Cross-cultural Adaptation and Reliability of the Multidimensional Outcome Expectations for Exercise Scale (MOEES) in Filipino Older Adults: A Study Protocol

Abstract

Background: Older adults have varying outcome expectations on why they exercise. The Multidimensional Outcomes Expectation for Exercise Scale (MOEES) is a tool used to measure this; however, it has not been cross-culturally adapted yet in the Filipino setting. Objectives: This study aims to translate and cross-culturally adapt the MOEES into Filipino and establish its preliminary psychometric properties in terms of internal consistency and test-retest reliability in community-dwelling Filipino older adults. Methods: This psychometric study is divided into two phases. Phase 1 will be on the MOEES translation and cross-cultural adaptation in accordance with the guidelines set by the Beaton Protocol. Phase 2 will be on the establishment of preliminary psychometric properties based on the internal consistency and test-retest reliability of the adapted MOEES from at least 30 conveniently sampled community-dwelling Filipino older adults, aged 60 years old or above, with a Mini-Mental State Examination score of at least 24 and classified as active based on the Telephone Assessment of Physical Activity. Internal consistency will be assessed using Cronbach's alpha coefficient and item-total correlations. Intraclass correlation/ ICC (3, K) will be utilized to establish the tool's test-retest reliability. Expected Results: This will develop a translated and cross-culturally adapted MOEES in Filipino with good internal consistency, item-total correlation, and test-retest reliability that can be used by health professionals as a guide in designing, implementing, and assessing exercise programs for older persons to ensure achievement of their treatment outcome expectations.