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Self-reported pediatric measures of physical activity, sedentary behavior, and strength impact for PROMIS: conceptual
Carole A Tucker1, Katherine B Bevans, Rachel E Teneralli
1Department of Physical Therapy (Dr Tucker), College of Health Professions and Social Work, Temple University, Philadelphia, Pennsylvania; Department of Pediatrics (Ms Teneralli and Drs Bevans and Forrest), The Children's Hospital of Philadelphia, Pennsylvania; Department of Pediatrics (Drs Bevans and Forrest), University of Pennsylvania School of Medicine, Philadelphia; Division of Cancer Control and Population Sciences National Cancer Institute (Drs Smith and Bowles), National Institutes of Health, Bethesda, Maryland.
Insights
Developing better ways to measure children's physical activity (PA) is crucial. This study used interviews with children and experts to create a child-informed framework for assessing PA, sedentary behaviors, and strengthening activities.
Area of Science:
- Pediatric research
- Health behavior assessment
- Child development
Background:
- Assessing children's physical activity (PA) is vital in pediatric research.
- Existing self-report tools for children's PA are limited, with few computer adaptive test implementations.
- A need exists for improved, child-centered assessment methods.
Purpose of the Study:
- To enhance pediatric self-report measures of physical activity.
- To develop a child-informed framework for assessing activity levels.
- To address the scarcity of rigorous self-report tools for children.
Main Methods:
- Conducted semistructured interviews with children and experts.
- Conceptualized physical activity, sedentary behaviors, and strengthening activities.
- Performed systematic literature reviews to identify item-level concepts.
Main Results:
- Developed conceptual frameworks for PA, sedentary behaviors, and strengthening activities.
- Utilized language and phrases identified as relevant by children.
- Integrated children's perspectives into the framework development.
Conclusions:
- Semistructured interviews effectively capture children's perspectives on activity recall.
- The conceptualized domains reflect literature, expert views, and children's understanding.
- This child-informed framework provides a foundation for new pediatric self-report instruments.
Purpose:
Children's physical activity (PA) levels are commonly assessed in pediatric clinical research, but rigorous self-report assessment tools for children are scarce, and computer adaptive test implementations are rare. Our objective was to improve pediatric self-report measures of activity using semistructured interviews with experts and children for conceptualization of a child-informed framework.
Methods:
Semistructured interviews were conducted to conceptualize PA, sedentary behaviors, and strengthening activities. We performed systematic literature reviews to identify item-level concepts used to assess these 3 domains.
Results:
We developed conceptual frameworks for each domain using words and phrases identified by children as relevant.
Conclusions:
Semistructured interview methods provide valuable information of children's perspectives and the ways children recall previous activities. Conceptualized domains of PA are based on the literature and expert views, which also reflect children's experiences and understanding, providing a basis for pediatric self-report instruments.
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