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RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS

Year 2021, Volume: 32 Issue: 2, 132 - 140, 10.08.2021
https://doi.org/10.21653/tjpr.735276

Abstract

Purpose: The small number of Turkish versions of questionnaires assess the level of physical activity of adolescents creates a need for a valid, reliable, inexpensive and practical questionnaire for large-scale studies. This study aimed to investigate the validity, reliability, and cross-cultural adaptation of the Turkish version of the Physical Activity Questionnaire for Adolescents (PAQ-A).
Methods: The 150 adolescent students between the ages of 14 and 18 years (age=15.67±0.83 years) were included in the study. Test-retest and internal consistency analyses were performed to evaluate reliability using the intraclass correlation coefficient (ICC) method. Total step counts were recorded for one week using an electronic pedometer to assess the questionnaire's convergent validity. The relationship between total score obtained from PAQ-A and total step counts recorded by the pedometer
Results: Cronbach's alpha value was found to be 0.86 for the entire questionnaire, indicating a questionnaire's high internal consistency. The ICC values for test-retest reliability were found to be within the range of 0.71 to 0.99, indicating that test-retest results were highly correlated. There was a moderate, positive and statistically significant (r=0.527, p<0.001) correlation between total score obtained from the questionnaire and total step counts measured by pedometer for one week.
Conclusion: The Turkish version of the PAQ-A is valid and reliable. Therefore, it may be advisable to use the PAQ-A to measure adolescents' physical activity levels during school periods.

References

  • 1. Suchert V, Isensee B, Sargent J, Weisser B, Hanewinkel R, lauft. Study G. Prospective effects of pedometer use and class competitions on physical activity in youth: A cluster-randomized controlled trial. Prev Med. 2015;81:399-404.
  • 2. Organization WH. Global recommendations on physical activity for health. 2010.
  • 3. Bervoets L, Van Noten C, Van Roosbroeck S, Hansen D, Van Hoorenbeeck K, Verheyen E, et al. Reliability and Validity of the Dutch Physical Activity Questionnaires for Children (PAQ-C) and Adolescents (PAQ-A). Arch Public Health. 2014;72(1):47.
  • 4. Regaieg S, Charfi N, Yaich S, Damak J, Abid M. The Reliability and Concurrent Validity of a Modified Version of the International Physical Activity Questionnaire for Adolescents (IPAQ-A) in Tunisian Overweight and Obese Youths. Med Princ Pract. 2016;25(3):227-32.
  • 5. Kowalski KC, Crocker PR, Donen RM. The physical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. College of Kinesiology, University of Saskatchewan. 2004;87.
  • 6. Aggio D, Fairclough S, Knowles Z, Graves L. Validity and reliability of a modified english version of the physical activity questionnaire for adolescents. Arch Public Health. 2016;74:3.
  • 7. Biddle SJ, Gorely T, Pearson N, Bull FC. An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):1.
  • 8. Adeniyi AF, Okafor NC, Adeniyi CY. Depression and physical activity in a sample of nigerian adolescents: levels, relationships and predictors. Child and adolescent psychiatry and mental health. 2011;5(1):1.
  • 9. Asare M, Danquah SA. The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescents. Child and adolescent psychiatry and mental health. 2015;9(1):1.
  • 10. Voss C, Ogunleye AA, Sandercock GR. Physical Activity Questionnaire for children and adolescents: English norms and cut‐off points. Pediatrics international. 2013;55(4):498-507.
  • 11. Maher CA, Williams MT, Olds T, Lane AE. Physical and sedentary activity in adolescents with cerebral palsy. Developmental Medicine & Child Neurology. 2007;49(6):450-7.
  • 12. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
  • 13. Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The Oswestry disability index, the Roland-Morris disability questionnaire, and the Quebec back pain disability scale: translation and validation studies of the Iranian versions. Spine. 2006;31(14):E454-E9.
  • 14. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychological bulletin. 1979;86(2):420.
  • 15. Zinbarg RE, Revelle W, Yovel I, Li W. Cronbach’s α, Revelle’s β, and McDonald’s ωH: Their relations with each other and two alternative conceptualizations of reliability. psychometrika. 2005;70(1):123-33.
  • 16. Zinbarg RE, Yovel I, Revelle W, McDonald RP. Estimating generalizability to a latent variable common to all of a scale's indicators: A comparison of estimators for ωh. Applied Psychological Measurement. 2006;30(2):121-44.
  • 17. Clemes SA, Biddle SJ. The use of pedometers for monitoring physical activity in children and adolescents: measurement considerations. Journal of physical activity and health. 2013;10(2):249-62.
  • 18. Crouter SE, Schneider PL, Karabulut M, Bassett DR. Validity of ten electronic pedometers for measuring steps, distance, and kcals. Medicine & Science in Sports & Exercise. 2003;35(5):S283.
  • 19. Trost SG, Pate RR, Freedson PS, Sallis JF, Taylor WC. Using objective physical activity measures with youth: how many days of monitoring are needed? Medicine and science in sports and exercise. 2000;32(2):426-31.
  • 20. Hayran M. Sağlık araştırmaları için temel istatistik: Omega Araştırma; 2011.
  • 21. Martínez-Gómez D, Martínez-de-Haro V, Pozo T, Welk GJ, Villagra A, Calle ME, et al. Fiabilidad y validez del cuestionario de actividad física PAQ-A en adolescentes españoles. Revista española de salud pública. 2009;83(3):427-39.
  • 22. Gunaydin G, Citaker S, Meray J, Cobanoglu G, Gunaydin OE, Kanik ZH. Reliability, Validity, and Cross-Cultural Adaptation of the Turkish Version of the Bournemouth Questionnaire. Spine. 2016;41(21):E1292-E7.
  • 23. Marx RG, Menezes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. Journal of clinical epidemiology. 2003;56(8):730-5.
  • 24. Allen MJ, Yen WM. Introduction to measurement theory: Waveland Press; 2001.
  • 25. Kurtze N, Rangul V, Hustvedt B-E. Reliability and validity of the international physical activity questionnaire in the Nord-Trøndelag health study (HUNT) population of men. BMC medical research methodology. 2008;8(1):1.

ADÖLESANLARDA FİZİKSEL AKTVİTE ANKETİ'NİN TÜRKÇE VERSİYON, GEÇERLİK VE GÜVENİRLİK ÇALIŞMASI

Year 2021, Volume: 32 Issue: 2, 132 - 140, 10.08.2021
https://doi.org/10.21653/tjpr.735276

Abstract

Amaç: Çalışmamızın amacı Adölesanlarda Fiziksel Aktivite Anketi’nin Türkçe versiyonunun, geçerlik ve güvenirliğinin belirlenmesidir.
Yöntem: Çalışmaya 14-18 yaşları arasında 150 adölesan öğrenci alınmıştır. Anketin orijinal halinin çeviri ve kültürel adaptasyonu uygun prosedüre göre gerçekleştirilmiştir. Güvenirliğin belirlenmesi için test-tekrar test ve iç tutarlılık analizi yapılmıştır. Test-tekrar test sonuçları Intraclass Correlation Coefficient yöntemi ile değerlendirilmiştir. İç tutarlılık analizi için Cronbach Alfa değeri hesaplanmıştır. Birleşim geçerliğini değerlendirmek için fiziksel aktiviteyi ölçmede objektif bir yöntem olan pedometre (adımsayar) ile 1 hafta süresince öğrencilerin toplam adım sayıları kaydedilmiştir. Adölesanlarda Fiziksel Aktivite Anketi’nden alınan toplam puan ile 1 hafta süresince pedometre yöntemi ile kaydedilen toplam adım sayısı arasındaki ilişki Spearman Testi ile analiz edilmiştir.
Sonuçlar: Cronbach Alfa değeri tüm anket için 0,866 olarak belirlenmiştir. Bu değer anketin yüksek iç tutarlılığa sahip olduğuna işaret etmektedir. Intraclass Correlation Coefficient sonuçları 0,713 ile 0,995 arasında değişmektedir. Bu sonuçlar test-tekrar test sonuçlarının yüksek derecede korelasyonunu göstermektedir. Spearman testi sonuçlarına göre anketten alınan toplam puan ile pedometre ile ölçülen 1 haftalık toplam adım sayısı arasında pozitif yönde orta düzeyde (r=0,527) istatistiksel olarak anlamlı (p<0,001) korelasyon bulunmuştur.
Tartışma: Adölesanlarda Fiziksel Aktivite Anketi’nin Türkçe versiyonu geçerli ve güvenilirdir. Bu nedenle adölesanların okul periyotları boyunca fiziksel aktivite düzeylerini ölçmek için Adölesanlarda Fiziksel Aktivite Anketi'nin kullanımı önerilebilir.

References

  • 1. Suchert V, Isensee B, Sargent J, Weisser B, Hanewinkel R, lauft. Study G. Prospective effects of pedometer use and class competitions on physical activity in youth: A cluster-randomized controlled trial. Prev Med. 2015;81:399-404.
  • 2. Organization WH. Global recommendations on physical activity for health. 2010.
  • 3. Bervoets L, Van Noten C, Van Roosbroeck S, Hansen D, Van Hoorenbeeck K, Verheyen E, et al. Reliability and Validity of the Dutch Physical Activity Questionnaires for Children (PAQ-C) and Adolescents (PAQ-A). Arch Public Health. 2014;72(1):47.
  • 4. Regaieg S, Charfi N, Yaich S, Damak J, Abid M. The Reliability and Concurrent Validity of a Modified Version of the International Physical Activity Questionnaire for Adolescents (IPAQ-A) in Tunisian Overweight and Obese Youths. Med Princ Pract. 2016;25(3):227-32.
  • 5. Kowalski KC, Crocker PR, Donen RM. The physical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. College of Kinesiology, University of Saskatchewan. 2004;87.
  • 6. Aggio D, Fairclough S, Knowles Z, Graves L. Validity and reliability of a modified english version of the physical activity questionnaire for adolescents. Arch Public Health. 2016;74:3.
  • 7. Biddle SJ, Gorely T, Pearson N, Bull FC. An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):1.
  • 8. Adeniyi AF, Okafor NC, Adeniyi CY. Depression and physical activity in a sample of nigerian adolescents: levels, relationships and predictors. Child and adolescent psychiatry and mental health. 2011;5(1):1.
  • 9. Asare M, Danquah SA. The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescents. Child and adolescent psychiatry and mental health. 2015;9(1):1.
  • 10. Voss C, Ogunleye AA, Sandercock GR. Physical Activity Questionnaire for children and adolescents: English norms and cut‐off points. Pediatrics international. 2013;55(4):498-507.
  • 11. Maher CA, Williams MT, Olds T, Lane AE. Physical and sedentary activity in adolescents with cerebral palsy. Developmental Medicine & Child Neurology. 2007;49(6):450-7.
  • 12. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
  • 13. Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The Oswestry disability index, the Roland-Morris disability questionnaire, and the Quebec back pain disability scale: translation and validation studies of the Iranian versions. Spine. 2006;31(14):E454-E9.
  • 14. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychological bulletin. 1979;86(2):420.
  • 15. Zinbarg RE, Revelle W, Yovel I, Li W. Cronbach’s α, Revelle’s β, and McDonald’s ωH: Their relations with each other and two alternative conceptualizations of reliability. psychometrika. 2005;70(1):123-33.
  • 16. Zinbarg RE, Yovel I, Revelle W, McDonald RP. Estimating generalizability to a latent variable common to all of a scale's indicators: A comparison of estimators for ωh. Applied Psychological Measurement. 2006;30(2):121-44.
  • 17. Clemes SA, Biddle SJ. The use of pedometers for monitoring physical activity in children and adolescents: measurement considerations. Journal of physical activity and health. 2013;10(2):249-62.
  • 18. Crouter SE, Schneider PL, Karabulut M, Bassett DR. Validity of ten electronic pedometers for measuring steps, distance, and kcals. Medicine & Science in Sports & Exercise. 2003;35(5):S283.
  • 19. Trost SG, Pate RR, Freedson PS, Sallis JF, Taylor WC. Using objective physical activity measures with youth: how many days of monitoring are needed? Medicine and science in sports and exercise. 2000;32(2):426-31.
  • 20. Hayran M. Sağlık araştırmaları için temel istatistik: Omega Araştırma; 2011.
  • 21. Martínez-Gómez D, Martínez-de-Haro V, Pozo T, Welk GJ, Villagra A, Calle ME, et al. Fiabilidad y validez del cuestionario de actividad física PAQ-A en adolescentes españoles. Revista española de salud pública. 2009;83(3):427-39.
  • 22. Gunaydin G, Citaker S, Meray J, Cobanoglu G, Gunaydin OE, Kanik ZH. Reliability, Validity, and Cross-Cultural Adaptation of the Turkish Version of the Bournemouth Questionnaire. Spine. 2016;41(21):E1292-E7.
  • 23. Marx RG, Menezes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. Journal of clinical epidemiology. 2003;56(8):730-5.
  • 24. Allen MJ, Yen WM. Introduction to measurement theory: Waveland Press; 2001.
  • 25. Kurtze N, Rangul V, Hustvedt B-E. Reliability and validity of the international physical activity questionnaire in the Nord-Trøndelag health study (HUNT) population of men. BMC medical research methodology. 2008;8(1):1.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Elif Aygun Polat 0000-0001-9634-0728

Nevin Atalay Güzel 0000-0003-0467-7310

Nihan Kafa 0000-0003-2878-4778

Publication Date August 10, 2021
Published in Issue Year 2021 Volume: 32 Issue: 2

Cite

APA Aygun Polat, E., Atalay Güzel, N., & Kafa, N. (2021). RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 32(2), 132-140. https://doi.org/10.21653/tjpr.735276
AMA Aygun Polat E, Atalay Güzel N, Kafa N. RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS. Turk J Physiother Rehabil. August 2021;32(2):132-140. doi:10.21653/tjpr.735276
Chicago Aygun Polat, Elif, Nevin Atalay Güzel, and Nihan Kafa. “RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 32, no. 2 (August 2021): 132-40. https://doi.org/10.21653/tjpr.735276.
EndNote Aygun Polat E, Atalay Güzel N, Kafa N (August 1, 2021) RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32 2 132–140.
IEEE E. Aygun Polat, N. Atalay Güzel, and N. Kafa, “RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS”, Turk J Physiother Rehabil, vol. 32, no. 2, pp. 132–140, 2021, doi: 10.21653/tjpr.735276.
ISNAD Aygun Polat, Elif et al. “RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32/2 (August 2021), 132-140. https://doi.org/10.21653/tjpr.735276.
JAMA Aygun Polat E, Atalay Güzel N, Kafa N. RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS. Turk J Physiother Rehabil. 2021;32:132–140.
MLA Aygun Polat, Elif et al. “RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 32, no. 2, 2021, pp. 132-40, doi:10.21653/tjpr.735276.
Vancouver Aygun Polat E, Atalay Güzel N, Kafa N. RELIABILITY, VALIDITY AND CROSS-CULTURAL ADAPTATION OF THE TURKISH VERSION OF THE PHYSICAL ACTIVITY QUESTIONNAIRE FOR ADOLESCENTS. Turk J Physiother Rehabil. 2021;32(2):132-40.