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Reliability and validity of a brief physical activity assessment for use by family doctors
  1. A L Marshall1,
  2. B J Smith2,
  3. A E Bauman2,
  4. S Kaur2
  1. 1School of Human Movement Studies, University of Queensland, St Lucia, Qld, Australia
  2. 2University of Sydney, Sydney, Australia
  1. Correspondence to:
    Dr Marshall
    School of Human Movement Studies, University of Queensland, St Lucia, Qld 4072, Australia; alisonmhms.uq.edu.au

Abstract

Objective: To evaluate the reliability and validity of a brief physical activity assessment tool suitable for doctors to use to identify inactive patients in the primary care setting.

Methods: Volunteer family doctors (n  =  8) screened consenting patients (n  =  75) for physical activity participation using a brief physical activity assessment tool. Inter-rater reliability was assessed within one week (n  =  71). Validity was assessed against an objective physical activity monitor (computer science and applications accelerometer; n  =  42).

Results: The brief physical activity assessment tool produced repeatable estimates of “sufficient total physical activity”, correctly classifying over 76% of cases (κ 0.53, 95% confidence interval (CI) 0.33 to 0.72). The validity coefficient was reasonable (κ 0.40, 95% CI 0.12 to 0.69), with good percentage agreement (71%).

Conclusions: The brief physical activity assessment tool is a reliable instrument, with validity similar to that of more detailed self report measures of physical activity. It is a tool that can be used efficiently in routine primary healthcare services to identify insufficiently active patients who may need physical activity advice.

  • exercise
  • physical activity
  • general practice
  • primary care

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