Measurement properties of self-report physical activity assessment tools for patients with stroke: a systematic review

Abstract

Background: Individuals with stroke demonstrate low levels of physical activity. Self-report measures of physical activity are frequently used and the choice of the best one to use for each purpose and context should take into account the measurement properties of these instruments. Objective: To summarize the measurement properties and clinical utility of self-report measures of physical activity of post-stroke subjects and to evaluate both the methodological quality of the studies and the quality of the measurement properties. Methods: Searches were made in MEDLINE, EMBASE, PEDro, LILACS, and SCIELO. Two reviewers independently screened studies that investigated measurement properties or clinical utility of self-report measures of physical activity in post-stroke subjects. The studies' methodological quality, quality of the measurement properties, and clinical utility were evaluated. Results: From the 11,826 identified studies, 19 were included. Six self-report tools were evaluated: The Activity card sort, Coded activity diary, Frenchay activities index (FAI), Human activity profile (HAP), Multimedia activity recall for children and adults, and the Nottingham leisure questionnaire. The methodological quality of the studies ranged from ''poor'' to ''good''. Most of the results regarding the quality of the measurement properties were doubtful. None of the self-report tools had their content validity investigated. The FAI and HAP showed the highest clinical utility scores.

Associations of Prestroke Physical Activity With Stroke Severity and Mortality After Intracerebral Hemorrhage Compared With Ischemic Stroke

“…The neurologic consequences of stroke may hinder patients from correctly estimating their prestroke activity. However, there is evidence supporting that self-reported physical activity assessments may be reliable and reproducible in stroke populations, 46 and the SGPALS is a widely used instrument, which has been validated as an indicator of sedentary behavior and cardiovascular risk profile. 47 In addition, because the data were collected from routine clinical work, all patients and clinicians recording the variables were unaware of our research hypotheses.…”

Quality of mobility measures among individuals with acquired brain injury: an umbrella review

“…Based on JBI guidelines checklist, nine (26%) systematic reviews used a standardized methodology, either PRISMA guidelines [ 21 , 49 , 52 – 54 , 57 ] or standardized accepted guidelines from previously published work [ 25 , 46 , 63 ]. Although the quality of evidence of the literature search and evaluation of measurement properties of the review was generally acceptable, a minority of systematic reviews (17%) [ 21 , 26 , 49 , 52 – 54 ] used the COSMIN Risk of Bias checklist, which resulted in low quality of evidence (SI. 3).…”

Physical Activity and Public Health among People with Disabilities: Research Gaps and Recommendations

“…A recent systematic review [ 64 ] highlighted the lack of research that examines the measurement properties of the self-report PA assessment tools for stroke survivors. The validity and usefulness of these measures need to be examined in much greater depth, to assess if they are useful in research and in clinical practice.…”