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.
Abstract

Related Concept Videos

Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.7K
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
2.1K
Exercise and Muscle Performance01:27

Exercise and Muscle Performance

Exercise induces a range of adaptations in muscle tissue, depending on the type and duration of activity. Such physical training can be broadly categorized into two types: endurance exercises and resistance exercises.
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
6.1K
Sources of Self-Esteem I: Family Experience01:18

Sources of Self-Esteem I: Family Experience

Self-esteem, a crucial component of psychological development, is significantly shaped by familial experiences. The early parent-child relationship serves as a foundational influence on a child's self-concept, with long-lasting effects extending into adolescence and adulthood.Parental Behaviors and Early Self-Esteem FormationEmpirical studies have identified four principal parental behaviors that foster healthy self-esteem in children. These include expressions of acceptance, affection, and...
258
Self-Evaluation Maintenance Model01:29

Self-Evaluation Maintenance Model

The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...
417