Construct and convergent validity and repeatability of the Questionnaire d'Activité Physique pour les Personnes Âgées (QAPPA), a physical activity questionnaire for the elderly.

Abstract:

OBJECTIVES:To investigate repeatability, and construct and convergent validity of the Questionnaire d'Activité Physique pour les Personnes Âgées (QAPPA), a self-reported physical activity questionnaire for the elderly. STUDY DESIGN:Cross-sectional and prospective (1-year follow-up) data from two postal surveys among members of the medical insurance scheme of the French national education system. METHODS:A questionnaire on general health and the QAPPA were sent out twice, with a 1-year interval. Participants were ≥60 years of age (sample size varied from 225 to 393 according to the analysis). Intraclass correlations, Bland-Altman plots (continuous variables) and kappa coefficients (categorical variable) were used for repeatability analyses. Comparison tests were performed (Wilcoxon rank sum test and Kruskal-Wallis test) for construct validity. Chi-squared test and correlation coefficients were used to establish the convergent validity of the QAPPA. RESULTS:The QAPPA had acceptable repeatability with a 1-year interval, with moderate test-retest correlation coefficients (from r = 0.46 to r = 0.64) and a fair-to-good kappa coefficient (κ = 0.44). It discriminated between individuals by age group (with younger persons being more physically active than older persons) and exercise behaviour (with regular exercisers being more active than non-exercisers). The QAPPA was negatively associated with decline in physical function and comorbidity, and was positively associated with self-reported health and satisfaction with body functioning. CONCLUSION:This study found that the QAPPA is a valid tool for assessing the physical activity of older adults. It could be used for research purposes as well as for epidemiological surveillance.

journal_name

Public Health

journal_title

Public health

authors

de Souto Barreto P

doi

10.1016/j.puhe.2012.10.018

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

844-53

issue

9

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(12)00379-4

journal_volume

127

pub_type

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