Validity of Two Brief Physical Activity Questionnaires with Accelerometers among African American Women

Joseph, Rodney P.; Keller, Colleen; Ainsworth, Barbara E.

doi:10.1249/01.mss.0000480423.93457.28

Cited by 3 publications

(6 citation statements)

References 18 publications

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“…Study participants were all adults; ages ranged from 18 to 89 years. Most studies were of mainly Caucasian populations, although one study examined EVS tool use in African‐American women (Joseph, Keller, Adams, & Ainsworth, ). No studies of EVS or PAVS tool use in adolescent or pediatric populations were identified.…”

Section: Resultsmentioning

confidence: 99%

“…No studies of EVS or PAVS tool use in adolescent or pediatric populations were identified. Five studies examining the EVS tool were identified (Coleman et al., ; Fitzgerald, Ozemek, Jarrett, & Kaminsky, ; Grant, Schmittdiel, Neugebauer, Uratsu, & Sternfeld, ; Joseph et al., ; Young, Coleman, Ngor, Reynolds, Sidwell, & Sallis, . Tool psychometrics were reported in all five of these studies, and implementation of the EVS was also discussed in two of these studies (Coleman et al., ; Grant et al., ).…”

Section: Resultsmentioning

confidence: 99%

“…Sensitivity values for the EVS tool were low, while specificity values were acceptable. Negative predictive values were moderate and relatively stable (Joseph et al., ).…”

Section: Resultsmentioning

confidence: 99%

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A Review of Current Literature on Vital Sign Assessment of Physical Activity in Primary Care

Wald

Garber

2017

J of Nursing Scholarship

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Purpose: To conduct an integrated review of the performance and implementation of two physical activity (PA) assessment tools, the exercise vital sign (EVS) and the physical activity vital sign (PAVS), in U.S. primary care practice. Design:An integrative review following Whittemore and Knafl's methodology. Methods: Medline and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were searched. Search terms were "exercise vital sign" OR "physical activity vital sign" AND "primary care". Additional inclusion criteria were studies conducted in the United States, published in English, in primary care, between 2010 and 2016. Results: Nine studies met inclusion criteria. Five studies reported validity data of the EVS tool, while four studies reported data from the PAVS tool. Compared with the accelerometer, the EVS tool overestimated moderate-vigorous PA, while the PAVS tool demonstrated moderate agreement in identifying those not meeting national PA guidelines. The EVS tool was successfully implemented in large, integrated practices utilizing electronic health record systems. PA documentation increased compared to non-EVS practices. The predictive ability of the PAVS tool for clinical outcomes was shown. Studies of PA assessment tool use in children were not found. Conclusions: Preliminary evidence on the validity of both the EVS and PAVS tools support cautious use of each as a screening tool in primary care. There were no data on reliability, with limited data on tool use in diverse populations or settings. Data in children, older adults, and diverse population subgroups were lacking. Clinical Relevance: Two brief exercise vital signs tools have each shown some initial validity for use by primary care clinicians as measures to identify patients not meeting PA guidelines.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A Review of Current Literature on Vital Sign Assessment of Physical Activity in Primary Care

Wald

Garber

2017

J of Nursing Scholarship

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“…2) Self-reported physical activity < 150 min per week, which aligns with public health recommendations. We used the Physical Activity Vital Sign (PAVS) [20][21][22][23][24][25], which includes the following two questions: 1. "On average, how many days a week do you engage in moderate to strenuous exercise (like a brisk walk)?"…”

Section: Participants and Recruitmentmentioning

confidence: 99%

Osteoarthritis physical activity care pathway (OA-PCP): results of a feasibility trial

Allen

Callahan

et al. 2020

BMC Musculoskelet Disord

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Background: To obtain information on feasibility and acceptability, as well as preliminary data on efficacy, of an Osteoarthritis Physical activity Care Pathway (OA-PCP). Methods: This was a single group pilot study involving 60 participants with symptomatic, physician diagnosed knee or hip OA, recruited from primary care clinics. Participants self-reported completing less than 150 min per week of moderate-to-vigorous physical activity (MVPA) at baseline. The 3-month OA-PCP intervention involved 3 physical activity (PA) coaching calls (focused on goal setting), three check-in emails and linkage with communitybased or online resources to support PA. Efficacy outcomes were collected at baseline and 4-month follow-up. The primary efficacy outcome was minutes of MVPA, assessed via accelerometer. Secondary outcomes included minutes of light intensity activity, sedentary minutes, step counts, and Western Ontario and McMaster Universities (WOMAC) pain and function subscales. Participants were also asked to rate the helpfulness of the OA-PCP intervention on a scale of 0-10. Differences in efficacy outcomes between baseline and 4-month follow-up were assessed using paired t-tests. Results: Among participants beginning the study, 88% completed follow-up assessments and ≥ 90% completed each of the intervention calls. Average daily minutes of MVPA was 8.0 at baseline (standard deviation (SD) = 9.9) and 8.9 at follow-up (SD = 12.1, p = 0.515). There were no statistically significant changes in light intensity activity, sedentary time or step counts. The mean WOMAC pain score improved from 8.1 (SD = 3.6) at baseline to 6.2 (SD = 3.8) at follow-up (p < 0.001); the mean WOMAC function score improved from 26.2 (SD = 13.2) to 20.2 (SD = 12.5; p < 0.001). The mean rating of helpfulness was 7.6 (SD = 2.5). Conclusions: Results supported the feasibility and acceptability of the study, and participants reported clinically relevant improvements in pain and function. PA metrics did not improve substantially. Based on these results and participant feedback, modifications including enhanced self-monitoring are being made to increase the impact of the OA-PCP intervention on PA behavior.

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“…The selected age range focuses tailoring of the intervention to the social, cultural, and behavioral characteristics of young to middle-aged adult AA women who, among all AA women, are the most likely to own smartphones [47]. Women are eligible to participate if they: a) selfidentify as AA; b) are aged 24 to 49 years; c) have a BMI ≥30 kg m 2 d) have insufficient levels of PA, defined as performing <60 minutes/week of MVPA according to the 2-item Exercise Vital Sign questionnaire, which has been previously validated against accelerometers for assessment of PA among AA women [48]; and e) have the ability to speak and read English. Exclusion criteria include: a) concurrent participation in another PA, nutrition, or weight loss program at time of enrollment or any time during the 8-month study; b) indication of a potential contraindication of exercise according to the 2015 Physical Activity Readiness Questionnaire (PAR-Q+) [49], unless a written permission from the potential participant's primary care physician is provided; c) pregnant at time of screening or plans to become pregnant in the next 8 months; and d) plans to relocate out of the Phoenix metropolitan area in the next 12 months.…”

Section: Samplementioning

confidence: 99%

Rationale and design of Smart Walk: A randomized controlled pilot trial of a smartphone-delivered physical activity and cardiometabolic risk reduction intervention for African American women

Joseph

Ainsworth

Vega‐López

et al. 2019

Contemporary Clinical Trials

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Background.-African American (AA) women perform low levels of physical activity (PA) and are disproportionally burdened by cardiometabolic disease conditions when compared to White women and the U.S. population as a whole. These disparities emphasize the need for innovative and effective interventions to increase PA and reduce cardiometabolic disease risk among AA women. Recent evidence suggests that mobile health (mHealth) interventions have the potential to increase PA and reduce cardiometabolic disease risk factors. Few studies have examined the efficacy of mHealth PA interventions among racial/ethnic minorities, including AA women. This represents a missed opportunity given the reported success of technology-delivered PA interventions in predominately White populations and the high use of technology among AA women. Objective.-To describe the design, theoretical rationale, and cultural relevance of Smart Walk, a culturally sensitive smartphone-delivered PA intervention for AA women.

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Validity of Two Brief Physical Activity Questionnaires with Accelerometers among African American Women

Cited by 3 publications

References 18 publications

A Review of Current Literature on Vital Sign Assessment of Physical Activity in Primary Care

A Review of Current Literature on Vital Sign Assessment of Physical Activity in Primary Care

Osteoarthritis physical activity care pathway (OA-PCP): results of a feasibility trial

Rationale and design of Smart Walk: A randomized controlled pilot trial of a smartphone-delivered physical activity and cardiometabolic risk reduction intervention for African American women

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