Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness.
{"title":"Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness.","authors":"Fangping Xu, Hua Tao, Zachary J Weston, Liping Sun, Lingyan Lu, Xiaojiao Wang, Chunyi Gu","doi":"10.1186/s12884-025-07381-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Engaging in physical activity is essential for a healthy pregnancy. A reliable tool is necessary to enhance the assessment and counseling of safe physical activity. This study aimed to translate the original English Get Active Questionnaire for Pregnancy (GAQ-P) and its companion Health Care Provider Consultation Form for Prenatal Physical Activity (cHCP-CF-PPA) into simplified Chinese language and evaluate the psychometric properties in Chinese pregnant women.</p><p><strong>Methods: </strong>The Brislin's model of translation was employed to translate the GAQ-P/cHCP-CF-PPA tool. We conducted a cross-sectional study at a tertiary women's hospital in Shanghai, China, enrolling a convenience sample of 325 pregnant women across all trimesters to evaluate the psychometric properties of the GAQ-P/cHCP-CF-PPA. Reliability was assessed through test-retest reliability and inter-rater reliability, while validity was examined using content validity, known-groups validity, and criterion validity. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated using PARmed-X for Pregnancy as the gold standard.</p><p><strong>Results: </strong>Regarding content validity, the GAQ-P had an average S-CVI/UA of 0.81 (I-CVIs: 0.83-1.0), while the cHCP-CF-PPA exhibited an average S-CVI/UA of 0.87 (I-CVIs: 0.83-1.0). The GAQ-P/cHCP-CF-PPA scores effectively distinguished women recommended for physical activity from those with contraindications. The Spearman's correlations between the GAQ-P/cHCP-CF-PPA and the PARmed-X for Pregnancy were 0.851 for absolute contraindications and 0.847 for relative contraindications. The test-retest reliability score was 0.759 for physical activity contraindications, and 0.953 for inter-rater reliability. The sensitivity of the GAQ-P/cHCP-CF-PPA was determined to be 90.00%, with a specificity of 98.31%. The positive predictive value was 78.26%, while the negative predictive value reached 99.32%.</p><p><strong>Conclusion: </strong>The Chinese version of the GAQ-P/cHCP-CF-PPA is a reliable and valid tool for assessing physical activity readiness in pregnant women.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"335"},"PeriodicalIF":2.8000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931806/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Pregnancy and Childbirth","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12884-025-07381-x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
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Abstract
Introduction: Engaging in physical activity is essential for a healthy pregnancy. A reliable tool is necessary to enhance the assessment and counseling of safe physical activity. This study aimed to translate the original English Get Active Questionnaire for Pregnancy (GAQ-P) and its companion Health Care Provider Consultation Form for Prenatal Physical Activity (cHCP-CF-PPA) into simplified Chinese language and evaluate the psychometric properties in Chinese pregnant women.
Methods: The Brislin's model of translation was employed to translate the GAQ-P/cHCP-CF-PPA tool. We conducted a cross-sectional study at a tertiary women's hospital in Shanghai, China, enrolling a convenience sample of 325 pregnant women across all trimesters to evaluate the psychometric properties of the GAQ-P/cHCP-CF-PPA. Reliability was assessed through test-retest reliability and inter-rater reliability, while validity was examined using content validity, known-groups validity, and criterion validity. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated using PARmed-X for Pregnancy as the gold standard.
Results: Regarding content validity, the GAQ-P had an average S-CVI/UA of 0.81 (I-CVIs: 0.83-1.0), while the cHCP-CF-PPA exhibited an average S-CVI/UA of 0.87 (I-CVIs: 0.83-1.0). The GAQ-P/cHCP-CF-PPA scores effectively distinguished women recommended for physical activity from those with contraindications. The Spearman's correlations between the GAQ-P/cHCP-CF-PPA and the PARmed-X for Pregnancy were 0.851 for absolute contraindications and 0.847 for relative contraindications. The test-retest reliability score was 0.759 for physical activity contraindications, and 0.953 for inter-rater reliability. The sensitivity of the GAQ-P/cHCP-CF-PPA was determined to be 90.00%, with a specificity of 98.31%. The positive predictive value was 78.26%, while the negative predictive value reached 99.32%.
Conclusion: The Chinese version of the GAQ-P/cHCP-CF-PPA is a reliable and valid tool for assessing physical activity readiness in pregnant women.
期刊介绍：
BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.
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