-hour movement guidelines, the questionnaire also showed a strong to almost perfect percentage of agreement with accelerometry (from 69% to 94.3%), and minimal to strong reliability (k from 0.38 to 0.87) between the first and second administrations of the QMov24h.

Conclusions: The QMov24h questionnaire is a valid and reliable tool for assessing levels of movement behaviours and compliance with guidelines in adults. Its measurement properties are comparable to, or even better than, those of existing questionnaires, while posing a similar burden to participants. The QMov24h is useful for research, clinical practice, and public health surveillance. The QMov24h has strong psychometric properties, making it suitable for translation, cultural adaptation, and testing in diverse populations for broader international use.

成人 24 小时运动问卷(QMov24h):开发过程和测量特性。
背景:睡眠、久坐行为和体力活动是 24 小时时间框架内的重要组成部分。用于测量这些行为的现有问卷测量特性不足,不适合用于评估是否符合世界卫生组织《体力活动和 24 小时运动指南》。介绍 24 小时运动问卷(QMov24h)的开发过程及其测试。开发 QMov24h 的目的是为了收集有关睡眠、久坐行为和体力活动的详细信息:样本包括 117 名参与者(58% 为女性),年龄(30.95±13.56)岁。QMov24h 的开发过程遵循了 COSMIN 准则:(i) 构建项目;(ii) 与最终用户进行面效度验证;(iii) 与专家进行内容效度验证;(iv) 与加速度测量进行标准效度验证,并与日记评估进行聚合效度验证;以及 (v) 7 天重复测试的可靠性:QMov24h具有充分的内容效度和表面效度。QMov24h在睡眠方面显示出中等程度的标准效度(rho=0.343;p结论:QMov24h 问卷是一种有效、可靠的工具,可用于评估成年人的运动行为水平和对指南的遵守情况。它的测量特性可与现有的问卷相媲美,甚至更胜一筹,同时对参与者造成的负担也相似。QMov24h 可用于研究、临床实践和公共卫生监测。QMov24h 具有很强的心理测量特性,适合翻译、文化调整和在不同人群中进行测试,以便在国际上更广泛地使用。
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来源期刊
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.
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