《中国康复理论与实践》

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (6): 621-629.doi: 10.3969/j.issn.1006-9771.2023.06.001

• 专题 运动功能与身体活动评定 • 上一篇    下一篇

适用于残疾儿童青少年身体活动测量报告工具结构、内容及心理测量特性的系统综述

石孝宇1,2, 杨剑1()   

  1. 1.华东师范大学体育与健康学院，上海市 200241
    2.伊犁师范大学体育学院/伊犁师范大学大学生体质监测中心重点实验室，新疆伊犁市 835000
  • 收稿日期:2023-06-13 修回日期:2023-06-14 出版日期:2023-06-25 发布日期:2023-07-14
  • 通讯作者: 杨剑(1970-)，男，汉族，江苏徐州市人，博士，教授，世界卫生组织国际分类家族合作中心专家委员，主要研究方向：儿童青少年体育与健康、儿童青少年健康、ICF、康复科学、健康心理学、锻炼心理学、康复心理学。E-mail： yangjianxz@sina.com
  • 作者简介:石孝宇(1988-)，男，汉族，河南商丘市人，博士研究生，讲师，主要研究方向：运动心理学、康复心理学、身体活动与健康促进。
  • 基金资助:
    教育部人文社科研究项目(22YJA890032)

Structure, content and psychometric properties of physical activity measurement/reporting tools applicable to children and adolecents with disabilities: a systematic review

SHI Xiaoyu1,2, YANG Jian1()   

  1. 1. College of Physical Education and Health, East China Normal University, Shanghai 200241, China
    2. Physical Culture Institute, Key Laboratory of College Students' Physical Fitness Monitoring Center, Yili Normal University, Yili, Xinjiang 835000, China
  • Received:2023-06-13 Revised:2023-06-14 Published:2023-06-25 Online:2023-07-14
  • Contact: YANG Jian, E-mail: yangjianxz@sina.com
  • Supported by:
    Ministry of Education Humanities and Social Sciences Research Project(22YJA890032)

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摘要：

目的 综述适用于残疾儿童青少年的身体活动测量报告工具的结构、内容和心理测量特性。
方法 检索PubMed、Medline、EBSCO、Web of Science、中国知网，收集建库至2023年6月发表的有关残疾儿童身体活动的测量报告工具的文献，运用《国际功能、残疾与健康分类(儿童青少年版)》(ICF-CY)对工具的主要结构和内容特征进行分析，采用基于共识的健康测量工具选择标准(COSMIN)的方法对测量工具的心理测量特性进行评估。
结果 确定6种工具，最终纳入9篇文献。两种为全球化标准工具：儿童和青少年身体活动全球报告矩阵卡4.0 (Global Matrix 4.0)、残疾儿童和青少年身体活动全球报告矩阵卡(Para Report Card)，测量内容包括b455 运动耐受功能，b7神经肌肉骨骼和运动有关功能；d4 活动，d450 步行，d470 利用交通工具，d820 学校教育，d910 社区生活，d920 娱乐和休闲；e310 直系亲属家庭，e320 朋友，e460 社会的态度，e575 全社会支持的服务、体制和政策等。该类测量工具具有完整的结构，测量工具的信度、效度和适用性高，测量方式可以是残疾学生自我报告方式或者由残疾学生监护人或者学校教师报告的方式完成。国际身体活动问卷(IPAQ)涉及活动和参与的d4 活动、d450 步行、d640 做家务、d820 学校教育、d920 娱乐和休闲。该工具在内部一致性、内容和结构效度、跨文化效度方面表现很好，在不同的应用研究中报告不同的重测信度和假设检验结果。儿童和青少年身体活动和久坐问卷涉及d4 活动、d450 步行、d470 利用交通工具、d820 学校教育、d920 娱乐和休闲。该工具在内部一致性、重测信度、内容和结构效度方面较好，假设检验结果和跨文化效度未知。大龄儿童身体活动问卷和青少年身体活动问卷涉及d4 活动、d450 步行、d470 利用交通工具、d820 学校教育、d920 娱乐和休闲。该工具在内部一致性、重测信度、内容和结构效度、跨文化效度具有说服力的证据，假设检验结果未知。
结论 从内容特征看，Para Report Card测量内容最全面。从心理测量特性质量评估看，多维度、结构化的身体活动测量报告工具均有较高的内部一致性、重测信度、内容和结构效度表现，在不同的研究中显示不同的重测信度和与客观测量的效标关联效度，Global Matrix 4.0、Para Report Card和IPAQ跨文化适用性高。

关键词: 儿童, 残疾, 身体活动, 测量

Abstract:

Objective To synthesize the structure, content and psychometric properties of physical activity measurement/reporting tools applied in children and adolescents with disabilities.
Methods Literature on physical activity measurement/reporting tools for children with disabilities were retrieved from PubMed, Medline, EBSCO, Web of Science and CNKI, from establishment to June, 2023. The main structure and content characteristics of the tools were analyzed using the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY). The psychometric properties of the tools was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN).
Results Six tools were selected, and nine papers were finally included. Two tools were globalized standard tools, namely Global Matrix 4.0 Physical Activity Report Card for Children and Youth (Global Matrix 4.0) and the Global Matrix of Para Report Card on Physical Activity of Children and Adolescents with Disabilities (Para Report Card), measuring b455 functions of motor tolerance function, b7 neuromusculoskeletal and motor-related functions; d4 mobility, d450 walking, d470 using transportation, d820 school education, d910 community life, d920 recreation and leisure; e310 immediate family, e320 friends, e460 societal attitudes, and e575general social support services, systems and policies, etc. These tools showed a complete structure, high reliability, validity and feasibility, and could be performed in a self-reported manner or completed by the custodian or school teacher. The International Physical Activity Questionnaire (IPAQ) might measure d4 mobility, d450 walking, d640 doing housework, d820 school education, d920 recreation and leisure. IPAQ was good in terms of internal consistency, content and construct validity, and cross-cultural validity, with different test-retest reliability and hypothesis testing results reported in different applied studies. Children and Adolescents Physical Activity and Sedentary-Questionnaire (CAPAS-Q) might measure the d4 mobility, d450 walking, d470 using transportation, d820 school education, and d920 recreation and leisure. CAPAS-Q was good in internal consistency, retest reliability, content and construct validity, but hypothesis testing results and cross-cultural validity were unknown. Physical Activity Questionnaire for Older Children (PAQ-C) and Physical Activity Questionnaire for Adolescents (PAQ-A) might measure d4 mobility, d450 walking, d470 using transportation, d820 school education, and d920 recreation and leisure. PAQ-C and PAQ-A were strong in internal consistency, retest reliability, content and construct validity, and cross-cultural validity, without hypothesis testing results.
Conclusion In terms of content, Para Report Card is the most comprehensive and extended physical activity measurement/reporting tool for children and adolescents with disabilities. In terms of the psychometric properties of the instruments, the multidimensional, structured physical activity measures show high internal consistency, retest reliability, and content and construct validity, with varying retest reliability and correlational validity with objective measures across studies.

Key words: children, disability, physical activity, measurement

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