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

doi:10.3969/j.issn.1006-9771.2023.06.001

Abstract

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

CLC Number:

SHI Xiaoyu, YANG Jian. Structure, content and psychometric properties of physical activity measurement/reporting tools applicable to children and adolecents with disabilities: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 621-629.

Figures/Tables 5

测量报告工具	结构和内容		ICF-CY编码
Global Matrix 4.0	整体身体活动有组织的运动和体育活动积极游戏主动交通久坐行为身体素质学校家庭和同龄人社区和环境政府		b 身体功能 b455 运动耐受功能 b7神经肌肉骨骼和运动有关功能 d 活动和参与 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 e 环境因素 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
Para Report Card	整体身体活动有组织的运动和身体活动积极游戏主动交通久坐行为身体素质学校家庭和同龄人社区和环境政府		b 身体功能 b455 运动耐受功能 b7神经肌肉骨骼和运动有关功能 d 活动和参与 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 e 环境因素 e1151 个人日常生活中用的辅助用品和技术 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
IPAQ	长版(25项) 学校活动旅行活动家务活动休闲活动久坐行为步行	短版(8项) 身体活动久坐行为步行	d 活动和参与 d4 活动 d450 步行 d640 做家务 d820 学校教育 d920 娱乐和休闲
CAPAS-Q	身体活动持续时间身体活动强度学校身体活动家庭身体活动娱乐和休闲身体活动非屏幕前久坐行为屏幕久坐行为久坐行为总时间学校久坐行为家庭久坐行为通勤和乘坐交通工具中的久坐行为		d 活动和参与 d4 活动 d450 步行 d470 利用交通工具 d820 学校教育 d920 娱乐和休闲
PAQ-C/PAQ-A	业余时间身体活动类型和次数体育课身体活动课间身体活动午餐休息活动类型放学后活动类型周末活动类型和时间过去7 d身体活动频率过去7 d每天身体活动频率		d 活动和参与 d4 活动 d450 步行 d470 利用交通工具 d820 学校教育 d920 娱乐和休闲

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水平	标准
强	多项方法学质量良好的研究结果一致，或一项方法学质量优良的研究结果
中	多项方法学质量尚可的研究结果一致，或一项方法学质量良好的研究结果
低	一般方法学质量研究之一
不一致/矛盾	相互矛盾的研究结果
未知	只有方法学质量差的研究

测量报告工具	文献	国家	适用对象	工具性质	测量方式	参照	项目数
Global Matrix 4.0	Aubert等^[18](2019)	多国	残疾儿童和青少年	身体活动主观测量报告	自我报告或监护人、教师报告	标准参照	10项
Para Report Card	Ng等^[5](2023)	多国	残疾儿童和青少年	身体活动主观测量报告	自我报告或监护人、教师报告	标准参照	10项
IPAQ	Craig等^[11](2003) Demirturk等^[19](2015) Lee等^[20](2011) Matthews等^[21](2011)	多国	残疾儿童和成年人	身体活动主观测量报告	自我报告或监护人、教师报告	标准参照	25项(长版) 8项(短版)
CAPAS-Q	Fillon等^[13](2022)	法国	儿童和青少年	身体活动主观测量报告	自我报告或监护人、教师报告	标准参照	31项
PAQ-C	Kowalski等^[14](2004) Bervoets等^[22](2014)	加拿大	8~14岁儿童	身体活动主观测量报告	自我报告或监护人、教师报告	标准参照	9项
PAQ-A	Kowalski等^[14](2004) Bervoets等^[22](2014)	加拿大	14~20岁青少年	身体活动主观测量报告	自我报告或监护人、教师报告	标准参照	9项

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

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