Kilburn Melissa, Hornby-Turner Yvonne, Wallace Valda, Leonard Dympna, Russell Sarah G, Quigley Rachel, Strivens Edward, Evans Rebecca
College of Medicine and Dentistry, James Cook University Nguma-Bada Campus, Smithfield, Australia.
Australian Institute of Tropical Health and Medicine, James Cook University, Nguma-Bada Campus, Smithfield, Australia.
Health Promot Int. 2025 May 13;40(3). doi: 10.1093/heapro/daaf055.
Chronic disease prevention programs that target physical inactivity and sedentary behaviour are often evaluated using self-report assessment tools. However, these tools may require additional validation to ensure relevance and efficacy for Indigenous peoples. The scope to which this occurs is yet to be systematically assessed within the literature. This review aimed to explore and define the range of self-report physical activity and sedentary behaviour assessment tools validated for Indigenous adults globally. Searches were conducted across seven electronic databases; resultant articles were screened against the inclusion and exclusion criteria by two reviewers. Analysis of the 15 included articles suggests that self-report physical activity and sedentary behaviour assessment tools have achieved varying levels of validity amongst Indigenous populations globally. Most studies rated as low cultural appropriateness on a 14-item Indigenous research quality appraisal tool, however, there was a significant moderate upward trend over time (P = 0.0328). Digital physical activity or sedentary behaviour assessment tools have not yet been validated within Indigenous adult populations and constitute an apparent gap in the literature. Established validation methods for other populations were commonly found to be inappropriate for Indigenous population groups. There were no evident trends regarding validation study methodology identified, signifying a more bespoke approach within Indigenous population groups. Therefore, meaningful consultation and project co-design may help to prevent the potential methodological redundancy when developing and validating physical activity assessment methods within Indigenous populations globally.
针对身体活动不足和久坐行为的慢性病预防项目通常使用自我报告评估工具进行评估。然而，这些工具可能需要额外的验证，以确保对原住民的相关性和有效性。这种情况在文献中尚未得到系统评估。本综述旨在探索和界定全球范围内针对原住民成年人验证的自我报告身体活动和久坐行为评估工具的范围。在七个电子数据库中进行了检索；两名评审员根据纳入和排除标准对所得文章进行筛选。对纳入的15篇文章的分析表明，自我报告身体活动和久坐行为评估工具在全球原住民群体中获得了不同程度的有效性。大多数研究在一个14项的原住民研究质量评估工具上被评为文化适宜性较低，然而，随着时间的推移有显著的适度上升趋势（P = 0.0328）。数字身体活动或久坐行为评估工具尚未在原住民成年人群体中得到验证，这在文献中构成了一个明显的空白。通常发现，针对其他人群的既定验证方法不适用于原住民群体。在验证研究方法方面未发现明显趋势，这表明在原住民群体中需要采用更定制化的方法。因此，有意义的协商和项目共同设计可能有助于在全球范围内为原住民群体开发和验证身体活动评估方法时防止潜在的方法冗余。
