精神障碍患者自评体力活动问卷的信度和聚合效度的系统评价和荟萃分析。

Reliability and Convergent Validity of Self-Reported Physical Activity Questionnaires for People With Mental Disorders: A Systematic Review and Meta-Analysis.

出版信息

J Phys Act Health. 2021 Jan 1;18(1):109-115. doi: 10.1123/jpah.2020-0312. Epub 2020 Dec 1.

DOI:10.1123/jpah.2020-0312

Abstract

PURPOSE

To examine the reliability and convergent validity of self-reported questionnaires (SRQs) to measure physical activity (PA).

METHODS

Systematic review with meta-analysis. The validity and reliability of SRQs to assess PA in people with mental disorders (January 20, 2020). Random-effects meta-analyses were performed pooling (1) test-retest correlations or (2) the convergent validity between the SRQs and objective measures (eg, accelerometry). Associations were provided in r values with the 95% confidence interval. Methodological quality was assessed.

RESULTS

A total of 9 unique studies (N = 1344; 40.5% females) were included. The authors found a moderate correlation test-retest reliability for PA SRQs in the assessment of vigorous PA (r = .69 [.38 to .85]; P = .001), moderate to vigorous PA (r = .63 [.25 to .84]; P = .003), moderate PA (r = .63 [.39 to .79]; P = .001), and good correlation total PA (r = .75 [.37 to .92]; P = .001). The SRQs have moderate correlations with objective measures for moderate to vigorous PA (r = .25 [.18 to .32]; P = .0001) and total PA (r = .47 [.28 to .62]; P = .005), a poor correlation for moderate PA (r = .18 [.03 to .36]; P = .047), and no correlation with vigorous PA (r = .06 [-.10 to .22]; P = .440).

CONCLUSION

Current evidence indicates that SRQs are reliable over time to assess moderate, vigorous, and total PA levels and valid when assessing moderate PA.

摘要

目的

检验自我报告问卷（SRQ）测量身体活动（PA）的可靠性和收敛效度。

方法

系统综述和荟萃分析。对 2020 年 1 月 20 日患有精神障碍人群中使用 SRQ 评估 PA 的有效性和可靠性进行了研究。采用随机效应荟萃分析，汇总（1）PA 自评问卷的重测信度或（2）自评问卷与客观测量方法（如加速度计）的收敛效度。使用 95%置信区间的 r 值提供相关性。对方法学质量进行了评估。

结果

共纳入 9 项独立研究（N=1344 人，40.5%为女性）。作者发现，在评估剧烈 PA（r =.69 [.38 至.85]；P =.001）、中高强度 PA（r =.63 [.25 至.84]；P =.003）、中强度 PA（r =.63 [.39 至.79]；P =.001）和总 PA（r =.75 [.37 至.92]；P =.001）时，PA 自评问卷具有中等程度的重测信度。SRQ 与中高强度 PA（r =.25 [.18 至.32]；P =.0001）和总 PA（r =.47 [.28 至.62]；P =.005）具有中等程度的相关性，与中强度 PA（r =.18 [.03 至.36]；P =.047）具有较差的相关性，与剧烈 PA（r =.06 [-.10 至.22]；P =.440）无相关性。