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Construct Validity of the Brief Physical Activity Assessment Tool for Clinical Use in COPD

2021-01-23Journal article Open access
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dc.contributor.authorCruz, Joana
dc.contributor.authorJácome, Cristina
dc.contributor.authorOliveira, Ana
dc.contributor.authorPaixão, Cátia
dc.contributor.authorRebelo, Patrícia
dc.contributor.authorFlora, Sofia
dc.contributor.authorJanuário, Filipa
dc.contributor.authorValente, Carla
dc.contributor.authorAndrade, Lília
dc.contributor.authorMarques, Alda
dc.date.accessioned2021-01-27T18:06:34Z
dc.date.available2022-01-23T01:30:09Z
dc.date.issued2021-01-23
dc.descriptionAcknowledgments: The authors would like to thank Professor Timothy Oswald (Department of Languages and Cultures, University of Aveiro, Aveiro, Portugal) for collaborating in the backtranslation of the tool. This work is a secondary study of three projects funded by Fundo Europeu de Desenvolvimento Regional (FEDER) - Comissão Diretiva do Programa Operacional Regional do Centro and by Fundação para a Ciência e Tecnologia - FCT (SAICT-POL/23926/2016), and partially funded by Programa Operacional Competitividade e Internacionalização (COMPETE), through COMPETE 2020 (POCI-01-0145-FEDER-016701 and POCI-01-0145-FEDER-028446) and FCT (SFRH/BD/81328/2011; UIDB/04501/2020, UIDB/05704/2020 e UIDP/05704/2020). The funding sources had no role in study design, data collection/analysis/interpretation, writing or decision to submit the manuscript for publication.
dc.description.abstractIntroduction Low physical activity (PA) levels are associated with poor health‐related outcomes in Chronic Obstructive Pulmonary Disease (COPD). Thus, PA should be routinely assessed in clinical practice. Objectives This study assessed the construct validity of the Brief Physical Activity Assessment Tool (BPAAT) for clinical use in COPD, and explored differences in age, sex and COPD grades. Methods After linguistic adaptation of the tool to Portuguese, 110 patients (66.4±9.6yrs, 72.7% male, FEV1=59.3±25.5%predicted) completed the BPAAT and received an accelerometer. The BPAAT includes two questions assessing the weekly frequency and duration of vigorous‐ and moderate‐intensity PA/walking, classifying individuals as insufficiently or sufficiently active. The BPAAT was correlated with accelerometry (moderate PA, MPA=1952‐5724 counts‐per‐min[CPM]); vigorous PA, VPA=5725‐∞CPM; moderate‐to‐vigorous PA, MVPA=1952‐∞CPM; daily steps), through: Spearman’s correlations (ρ) for continuous data; %agreement, Kappa, sensitivity and specificity, positive and negative predictive values (PPV, NPV) for categorical data. Results The BPAAT was weakly to moderately correlated with accelerometry (0.394≤ρ≤0.435, p<0.05), except for VPA (p=0.440). This was also observed in age (<65/≥65yrs), COPD grades (GOLD 1‐2/3‐4), and in male patients (0.363≤ρ≤0.518, p<0.05 except for VPA). No significant correlations were found in female patients (p>0.05). The BPAAT correctly identified 73.6% patients as ‘insufficiently active’ and 26.4% as ‘sufficiently active’. Agreement was fair to moderate (0.36≤kappa≤0.43; 73.6%≤%agreement≤74.5%; 0.50≤sensitivity≤0.52; 0.84≤specificity≤0.91, 0.55≤PPV≤0.79, 0.72≤NPV≤0.82). Conclusion The BPAAT may be useful to screen patients’ PA, independently of age and COPD grade, and identify male patients who are insufficiently active. Care should be taken when using this tool to assess vigorous PA or female patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCruz, J., Jácome, C., Oliveira, A., Paixão, C., Rebelo, P., Flora, S., Januário, F., Valente, C., Andrade, L. and Marques, A. (2021), Construct Validity of the Brief Physical Activity Assessment Tool for Clinical Use in COPD. The Clinical Respiratory Journal. Accepted Author Manuscript. https://doi.org/10.1111/crj.13333
dc.identifier.doihttps://doi.org/10.1111/crj.13333pt_PT
dc.identifier.issn1752-6981
dc.identifier.issn1752-699X
dc.identifier.urihttp://hdl.handle.net/10400.8/5263
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley Online Librarypt_PT
dc.relationRevitalizing Pulmonary Rehabilitation (3R)
dc.relationTHE ROLE OF HOME-MONITORING IN THE ADHERENCE OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE TO LONG-TERM REHABILITATION
dc.relationAveiro Institute of Biomedicine
dc.relationCenter for Innovative Care and Health Technology
dc.relationCenter for Innovative Care and Health Technology
dc.relation.publisherversionhttp://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1752-699Xpt_PT
dc.subjectActivity Categoriespt_PT
dc.subjectChronic Obstructive Pulmonary Diseasept_PT
dc.subjectDaily Activitypt_PT
dc.subjectValidation Studypt_PT
dc.subjectCOPDpt_PT
dc.subjectValiditypt_PT
dc.titleConstruct Validity of the Brief Physical Activity Assessment Tool for Clinical Use in COPDpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleRevitalizing Pulmonary Rehabilitation (3R)
oaire.awardTitleTHE ROLE OF HOME-MONITORING IN THE ADHERENCE OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE TO LONG-TERM REHABILITATION
oaire.awardTitleAveiro Institute of Biomedicine
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/9471 - RIDTI/PTDC%2FSAU-SER%2F28446%2F2017/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/9876 - Politécnicos/SAICT-POL%2F23926%2F2016/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F81328%2F2011/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04501%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F05704%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F05704%2F2020/PT
oaire.citation.titleThe Clinical Respiratory Journalpt_PT
oaire.fundingStream9471 - RIDTI
oaire.fundingStream9876 - Politécnicos
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
person.familyNameCruz
person.givenNameJoana
person.identifier.ciencia-idE213-7D20-5C3C
person.identifier.orcid0000-0002-4911-4469
person.identifier.ridK-7030-2013
person.identifier.scopus-author-id36715922000
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
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project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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