Department of Sport and Exercise Sciences, Durham University, Durham City, UK.
The Centre for Translational Research in Public Health (Fuse), Newcastle Upon Tyne, UK.
Int J Behav Nutr Phys Act. 2023 Aug 4;20(1):95. doi: 10.1186/s12966-023-01486-2.
Movement behaviours (physical activity, sedentary behaviour, and sleep) are important for pre-school children's health and development. Currently, no tools with appropriate content validity exist that concurrently capture these movement behaviours in young children. The aim of this study was to co-design and assess the content validity of a novel tool to concurrently measure movement behaviours in pre-school aged children (aged 3-4 years).
We followed four distinct steps to develop and assess the content validity of Movement Measurement in the Early Years (MoveMEY): (1) We conducted an extensive literature search, to identify pre-existing proxy measurement tools (questionnaires and diaries) to inform the design of a novel tool, which aimed to effectively capture movement behaviour guidelines of pre-school aged children. (2) We facilitated focus group discussions with parents and carers of pre-school aged children (n = 11) and (3) a qualitative survey with free text responses was completed by topic relevant researchers (n = 6), to co-design the measurement tool. (4) We assessed the content validity of the developed tool, MoveMEY, through interviews with parents of pre-school aged children (n = 12) following piloting of the tool.
We developed an initial version of MoveMEY based on the format of an existing questionnaire and by mapping the content of questions to the guidelines. Co-design of MoveMEY resulted in changes to the format (e.g. short questionnaire to a seven-day diary) and content (e.g. inclusion of 'general information' questions on illness, disabilities and sleep disturbances; question on screen time before bed). Content validity assessment demonstrated that the items of MoveMEY were relevant and comprehensive for the assessment of children's movement behaviours. MoveMEY was felt to be comprehensible, however, parental suggestions were implemented to finalise and improve MoveMEY (e.g. adding examples to questions aiming to detect moderate to vigorous physical activity).
MoveMEY is the first co-designed measurement tool that has relevance for assessing the movement behaviour guidelines of pre-school aged children. Parent/carer and topic relevant researcher involvement throughout the development process resulted in a seven-day daily reported activity diary that is comprehensive of children's movement behaviours and comprehensible to parents and carers.
运动行为（体力活动、久坐行为和睡眠）对学龄前儿童的健康和发展很重要。目前，没有具有适当内容效度的工具可以同时捕捉幼儿的这些运动行为。本研究的目的是共同设计和评估一种新工具，以同时测量学龄前儿童（3-4 岁）的运动行为。
我们遵循四个不同的步骤来开发和评估早期运动测量工具（MoveMEY）的内容效度：（1）我们进行了广泛的文献检索，以确定现有的代理测量工具（问卷和日记），为设计一种新工具提供信息，该工具旨在有效地捕捉学龄前儿童的运动行为指南。（2）我们与学龄前儿童的父母和照顾者（n=11）进行了焦点小组讨论，（3）主题相关研究人员（n=6）完成了带有自由文本回复的定性调查，共同设计了测量工具。（4）我们通过对试用后的工具对学龄前儿童的父母（n=12）进行访谈，评估了开发工具 MoveMEY 的内容效度。
我们根据现有问卷的格式并通过将问题的内容与指南相映射，开发了 MoveMEY 的初始版本。MoveMEY 的共同设计导致格式（例如，将简短问卷改为七天日记）和内容（例如，包括关于疾病、残疾和睡眠障碍的“一般信息”问题；睡前屏幕时间问题）发生了变化。内容效度评估表明，MoveMEY 的项目对于评估儿童的运动行为是相关和全面的。MoveMEY 被认为是可以理解的，但是，为了最终确定和改进 MoveMEY，实施了家长的建议（例如，在旨在检测中等到剧烈体力活动的问题中添加示例）。
MoveMEY 是第一个共同设计的测量工具，与评估学龄前儿童的运动行为指南有关。在整个开发过程中，父母/照顾者和主题相关研究人员的参与产生了一个为期七天的日常活动日记，全面涵盖了儿童的运动行为，并且家长和照顾者能够理解。
