Reliability and Validity of the Dutch Physical Activity Questionnaires for Children (PAQ-C) and Adolescents (PAQ-A)

被引:77
作者
Bervoets L. [1 ]
Van Noten C. [2 ]
Van Roosbroeck S. [3 ]
Hansen D. [1 ,4 ]
Van Hoorenbeeck K. [5 ]
Verheyen E. [6 ]
Van Hal G. [3 ]
Vankerckhoven V. [6 ]
机构
[1] Hasselt University, Faculty of Medicine and Life Sciences, Martelarenlaan 42, Hasselt
[2] University of Antwerp, Faculty of Medicine and Health Sciences, Universiteitsplein 1, Wilrijk
[3] University of Antwerp, Department of Epidemiology and Social Medicine, Universiteitsplein 1, Wilrijk
[4] Heart Centre Hasselt, Jessa Hospital, Stadsomvaart 11, Hasselt
[5] Antwerp University Hospital, Department of Paediatrics, Wilrijkstraat 10, Edegem
[6] University of Antwerp, Vaccine and Infectious Disease Institute, Universiteitsplein 1, Wilrijk
关键词
Pediatrics; Physical activity; Reliability; Validation;
D O I
10.1186/2049-3258-72-47
中图分类号
学科分类号
摘要
Background: This study was designed to validate the Dutch Physical Activity Questionnaires for Children (PAQ-C) and Adolescents (PAQ-A). Methods: After adjustment of the original Canadian PAQ-C and PAQ-A (i.e. translation/back-translation and evaluation by expert committee), content validity of both PAQs was assessed and calculated using item-level (I-CVI) and scale-level (S-CVI) content validity indexes. Inter-item and inter-rater reliability of 196 PAQ-C and 95 PAQ-A filled in by both children or adolescents and their parent, were evaluated. Inter-item reliability was calculated by Cronbach's alpha (α) and inter-rater reliability was examined by percent observed agreement and weighted kappa (Κ). Concurrent validity of PAQ-A was examined in a subsample of 28 obese and 16 normal-weight children by comparing it with concurrently measured physical activity using a maximal cardiopulmonary exercise test for the assessment of peak oxygen uptake (VO2 peak). Results: For both PAQs, I-CVI ranged 0.67-1.00. S-CVI was 0.89 for PAQ-C and 0.90 for PAQ-A. A total of 192 PAQ-C and 94 PAQ-A were fully completed by both child and parent. Cronbach's α was 0.777 for PAQ-C and 0.758 for PAQ-A. Percent agreement ranged 59.9-74.0% for PAQ-C and 51.1-77.7% for PAQ-A, and weighted Κ ranged 0.48-0.69 for PAQ-C and 0.51-0.68 for PAQ-A. The correlation between total PAQ-A score and VO2 peak - corrected for age, gender, height and weight - was 0.516 (p = 0.001). Conclusions: Both PAQs have an excellent content validity, an acceptable inter-item reliability and a moderate to good strength of inter-rater agreement. In addition, total PAQ-A score showed a moderate positive correlation with VO2 peak. Both PAQs have an acceptable to good reliability and validity, however, further validity testing is recommended to provide a more complete assessment of both PAQs. © 2014 Bervoets et al.; licensee BioMed Central.
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