Journal article
Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: The Barriers to Physical Activity After Stroke Scale.
- Drigny J Service de Médecine Physique et de Réadaptation, CHU de Caen, France. Electronic address: j.drigny@gmail.com.
- Joussain C Université de Versailles St-Quentin en Yvelines, INSERM UMR 1179, Montigny-le-Bretonneux, France.
- Gremeaux V Institute of Sport Sciences of University of Lausanne, Lausanne, Switzerland; Swiss Olympic Medical Center, Sport Medicine Unit, Lausanne University Hospital, Lausanne, Switzerland; CIC-P-INSERM 1432, Technological Platform, University Hospital Dijon, France.
- Morello R Unité fonctionnelle de Biostatistique et Recherche Clinique (UBRC) CHU de Caen, France.
- Van Truc PH IMPR du Bois-de-Lébisey, allée des Boisselles, 14200 Hérouville Saint-Clair, France.
- Stapley P Neural Control of Movement Laboratory, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia.
- Touzé E Université de Normandie UNICAEN, INSERM UMR-S U1237, Physiopathologie et imagerie des troubles neurologiques PhIND, Cyceron, Caen, France et Service de Neurologie, CHU de Caen, France.
- Ruet A Service de Médecine Physique et de Réadaptation, CHU de Caen, France; Université de Normandie UNICAEN, INSERM UMR-SU1077, Neuropsychologie et Imagerie de la Mémoire Humaine, Caen, France.
- 2019-01-27
Published in:
- Archives of physical medicine and rehabilitation. - 2019
Exercise
Physical activity
Rehabilitation
Stroke
Adult
Aged
Aged, 80 and over
Comorbidity
Disabled Persons
Exercise
Factor Analysis, Statistical
Fatigue
Fear
Female
Humans
Interviews as Topic
Locomotion
Male
Middle Aged
Motivation
Prospective Studies
Psychometrics
Reproducibility of Results
Stroke
Surveys and Questionnaires
Transportation
English
OBJECTIVE
To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors.
DESIGN
Psychometric study.
SETTING
Ambulatory stroke care.
PARTICIPANTS
A total of one hundred and forty-six (N=146) individuals were included in this study. In stage 1, community-living stroke survivors (n=37; 13 women) with low-moderate disability (modified Rankin Score 0-3, stroke >3mo) were included. In stage 2, participants (n=109; 40 women) with same characteristics were included. Nine professionals experienced in PA for poststroke patients formed an expert panel.
INTERVENTIONS
In stage 1, semistructured interviews identified perceived barriers to PA, which were then selected by the expert panel and grouped on a Barriers to Physical Activity After Stroke (BAPAS) scale. In stage 2, stroke participants completed a personal information questionnaire and the BAPAS scale.
MAIN OUTCOME MEASURES
An item selection process with factor analysis was carried out. The suitability of the data set was analyzed using the Kaiser-Meyer-Olkin coefficient, internal consistency was evaluated by Cronbach α, and concurrent validity was assessed with Spearman correlation coefficients between the BAPAS scale and the modified Rankin Scale. Test-retest repeatability was estimated using 2-way random effects intraclass correlation coefficient model 2,1 at 4-6 day follow-up (n=21).
RESULTS
Factor analysis supported a 14-item BAPAS that explained 62% of total variance (Kaiser-Meyer-Olkin=0.82) and total score calculated higher than 70 (higher scores for higher barriers). Cronbach α was 0.86, Spearman correlation with the modified Rankin Scale was r=0.65 (P<.001), and test-retest intraclass correlation coefficient was 0.91 (95% CI, 0.79-0.97). The BAPAS scores were higher in patients with greater disabilities and in those with a longer time since the stroke event (P<.01).
CONCLUSION
We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.
To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors.
DESIGN
Psychometric study.
SETTING
Ambulatory stroke care.
PARTICIPANTS
A total of one hundred and forty-six (N=146) individuals were included in this study. In stage 1, community-living stroke survivors (n=37; 13 women) with low-moderate disability (modified Rankin Score 0-3, stroke >3mo) were included. In stage 2, participants (n=109; 40 women) with same characteristics were included. Nine professionals experienced in PA for poststroke patients formed an expert panel.
INTERVENTIONS
In stage 1, semistructured interviews identified perceived barriers to PA, which were then selected by the expert panel and grouped on a Barriers to Physical Activity After Stroke (BAPAS) scale. In stage 2, stroke participants completed a personal information questionnaire and the BAPAS scale.
MAIN OUTCOME MEASURES
An item selection process with factor analysis was carried out. The suitability of the data set was analyzed using the Kaiser-Meyer-Olkin coefficient, internal consistency was evaluated by Cronbach α, and concurrent validity was assessed with Spearman correlation coefficients between the BAPAS scale and the modified Rankin Scale. Test-retest repeatability was estimated using 2-way random effects intraclass correlation coefficient model 2,1 at 4-6 day follow-up (n=21).
RESULTS
Factor analysis supported a 14-item BAPAS that explained 62% of total variance (Kaiser-Meyer-Olkin=0.82) and total score calculated higher than 70 (higher scores for higher barriers). Cronbach α was 0.86, Spearman correlation with the modified Rankin Scale was r=0.65 (P<.001), and test-retest intraclass correlation coefficient was 0.91 (95% CI, 0.79-0.97). The BAPAS scores were higher in patients with greater disabilities and in those with a longer time since the stroke event (P<.01).
CONCLUSION
We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.apmr.2018.12.034
- PMID 30684487
- Persistent URL
- https://folia.unifr.ch/global/documents/126184
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