Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Porto, Portugal.
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém, Rio Maior, Portugal.
Int J Behav Nutr Phys Act. 2024 Oct 9;21(1):116. doi: 10.1186/s12966-024-01667-7.
Sleep, sedentary behaviour, and physical activity are essential components within the 24-hour time frame. Existing questionnaires used to measure these behaviours have insufficient measurement properties and are unsuitable for assessing compliance with the WHO Physical Activity and 24-hour Movement Guidelines. To describe the development process of the 24-hour Movement Questionnaire (QMov24h) and its testing. The QMov24h was developed to gather detailed information on sleep, sedentary behaviour, and physical activity.
The sample comprised 117 participants (58% women), aged 30.95 ± 13.56 years. The development process of the QMov24h followed the COSMIN guidelines: (i) Construction of items; (ii) Face validity with end-users; (iii) Content validity with experts; (iv) Criterion validity against accelerometry and convergent validity against diary assessments; and (v) 7-day test-retest reliability.
The QMov24h presented adequate content and face validity. The QMov24h showed moderate criterion validity for sleep (rho=0.343;p<0.001), light physical activity (rho=0.31;p=0.002) and total aerobic physical activity (rho=0.343;p<0.001), as well as strong criterion validity for sedentary behaviour (rho=0.428;p<0.001) and aerobic moderate-to-vigorous physical activity (rho=0.534;p<0.001). Reliability varied from poor to excellent (ICC from 0.38 to 0.962;p<0.001) for all questionnaire variables. Regarding compliance of the 24-hour movement guidelines, the questionnaire also showed a strong to almost perfect percentage of agreement with accelerometry (from 69% to 94.3%), and minimal to strong reliability (k from 0.38 to 0.87) between the first and second administrations of the QMov24h.
The QMov24h questionnaire is a valid and reliable tool for assessing levels of movement behaviours and compliance with guidelines in adults. Its measurement properties are comparable to, or even better than, those of existing questionnaires, while posing a similar burden to participants. The QMov24h is useful for research, clinical practice, and public health surveillance. The QMov24h has strong psychometric properties, making it suitable for translation, cultural adaptation, and testing in diverse populations for broader international use.
睡眠、久坐行为和身体活动是 24 小时时间框架内的重要组成部分。现有的用于测量这些行为的问卷的测量特性不足，不适合评估对世卫组织身体活动和 24 小时运动指南的遵守情况。本研究旨在描述 24 小时运动问卷（QMov24h）的开发过程及其测试结果。QMov24h 旨在收集有关睡眠、久坐行为和身体活动的详细信息。
本研究的样本包括 117 名参与者（58%为女性），年龄为 30.95±13.56 岁。QMov24h 的开发过程遵循 COSMIN 指南：（i）项目构建；（ii）与最终用户的表面有效性；（iii）与专家的内容有效性；（iv）与加速度计的标准有效性和与日记评估的收敛有效性；（v）7 天重测信度。
QMov24h 具有足够的内容和表面有效性。QMov24h 对睡眠（rho=0.343;p<0.001）、低强度身体活动（rho=0.31;p=0.002）和总有氧身体活动（rho=0.343;p<0.001）的标准有效性为中度，对久坐行为（rho=0.428;p<0.001）和中等到剧烈有氧身体活动（rho=0.534;p<0.001）的标准有效性为强。所有问卷变量的可靠性从差到极好（ICC 从 0.38 到 0.962;p<0.001）。关于 24 小时运动指南的遵守情况，问卷与加速度计的一致性也很强（69%至 94.3%），并且在 QMov24h 的第一次和第二次测量之间具有最小到强的可靠性（k 从 0.38 到 0.87）。
QMov24h 问卷是一种有效且可靠的工具，可用于评估成年人的运动行为水平和对指南的遵守情况。其测量特性与现有问卷相当，甚至更好，同时对参与者的负担也相似。QMov24h 可用于研究、临床实践和公共卫生监测。QMov24h 具有较强的心理测量特性，适合在不同人群中进行翻译、文化适应和测试，以便在更广泛的国际范围内使用。
