Brandenbarg Pim, Hoekstra Femke, Barakou Ioulia, Seves Bregje L, Hettinga Florentina J, Hoekstra Trynke, van der Woude Lucas H V, Dekker Rienk, Krops Leonie A
Department of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, 9700 RB, The Netherlands.
Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, 9700 RB, The Netherlands.
BMC Sports Sci Med Rehabil. 2023 Sep 21;15(1):115. doi: 10.1186/s13102-023-00717-0.
People with physical disabilities and/or chronic diseases tend to have an inactive lifestyle. Monitoring physical activity levels is important to provide insight on how much and what types of activities people with physical disabilities and/or chronic diseases engage in. This information can be used as input for interventions to promote a physically active lifestyle. Therefore, valid and reliable physical activity measurement instruments are needed. This scoping review aims 1) to provide a critical mapping of the existing literature and 2) directions for future research on measurement properties of device-based instruments assessing physical activity behavior in ambulant adults with physical disabilities and/or chronic diseases.
Four databases (MEDLINE, CINAHL, Web of Science, Embase) were systematically searched from 2015 to April 16 2023 for articles investigating measurement properties of device-based instruments assessing physical activity in ambulatory adults with physical disabilities and/or chronic diseases. For the majority, screening and selection of eligible studies were done in duplicate. Extracted data were publication data, study data, study population, device, studied measurement properties and study outcome. Data were synthesized per device.
One hundred three of 21566 Studies were included. 55 Consumer-grade and 23 research-grade devices were studied on measurement properties, using 14 different physical activity outcomes, in 23 different physical disabilities and/or chronic diseases. ActiGraph (n = 28) and Fitbit (n = 39) devices were most frequently studied. Steps (n = 68) was the most common used physical activity outcome. 97 studies determined validity, 11 studies reliability and 6 studies responsiveness.
This scoping review shows a large variability in research on measurement properties of device-based instruments in ambulatory adults with physical disabilities and/or chronic diseases. The variability highlights a need for standardization of and consensus on research in this field. The review provides directions for future research.
身体残疾和/或患有慢性疾病的人往往生活方式不活跃。监测身体活动水平对于了解身体残疾和/或患有慢性疾病的人参与的活动量及活动类型很重要。这些信息可用作促进积极生活方式干预措施的输入内容。因此，需要有效且可靠的身体活动测量工具。本综述旨在：1）对现有文献进行批判性梳理；2）为未来研究评估身体残疾和/或患有慢性疾病的非卧床成年人身体活动行为的基于设备的测量工具的测量特性提供方向。
系统检索了四个数据库（MEDLINE、CINAHL、科学网、Embase），检索时间为2015年至2023年4月16日，以查找研究评估身体残疾和/或患有慢性疾病的非卧床成年人身体活动的基于设备的测量工具测量特性的文章。大多数情况下，合格研究的筛选和选择由两人独立完成。提取的数据包括发表数据、研究数据、研究人群、设备、研究的测量特性和研究结果。数据按设备进行综合分析。
21566项研究中有103项被纳入。对55种消费级和23种研究级设备的测量特性进行了研究，涉及14种不同的身体活动结果，涵盖23种不同的身体残疾和/或慢性疾病。ActiGraph（n = 28）和Fitbit（n = 39）设备研究得最为频繁。步数（n = 68）是最常用的身体活动结果。97项研究确定了有效性，11项研究确定了可靠性，6项研究确定了反应性。
本综述表明，在评估身体残疾和/或患有慢性疾病的非卧床成年人基于设备的测量工具测量特性的研究中存在很大差异。这种差异凸显了该领域研究标准化和达成共识的必要性。本综述为未来研究提供了方向。
