资源有限的成人简易体能活动评估工具的验证。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior Pub Date : 2025-02-01 DOI:10.1016/j.jneb.2024.10.011

Cheng Li PhD , Garry Auld PhD , Scott E. Crouter PhD , Debra M. Palmer-Keenan PhD, MEd

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引用次数: 0

摘要

目的：验证用于扩大食品营养计划（EFNEP）的简要体育锻炼评估工具：验证食物与营养扩展计划（EFNEP）的简要体育锻炼评估工具：第 1 阶段：基于两次调查管理的重复测试可靠性；第 2 阶段：与加速度计数据进行三角验证的并发有效性；第 3 阶段：对变化的敏感性和响应性，以及对 EFNEP 国家数据集的二次分析：地点：美国各地的社区中心和/或 EFNEP 课程：第一阶段：75 名成人；第二阶段：106 名成人；第三阶段：53393 名成人：主要结果测量：重测可靠性、并发有效性、对变化的敏感性和反应性：分析：重测可靠性：类内相关、κ和斯皮尔曼相关系数（SCC）；同期有效性：SCC；对变化的敏感性：反应性：分析：重测可靠性：等内相关、κ 和斯皮尔曼相关系数（SCC）；同期有效性：SCC；变化敏感性：标准化反应平均值、效应大小和配对 t 检验；响应性：最小重要差异：结果：简明体育锻炼评估工具的重测结果为中等（类内相关=0.77-0.84；κ=0.55-0.61；SCC=0.59-0.84）。并发效度因问题而异，但肌肉强化问题的并发效度最高（SCC = 0.87）。所有问题对变化的敏感性和反应性都处于中等水平。非西班牙裔和西班牙裔之间的模式相似：该研究为评估资源有限的非西班牙裔成年人的体育锻炼变化提供了一份简短、有效、经过全国测试的问卷，可将其纳入短期调查中。该问卷还可在其他人群中进一步验证。

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Validation of a Brief Physical Activity Assessment Tool for Adults With Limited Resources

Objective

To validate a Brief Physical Activity Assessment Tool for the Expanded Food and Nutrition Program (EFNEP).

Design

Phase 1: test-retest reliability based on 2 survey administrations; Phase 2: concurrent validity triangulated with accelerometer data; Phase 3: sensitivity to change and responsiveness and secondary analysis of EFNEP national dataset.

Setting

Community centers and/or EFNEP classes across the US.

Participants

Phase 1: 75 adults; Phase 2: 106 adults; and Phase 3: 53,393 adults.

Main Outcome Measures

Test-retest reliability, concurrent validity, and sensitivity to change and responsiveness.

Analysis

Test-retest reliability: intraclass correlation, κ, and Spearman correlation coefficient (SCC); concurrent validity: SCC; sensitivity to change: standardized response mean, effect size, and paired t tests; responsiveness: minimal important difference.

Results

The Brief Physical Activity Assessment Tool's test-retest results were moderate (intraclass correlation = 0.77–0.84; κ = 0.55–0.61; SCC = 0.59–0.84). Concurrent validity differed by questions but was highest for the muscle-strengthening question (SCC = 0.87). All questions demonstrated moderate sensitivity to change and responsiveness. Patterns between non-Hispanics and Hispanics were similar.

Conclusions and Implications

The study resulted in a brief, validated, nationally tested questionnaire for evaluating physical activity changes for non-Hispanic adults with limited resources, which could be included in short surveys. It could be further validated among other populations.

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来源期刊

Journal of Nutrition Education and Behavior 医学-学科教育

CiteScore

4.20

自引率

11.50%

发文量

379

审稿时长

44 days

期刊介绍： The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.