Utility of single‐item questions to assess physical inactivity in patients with chronic heart failure

Blomqvist, Andreas; Bäck, Maria; Klompstra, Leonie; Strömberg, Anna; Jaarsma, Tiny

doi:10.1002/ehf2.12709

Cited by 4 publications

(2 citation statements)

References 41 publications

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“…A total of 114,199 adults were assessed using the 32 unique brief PAQs (with sample sizes ranging from 9 to 39,379). In 26 studies, the sample consisted only of healthy adults, and nine studies also included specific populations such as older adults [ 30 ] [ 31 , 32 ], overweight/obese adults [ 33 , 34 ], as well as patients with rheumatoid arthritis [ 35 ], coronary heart disease [ 36 , 37 ], and chronic obstructive pulmonary disease [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: A systematic review

Tcymbal,

Messing,

Mait

et al. 2024

PLoS ONE

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Background Accurate and fast measurement of physical activity is important for surveillance. Even though many physical activity questionnaires (PAQ) are currently used in research, it is unclear which of them is the most reliable, valid, and easy to use. This systematic review aimed to identify existing brief PAQs, describe and compare their measurement properties, and assess their level of readability. Methods We performed a systematic review based on the PRISMA statement. Literature searches were conducted in six scientific databases. Articles were included if they evaluated validity and/or reliability of brief (i.e., with a maximum of three questions) physical activity or exercise questionnaires intended for healthy adults. Due to the heterogeneity of studies, data were summarized narratively. The level of readability was calculated according to the Flesch-Kincaid formula. Results In total, 35 articles published in English or Spanish were included, evaluating 32 distinct brief PAQs. The studies indicated moderate to good levels of reliability for the PAQs. However, the majority of results showed weak validity when validated against device-based measurements and demonstrated weak to moderate validity when validated against other PAQs. Most of the assessed PAQs met the criterion of being "short," allowing respondents to complete them in less than one minute either by themselves or with an interviewer. However, only 17 questionnaires had a readability level that indicates that the PAQ is easy to understand for the majority of the population. Conclusions This review identified a variety of brief PAQs, but most of them were evaluated in only a single study. Validity and reliability of short and long questionnaires are found to be at a comparable level, short PAQs can be recommended for use in surveillance systems. However, the methods used to assess measurement properties varied widely across studies, limiting the comparability between different PAQs and making it challenging to identify a single tool as the most suitable. None of the evaluated brief PAQs allowed for the measurement of whether a person fulfills current WHO physical activity guidelines. Future development or adaptation of PAQs should prioritize readability as an important factor to enhance their usability.

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Section: Resultsmentioning

confidence: 99%

Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: A systematic review

Tcymbal,

Messing,

Mait

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…A total of 114,143 adults were assessed using the 31 unique brief PAQs (with sample sizes ranging from 9 to 39,379). In 25 studies, the sample consisted only of healthy adults, and nine studies also included specific populations such as older adults (29) (30) (31), overweight/obese adults (32,33), as well as patients with rheumatoid arthritis (34), coronary heart disease (35) (36), and chronic obstructive pulmonary disease (37).…”

Section: [Table 1 About Here]mentioning

confidence: 99%

Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: a systematic review

Tcymbal,

Messing,

Mait

et al. 2023

Preprint

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Background: Accurate and fast measurement of physical activity is important for surveillance. Even though many physical activity questionnaires (PAQ) are currently used in research, it is unclear which of them is the most reliable, valid, and easy to use. This systematic review aimed to identify existing brief PAQs, describe and compare their measurement properties, and assess their level of readability. Methods: We performed a systematic review based on the PRISMA statement. Literature searches were conducted in six scientific databases in March 2022. Articles were included if they evaluated validity and/or reliability of brief (i.e., with a maximum of three questions) physical activity or exercise questionnaires intended for healthy adults. Due to the heterogeneity of studies, data were summarized narratively. The level of readability was calculated according to the Flesch-Kincaid formula. Results: In total, 34 articles published in English or Spanish were included, evaluating 31 distinct brief PAQs. The studies indicated moderate to good levels of reliability for the PAQs. However, the majority of results showed weak validity when validated against objective measurements and demonstrated weak to moderate validity when validated against other PAQs. Most of the assessed PAQs met the criterion of being "short," allowing respondents to complete them in less than one minute either by themselves or with an interviewer. However, only 17 questionnaires had a readability level that indicates that the PAQ is easy to understand for the majority of the population. Conclusions: This review identified a variety of brief PAQs, but most of them were evaluated in only a single study. The methods used to assess measurement properties varied widely across studies, limiting the comparability between different PAQs and making it challenging to identify a single tool as the most suitable. Furthermore, PAQs employed different concepts for measuring physical activity, necessitating consideration of measurement properties and assessment goals when selecting a specific tool. None of the evaluated brief PAQs allowed for the measurement of whether a person fulfills the main WHO physical activity recommendations. Future development or adaptation of PAQs should prioritize readability as an important factor to enhance their usability.

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Usability and feasibility analysis of an mHealth-tool for supporting physical activity in people with heart failure

Blomqvist,

Bäck,

Klompstra

et al. 2024

BMC Med Inform Decis Mak

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Background Physical inactivity and a sedentary lifestyle are common among people with heart failure (HF), which may lead to worse prognosis. On an already existing mHealth platform, we developed a novel tool called the Activity coach, aimed at increasing physical activity. The aim of this study was to evaluate the usability of the Activity coach and assess feasibility of outcome measures for a future efficacy trial. Methods A mixed-methods design was used to collect data. People with a HF diagnosis were recruited to use the Activity coach for four weeks. The Activity coach educates the user about physical activity, provides means of registering daily physical activity and helps the user to set goals for the next week. The usability was assessed by analysing system user logs for adherence, reported technical issues and by interviews about user experiences. Outcome measures assessed for feasibility were objective physical activity as measured by an accelerometer, and subjective goal attainment. Progression criteria for the usability assessment and for the proposed outcomes, were described prospectively. Results Ten people with HF were recruited, aged 56 to 78 with median age 72. Data from nine of the ten study participants were included in the analyses. Usability: The Activity coach was used 61% of the time and during the first week two study participants called to seek technical support. The Activity coach was found to be intuitive and easy to use by all study participants. An increased motivation to be more physically active was reported by six of the nine study participants. However, in spite of feeling motivated, four reported that their habits or behaviours had not been affected by the Activity coach. Feasibility: Data was successfully stored in the deployed hardware as intended and the accelerometers were used enough, for the data to be analysable. One finding was that the subjective outcome goal attainment, was challenging to collect. A proposed mitigator for this is to use pre-defined goals in future studies, as opposed to having the study participants be completely free to formulate the goals themselves. Conclusions It was confirmed that the Activity coach was easy to use. Furthermore, it might stimulate increased physical activity in a population of people with HF, who are physically inactive. The outcomes investigated seem feasible to include in a future efficacy trial. Trial registration ClinicalTrials.gov identifier: NCT05235763. Date of first registration: 11/02/2022.

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Utility of single‐item questions to assess physical inactivity in patients with chronic heart failure

Cited by 4 publications

References 41 publications

Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: A systematic review

Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: A systematic review

Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: a systematic review

Usability and feasibility analysis of an mHealth-tool for supporting physical activity in people with heart failure

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