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

Details

Serval ID
serval:BIB_7A334B364C65
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: The Barriers to Physical Activity After Stroke Scale.
Journal
Archives of physical medicine and rehabilitation
Author(s)
Drigny J., Joussain C., Gremeaux V., Morello R., Van Truc P.H., Stapley P., Touzé E., Ruet A.
ISSN
1532-821X (Electronic)
ISSN-L
0003-9993
Publication state
Published
Issued date
09/2019
Peer-reviewed
Oui
Volume
100
Number
9
Pages
1672-1679
Language
english
Notes
Publication types: Journal Article ; Validation Study
Publication Status: ppublish
Abstract
To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors.
Psychometric study.
Ambulatory stroke care.
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.
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.
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).
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).
We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.
Keywords
Adult, Aged, Aged, 80 and over, Comorbidity, Disabled Persons/psychology, Disabled Persons/rehabilitation, Exercise/psychology, Factor Analysis, Statistical, Fatigue/etiology, Fatigue/psychology, Fear, Female, Humans, Interviews as Topic, Locomotion, Male, Middle Aged, Motivation, Prospective Studies, Psychometrics, Reproducibility of Results, Stroke/complications, Stroke/physiopathology, Stroke/psychology, Surveys and Questionnaires, Transportation, Exercise, Physical activity, Rehabilitation, Stroke
Pubmed
Web of science
Create date
09/10/2019 12:28
Last modification date
28/02/2020 6:19
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