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Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: The Barriers to Physical Activity After Stroke Scale.

Identifieur interne : 000612 ( Main/Exploration ); précédent : 000611; suivant : 000613

Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: The Barriers to Physical Activity After Stroke Scale.

Auteurs : Joffrey Drigny [France] ; Charles Joussain [France] ; Vincent Gremeaux [France] ; Remy Morello [France] ; Patrick H. Van Truc [France] ; Paul Stapley [Australie] ; Emmanuel Touzé [France] ; Alexis Ruet [France]

Source :

RBID : pubmed:30684487

Descripteurs français

English descriptors

Abstract

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.


DOI: 10.1016/j.apmr.2018.12.034
PubMed: 30684487


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adult (MeSH)</term>
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<term>Aged, 80 and over (MeSH)</term>
<term>Comorbidity (MeSH)</term>
<term>Disabled Persons (psychology)</term>
<term>Disabled Persons (rehabilitation)</term>
<term>Exercise (psychology)</term>
<term>Factor Analysis, Statistical (MeSH)</term>
<term>Fatigue (etiology)</term>
<term>Fatigue (psychology)</term>
<term>Fear (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Interviews as Topic (MeSH)</term>
<term>Locomotion (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Motivation (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Psychometrics (MeSH)</term>
<term>Reproducibility of Results (MeSH)</term>
<term>Stroke (complications)</term>
<term>Stroke (physiopathology)</term>
<term>Stroke (psychology)</term>
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<term>Accident vasculaire cérébral (complications)</term>
<term>Accident vasculaire cérébral (physiopathologie)</term>
<term>Accident vasculaire cérébral (psychologie)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse statistique factorielle (MeSH)</term>
<term>Comorbidité (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Entretiens comme sujet (MeSH)</term>
<term>Exercice physique (psychologie)</term>
<term>Fatigue (psychologie)</term>
<term>Fatigue (étiologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Locomotion (MeSH)</term>
<term>Motivation (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Personnes handicapées (psychologie)</term>
<term>Personnes handicapées (rééducation et réadaptation)</term>
<term>Peur (MeSH)</term>
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<term>Accident vasculaire cérébral</term>
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<term>Stroke</term>
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<term>Accident vasculaire cérébral</term>
<term>Exercice physique</term>
<term>Fatigue</term>
<term>Personnes handicapées</term>
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<term>Disabled Persons</term>
<term>Exercise</term>
<term>Fatigue</term>
<term>Stroke</term>
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<term>Disabled Persons</term>
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<term>Personnes handicapées</term>
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<term>Fatigue</term>
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<term>Middle Aged</term>
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<term>Psychometrics</term>
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<term>Accident vasculaire cérébral</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse statistique factorielle</term>
<term>Comorbidité</term>
<term>Enquêtes et questionnaires</term>
<term>Entretiens comme sujet</term>
<term>Femelle</term>
<term>Humains</term>
<term>Locomotion</term>
<term>Motivation</term>
<term>Mâle</term>
<term>Peur</term>
<term>Psychométrie</term>
<term>Reproductibilité des résultats</term>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Psychometric study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Ambulatory stroke care.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURES</b>
</p>
<p>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).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>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).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.</p>
</div>
</front>
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<MedlinePgn>1672-1679</MedlinePgn>
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<ELocationID EIdType="pii" ValidYN="Y">S0003-9993(19)30019-X</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.apmr.2018.12.034</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE">To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors.</AbstractText>
<AbstractText Label="DESIGN">Psychometric study.</AbstractText>
<AbstractText Label="SETTING">Ambulatory stroke care.</AbstractText>
<AbstractText Label="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.</AbstractText>
<AbstractText Label="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.</AbstractText>
<AbstractText Label="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).</AbstractText>
<AbstractText Label="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).</AbstractText>
<AbstractText Label="CONCLUSION">We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.</AbstractText>
<CopyrightInformation>Copyright © 2019 American Congress of Rehabilitation Medicine. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Drigny</LastName>
<ForeName>Joffrey</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Service de Médecine Physique et de Réadaptation, CHU de Caen, France. Electronic address: j.drigny@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Joussain</LastName>
<ForeName>Charles</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Université de Versailles St-Quentin en Yvelines, INSERM UMR 1179, Montigny-le-Bretonneux, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gremeaux</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>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.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Morello</LastName>
<ForeName>Remy</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Unité fonctionnelle de Biostatistique et Recherche Clinique (UBRC) CHU de Caen, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Van Truc</LastName>
<ForeName>Patrick H</ForeName>
<Initials>PH</Initials>
<AffiliationInfo>
<Affiliation>IMPR du Bois-de-Lébisey, allée des Boisselles, 14200 Hérouville Saint-Clair, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Stapley</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Neural Control of Movement Laboratory, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Touzé</LastName>
<ForeName>Emmanuel</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>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.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ruet</LastName>
<ForeName>Alexis</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>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.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D023361">Validation Study</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2019</Year>
<Month>01</Month>
<Day>24</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>Arch Phys Med Rehabil</MedlineTA>
<NlmUniqueID>2985158R</NlmUniqueID>
<ISSNLinking>0003-9993</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015444" MajorTopicYN="Y">Exercise</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005163" MajorTopicYN="N">Factor Analysis, Statistical</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005221" MajorTopicYN="N">Fatigue</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005239" MajorTopicYN="N">Fear</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008124" MajorTopicYN="N">Locomotion</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009042" MajorTopicYN="N">Motivation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D020521" MajorTopicYN="Y">Stroke</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="Y">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014186" MajorTopicYN="N">Transportation</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">Exercise</Keyword>
<Keyword MajorTopicYN="Y">Physical activity</Keyword>
<Keyword MajorTopicYN="Y">Rehabilitation</Keyword>
<Keyword MajorTopicYN="Y">Stroke</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2018</Year>
<Month>03</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2018</Year>
<Month>10</Month>
<Day>23</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2018</Year>
<Month>12</Month>
<Day>19</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2019</Year>
<Month>1</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>2</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2019</Year>
<Month>1</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">30684487</ArticleId>
<ArticleId IdType="pii">S0003-9993(19)30019-X</ArticleId>
<ArticleId IdType="doi">10.1016/j.apmr.2018.12.034</ArticleId>
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</pubmed>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>France</li>
</country>
<region>
<li>Basse-Normandie</li>
<li>Région Normandie</li>
</region>
<settlement>
<li>Caen</li>
<li>Hérouville Saint-Clair</li>
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<country name="France">
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<name sortKey="Drigny, Joffrey" sort="Drigny, Joffrey" uniqKey="Drigny J" first="Joffrey" last="Drigny">Joffrey Drigny</name>
</noRegion>
<name sortKey="Gremeaux, Vincent" sort="Gremeaux, Vincent" uniqKey="Gremeaux V" first="Vincent" last="Gremeaux">Vincent Gremeaux</name>
<name sortKey="Joussain, Charles" sort="Joussain, Charles" uniqKey="Joussain C" first="Charles" last="Joussain">Charles Joussain</name>
<name sortKey="Morello, Remy" sort="Morello, Remy" uniqKey="Morello R" first="Remy" last="Morello">Remy Morello</name>
<name sortKey="Ruet, Alexis" sort="Ruet, Alexis" uniqKey="Ruet A" first="Alexis" last="Ruet">Alexis Ruet</name>
<name sortKey="Touze, Emmanuel" sort="Touze, Emmanuel" uniqKey="Touze E" first="Emmanuel" last="Touzé">Emmanuel Touzé</name>
<name sortKey="Van Truc, Patrick H" sort="Van Truc, Patrick H" uniqKey="Van Truc P" first="Patrick H" last="Van Truc">Patrick H. Van Truc</name>
</country>
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<name sortKey="Stapley, Paul" sort="Stapley, Paul" uniqKey="Stapley P" first="Paul" last="Stapley">Paul Stapley</name>
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</country>
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