Assessing physical activity in people with mental illness: 23-country reliability and validity of the Simple Physical Activity Questionnaire (SIMPAQ)
- Rosenbaum, Simon ORCID UNSW
- Morell, Rachel Department of Psychiatry, UNSW Sydney, Sydney, Australia
- Abdel-Baki, Amal Centre de Recherche du Centre Hospitalier de l'Universite de Montreal
- Ahmadpanah, Mohammad Behavioral Disorders and Substances Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
- Anilkumar, Thekkethayyil Viswananthan Psychiatry, Government Medical College, Trivandrum, India
- Baie, Lara Department of Psychosomatics and Psychotherapy, University Hospital Munster
- Bauman, Adrian School of Public Health, University of Sydney, Sydney, Australia
- Bender, Stefan LWL-Klinik Marsberg Hospital for Psychiatry, Psychotherapy and Psychosomatics, Marsberg, Germany
- Han, Justin Boyan California State University
- Brand, Serge University of Basel, Psychiatric Clinics, Center for Affective, Stress and Sleep Disorders, Basel, Switzerland
- Bratland-Sanda, Solfrid Department of Sport, Physical Education and Outdoor Studies, University of Southeast Norway
- Bueno-Antequera, Javier Physical Performance & Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, Seville, Spain
- Deslandes, Andrea Camaz Psychiatry Institute, Universidade Federal do Rio de Janeiro, Brazil Instituto de Psiquiatria
- Carneiro, Lara Research Centre in Sports Science, Health and Human Development, CIDESD, University of Maia
- Carraro, Attilio Department of Biomedical Sciences, University of Padova, Padova, Italy
- Castaneda, Carmen Paz Early Intervention Program, J.Horwitz Psychiatric Institute
- Monteiro, Fernanda Castro Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Chapman, Justin QIMR Berghofer Medical Research Institute, Brisbane, Australia
- Chau, Josephine Department of Health Systems and Populations, Macquarie University, Sydney, Australia
- Chen, Li-Jung Department of Exercise Health Science, National Taiwan University of Sport, Taichung, Taiwan
- Chvatalova, Barbara National Institute of Mental Health, Klecany
- Chwastiak, Lydia Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle
- Corretti, Giogio Department of Mental Health, North-West Tuscany, Italy
- Dillon, Maurice HSE Louth Meath Mental Health Services, Louth, Ireland
- Douglas, Christie South Coast Private Hospital, Wollongong, Australia
- Egger, Stephan Center for integrative Psychiatry, Psychiatric Clinics of the University of Zurich, Rheinau, Switzerland
- Gaughran, Fiona South London and Maudsley NHS Foundation Trust, London, UK
- Gerber, Markus Department of Sport, Exercise and Health, Division of Sport and Psychosocial Health, University of Basel, Basel, Switzerland
- Gobbi, Erica Department of Biomedical Sciences, University of Padova, Padova, Italy
- Gould, Kirrily St John of God Hospital, North Richmond, Australia
- Hatzinger, Martin Psychiatric Services Solothurn, Solothurn, Switzerland
- Holsboer-Tracksler, Edith Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland
- Hoodbhoy, Zara Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
- Imboden, Christian Private Clinic Wyss, Muechenbuchsee, Switzerland
- Indu, Pillaveetil Sathyadas Community Medicine, Government Medical College, Trivandrum, India
- Iqbal, Romaina Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
- Jesus-Moraleida, Fabianna Resende de Department of Physical Therapy, Universidade Federal do Ceará, Fortaleza, Brazil
- Kondo, Shinsuke Department of Neuropsychiatry, The University of Tokyo Hospital, Tokyo, Japan
- Ku, Po-Wen Graduate Institute of Sports and Health, National Changua University of Education, Changhua, Taiwan
- Lederman, Oscar The Bondi Centre, South East Sydney Local Health District, Sydney, Sydney, Australia
- Lee, Edwin Ho Ming Department of Psychiatry, University of Hong Kong, Hong Kong
- Malchow, Berend Department of Psychiatry and Psychotherapy, University Hospital Jena, Jena, Germany
- Matthews, Evan School of Health Sciences, Waterford Institute of Technology, Waterford, Ireland
- Mazur, Peter LWL-Klinik Marsberg, Hospital for Psychiatry, Marsberg, Germany
- Meneghelli, Anna Cambriare La Rotta-Onlus, Ospedale Niguarda Cà Granda Milano, Milan, Italy
- Mian, Ayesha Department of Psychiatry, Aga Khan University, Karachi, Pakistan
- Morseth, Bente School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway
- Munguia-Izquierdo, Diego Physical Performance & Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, Seville
- Nyboe, Lene Department of Affective Disorders, Aarhus University Hospital, Denmark
- O'Donoghue, Brian Orygen The National Centre of Excellence in Youth Mental Health, Melbourne
- Perram, Amy The Sutherland Hospital, South Eastern Sydney Local Health District, Sydney
- Richards, Justin School of Public Health, University of Sydney, Sydney
- Romain, Ahmed J Centre de Recherche du Centre Hospitalier de l'Université de Montreal (CRCHUM), Montreal
- Romaniuk, Madeline Gallipoli Medical Research Institute, Brisbane
- Sadeghi-Bahmani, Dena Kermanshah University of Medical Sciences, Sleep Disorders and Substance Abuse Prevention Research Center, Kermanshah
- Sarno, Mariella Cambiare La Rotta-Onlus, Ospedale Niguarda Ca Granda Milano, Milan
- Schuch, Felipe Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria
- Schweinfurth, Nina Adult Psychiatric Clinics (UPKE), University of Basel, Basel
- Stubbs, Brendon Department of Psychological Medicine, King's College London, London
- Uwakwe, Richard Faculty of Medicine, Nnamdi Azikiwe University, Awka
- Damme, Tine Van Department of Rehabilitation Services, KU Leuven, Leuven
- Stouwe, Elisabeth Van Der University of Groningen, University Medical Center Groningen, University Center of Psychiatry, Groningen
- Vancampfort, Davy Department of Rehabilitation Services, KU Leuven, Leuven
- Vetter, Stefan University Hospital of Psychiatry Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Zurich
- Waterreus, Anna Neuropsychiatric Epidemiology Research Unit, Medical School, University of Western Australia, Perth
- Ward, Philip B Schizophrenia Research Unit, Ingham Institute of Applied Medical Research, Liverpool
English
Abstract
Background:
Physical inactivity is a key contributor to the global burden of disease and disproportionately impacts the wellbeing of people experiencing mental illness. Increases in physical activity are associated with improvements in symptoms of mental illness and reduction in cardiometabolic risk. Reliable and valid clinical tools that assess physical activity would improve evaluation of intervention studies that aim to increase physical activity and reduce sedentary behaviour in people living with mental illness.
Methods:
The five-item Simple Physical Activity Questionnaire (SIMPAQ) was developed by a multidisciplinary, international working group as a clinical tool to assess physical activity and sedentary behaviour in people living with mental illness. Investigators from 43 centres in 23 countries collected reliability and validity data on the SIMPAQ from patients with DSM or ICD mental illness diagnoses. Test-retest repeatability was assessed one-week apart.
Results:
Criterion SIMPAQ validity was assessed against accelerometer-derived measures of physical activity. Data were obtained from 1,010 participants. The SIMPAQ had good test-retest reliability (Spearman rho approximately 0.70). Criterion validity for moderate-vigorous physical activity was comparable to studies conducted in general population samples. Criterion validity of the sedentary behaviour item was poor. An alternative method to calculate sedentary behaviour had greater criterion validity. This alternative method is recommended for use in future studies employing the SIMPAQ.
Conclusions:
The SIMPAQ is a brief measure of physical activity and sedentary behaviour that can be reliably and validly administered by health professionals.
Physical inactivity is a key contributor to the global burden of disease and disproportionately impacts the wellbeing of people experiencing mental illness. Increases in physical activity are associated with improvements in symptoms of mental illness and reduction in cardiometabolic risk. Reliable and valid clinical tools that assess physical activity would improve evaluation of intervention studies that aim to increase physical activity and reduce sedentary behaviour in people living with mental illness.
Methods:
The five-item Simple Physical Activity Questionnaire (SIMPAQ) was developed by a multidisciplinary, international working group as a clinical tool to assess physical activity and sedentary behaviour in people living with mental illness. Investigators from 43 centres in 23 countries collected reliability and validity data on the SIMPAQ from patients with DSM or ICD mental illness diagnoses. Test-retest repeatability was assessed one-week apart.
Results:
Criterion SIMPAQ validity was assessed against accelerometer-derived measures of physical activity. Data were obtained from 1,010 participants. The SIMPAQ had good test-retest reliability (Spearman rho approximately 0.70). Criterion validity for moderate-vigorous physical activity was comparable to studies conducted in general population samples. Criterion validity of the sedentary behaviour item was poor. An alternative method to calculate sedentary behaviour had greater criterion validity. This alternative method is recommended for use in future studies employing the SIMPAQ.
Conclusions:
The SIMPAQ is a brief measure of physical activity and sedentary behaviour that can be reliably and validly administered by health professionals.
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- English
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- https://folia.unifr.ch/global/documents/121362
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