Sydney A Jones1, Kelly R Evenson2, Larry F Johnston3, Stewart G Trost4, Carmen Samuel-Hodge5, David A Jewell6, Jennifer L Kraschnewski7, Thomas C Keyserling8. 1. Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, United States. 2. Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, United States. Electronic address: kelly_evenson@unc.edu. 3. UNC Center for Health Promotion and Disease Prevention, The University of North Carolina at Chapel Hill, United States. 4. School of Human Movement Studies, The University of Queensland, Australia. 5. Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, United States. 6. School of Arts and Sciences, Johnson & Wales University Charlotte Campus, United States. 7. Department of Medicine and Public Health Sciences, Penn State College of Medicine, United States. 8. Department of Medicine, School of Medicine, The University of North Carolina at Chapel Hill, United States.
Abstract
OBJECTIVES: This study explored the criterion-related validity and test-retest reliability of the modified RESIDential Environment physical activity questionnaire and whether the instrument's validity varied by body mass index, education, race/ethnicity, or employment status. DESIGN: Validation study using baseline data collected for randomized trial of a weight loss intervention. METHODS: Participants recruited from health departments wore an ActiGraph accelerometer and self-reported non-occupational walking, moderate and vigorous physical activity on the modified RESIDential Environment questionnaire. We assessed validity (n=152) using Spearman correlation coefficients, and reliability (n=57) using intraclass correlation coefficients. RESULTS: When compared to steps, moderate physical activity, and bouts of moderate/vigorous physical activity measured by accelerometer, these questionnaire measures showed fair evidence for validity: recreational walking (Spearman correlation coefficients 0.23-0.36), total walking (Spearman correlation coefficients 0.24-0.37), and total moderate physical activity (Spearman correlation coefficients 0.18-0.36). Correlations for self-reported walking and moderate physical activity were higher among unemployed participants and women with lower body mass indices. Generally no other variability in the validity of the instrument was found. Evidence for reliability of RESIDential Environment measures of recreational walking, total walking, and total moderate physical activity was substantial (intraclass correlation coefficients 0.56-0.68). CONCLUSIONS: Evidence for questionnaire validity and reliability varied by activity domain and was strongest for walking measures. The questionnaire may capture physical activity less accurately among women with higher body mass indices and employed participants. Capturing occupational activity, specifically walking at work, may improve questionnaire validity.
OBJECTIVES: This study explored the criterion-related validity and test-retest reliability of the modified RESIDential Environment physical activity questionnaire and whether the instrument's validity varied by body mass index, education, race/ethnicity, or employment status. DESIGN: Validation study using baseline data collected for randomized trial of a weight loss intervention. METHODS:Participants recruited from health departments wore an ActiGraph accelerometer and self-reported non-occupational walking, moderate and vigorous physical activity on the modified RESIDential Environment questionnaire. We assessed validity (n=152) using Spearman correlation coefficients, and reliability (n=57) using intraclass correlation coefficients. RESULTS: When compared to steps, moderate physical activity, and bouts of moderate/vigorous physical activity measured by accelerometer, these questionnaire measures showed fair evidence for validity: recreational walking (Spearman correlation coefficients 0.23-0.36), total walking (Spearman correlation coefficients 0.24-0.37), and total moderate physical activity (Spearman correlation coefficients 0.18-0.36). Correlations for self-reported walking and moderate physical activity were higher among unemployed participants and women with lower body mass indices. Generally no other variability in the validity of the instrument was found. Evidence for reliability of RESIDential Environment measures of recreational walking, total walking, and total moderate physical activity was substantial (intraclass correlation coefficients 0.56-0.68). CONCLUSIONS: Evidence for questionnaire validity and reliability varied by activity domain and was strongest for walking measures. The questionnaire may capture physical activity less accurately among women with higher body mass indices and employed participants. Capturing occupational activity, specifically walking at work, may improve questionnaire validity.
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