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Vol. 23. Issue 6.
Pages 476-490 (01 November 2019)
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Vol. 23. Issue 6.
Pages 476-490 (01 November 2019)
Systematic Review
DOI: 10.1016/j.bjpt.2019.02.004
Measurement properties of self-report physical activity assessment tools for patients with stroke: a systematic review
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Júlia Caetano Martinsa, Larissa Tavares Aguiara,b, Sylvie Nadeaub, Aline Alvim Sciannia, Luci Fuscaldi Teixeira-Salmelaa, Christina Danielli Coelho De Morais Fariaa,
Corresponding author
cdcmf@ufmg.br
chrismoraisf@gmail.com

Corresponding author at: Department of Physical Therapy, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Campus Pampulha, CEP: 31270-901 Belo Horizonte, Minas Gerais, Brazil.
a Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
b Institut de réadaptation Gingras-Lindsay de Montréal (IRGLM), CIUSSS Centre-Sud-de-l’Île-de-Montréal, Université de Montreal (UdeM), Montréal, Canada
Highlights

  • The methodological quality of the studies ranged from “poor” to “good”.

  • Most results of the quality of the measurement properties were considered doubtful.

  • The Frenchay activities index and the Human activity profile showed the highest clinical utility scores.

  • The content validity needs to be better investigated.

  • Further studies with good methodological quality are required.

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Tables (4)
Table 1. Description of the self-report physical activity assessment tools for subjects with stroke.
Table 2. Characteristics of the included studies and measurement properties of self-report physical activity assessment tools for subjects with stroke.
Table 3. Methodological quality of the included studies using the COSMIN checklist14 (poor, fair, good, excellent) and quality rating of the results on measurement properties, based upon the Terwee's criteria15 (+, −, ?).
Table 4. Clinical utility of self-report physical activity assessment tools for subjects with stroke.
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Abstract
Background

Individuals with stroke demonstrate low levels of physical activity. Self-report measures of physical activity are frequently used and the choice of the best one to use for each purpose and context should take into account the measurement properties of these instruments.

Objective

To summarize the measurement properties and clinical utility of self-report measures of physical activity of post-stroke subjects and to evaluate both the methodological quality of the studies and the quality of the measurement properties.

Methods

Searches were made in MEDLINE, EMBASE, PEDro, LILACS, and SCIELO. Two reviewers independently screened studies that investigated measurement properties or clinical utility of self-report measures of physical activity in post-stroke subjects. The studies’ methodological quality, quality of the measurement properties, and clinical utility were evaluated.

Results

From the 11,826 identified studies, 19 were included. Six self-report tools were evaluated: The Activity card sort, Coded activity diary, Frenchay activities index (FAI), Human activity profile (HAP), Multimedia activity recall for children and adults, and the Nottingham leisure questionnaire. The methodological quality of the studies ranged from “poor” to “good”. Most of the results regarding the quality of the measurement properties were doubtful. None of the self-report tools had their content validity investigated. The FAI and HAP showed the highest clinical utility scores.

Conclusions

Content validity needs to be better investigated to determine if the instruments actually measure the physical activity domain. Further studies with good methodological quality are required to assist clinicians and researchers in selecting the best instrument to measure physical activity levels.

Keywords:
Stroke
Physical activity
Self-report
Measurement properties
Outcome measures

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