Trost Stewart G, Terranova Caroline O, Brookes Denise S K, Chai Li Kheng, Byrne Rebecca A
School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia.
Int J Behav Nutr Phys Act. 2024 Apr 23;21(1):43. doi: 10.1186/s12966-024-01596-5.
The development of validated "fit-for-purpose" rapid assessment tools to measure 24-hour movement behaviours in children aged 0-5 years is a research priority. This study evaluated the test-retest reliability and concurrent validity of the open-ended and closed-ended versions of the Movement Behaviour Questionnaire for baby (MBQ-B) and child (MBQ-C).
300 parent-child dyads completed the 10-day study protocol (MBQ-B: N = 85; MBQ-C: N = 215). To assess validity, children wore an accelerometer on the non-dominant wrist (ActiGraph GT3X+) for 7 days and parents completed 2 × 24-hour time use diaries (TUDs) recording screen time and sleep on two separate days. For babies (i.e., not yet walking), parents completed 2 × 24-hour TUDs recording tummy time, active play, restrained time, screen time, and sleep on days 2 and 5 of the 7-day monitoring period. To assess test-retest reliability, parents were randomised to complete either the open- or closed-ended versions of the MBQ on day 7 and on day 10. Test-retest intraclass correlation coefficients (ICC's) were calculated using generalized linear mixed models and validity was assessed via Spearman correlations.
Test-retest reliability for the MBQ-B was good to excellent with ICC's ranging from 0.80 to 0.94 and 0.71-0.93 for the open- and closed-ended versions, respectively. For both versions, significant positive correlations were observed between 24-hour diary and MBQ-B reported tummy time, active play, restrained time, screen time, and sleep (rho = 0.39-0.87). Test-retest reliability for the MBQ-C was moderate to excellent with ICC's ranging from 0.68 to 0.98 and 0.44-0.97 for the open- and closed-ended versions, respectively. For both the open- and closed-ended versions, significant positive correlations were observed between 24-hour diary and MBQ-C reported screen time and sleep (rho = 0.44-0.86); and between MBQ-C reported and device-measured time in total activity and energetic play (rho = 0.27-0.42).
The MBQ-B and MBQ-C are valid and reliable rapid assessment tools for assessing 24-hour movement behaviours in infants, toddlers, and pre-schoolers. Both the open- and closed-ended versions of the MBQ are suitable for research conducted for policy and practice purposes, including the evaluation of scaled-up early obesity prevention programs.
开发经过验证的“适用目的”快速评估工具来测量0至5岁儿童的24小时运动行为是一项研究重点。本研究评估了婴儿运动行为问卷（MBQ - B）和儿童运动行为问卷（MBQ - C）的开放式和封闭式版本的重测信度和同时效度。
300对亲子完成了为期10天的研究方案（MBQ - B：N = 85；MBQ - C：N = 215）。为评估效度，儿童在非优势手腕佩戴加速度计（ActiGraph GT3X +）7天，父母在两个不同日期完成2份24小时时间使用日记（TUD），记录屏幕使用时间和睡眠时间。对于婴儿（即尚未学会走路的），父母在7天监测期的第2天和第5天完成2份24小时TUD，记录趴卧时间、主动玩耍时间、受限时间、屏幕使用时间和睡眠时间。为评估重测信度，父母被随机分配在第7天和第10天完成MBQ的开放式或封闭式版本。使用广义线性混合模型计算重测组内相关系数（ICC），并通过Spearman相关性评估效度。
MBQ - B的重测信度良好至优秀，开放式和封闭式版本的ICC分别为0.80至0.94和0.71 - 0.93。对于两个版本，24小时日记与MBQ - B报告的趴卧时间、主动玩耍时间、受限时间、屏幕使用时间和睡眠时间之间均观察到显著正相关（rho = 0.39 - 0.87）。MBQ - C的重测信度中等至优秀，开放式和封闭式版本的ICC分别为0.68至0.98和0.44 - 0.97。对于开放式和封闭式版本，24小时日记与MBQ - C报告的屏幕使用时间和睡眠时间之间均观察到显著正相关（rho = 0.44 - 0.86）；MBQ - C报告的与设备测量的总活动时间和高强度玩耍时间之间也观察到显著正相关（rho = 0.27 - 0.42）。
MBQ - B和MBQ - C是评估婴儿、幼儿和学龄前儿童24小时运动行为的有效且可靠的快速评估工具。MBQ的开放式和封闭式版本均适用于为政策和实践目的开展的研究，包括对扩大规模的早期肥胖预防项目的评估。
