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Adapting an evidence-based physical activity questionnaire for people with physical disabilities: A methodological
Julianne G Clina1, Cassandra Herman2, Christine C Ferguson3
1Department of Nutrition Sciences, University of Alabama at Birmingham, 1675 University Blvd, Birmingham, AL, 35233, USA.
Disability and Health Journal
|February 25, 2023
Summary
A new framework, SAVe-IT, was developed to adapt physical activity surveys for people with disabilities. This ensures inclusive data collection for physical activity research in diverse populations.
Area of Science:
- Health Sciences
- Rehabilitation Science
- Disability Studies
Background:
- Existing tools often exclude individuals with disabilities.
- There's a lack of systematic processes for adapting survey instruments for diverse populations.
- Physical inactivity and obesity rates are disproportionately high in people with physical disabilities (PWD).
Purpose of the Study:
- To develop a methodology for adapting survey instruments to include PWD.
- To apply this methodology to adapt a physical activity survey for inclusive use.
Main Methods:
- A five-step framework, SAVe-IT (Select, Adapt, Verify, Implement, Test), was developed.
- The International Physical Activity Questionnaire (IPAQ) was adapted using this framework.
- Adaptations were verified by expert panels and pilot tested.
Main Results:
- The adapted IPAQ successfully passed expert review and pilot testing.
- High test-retest reliability was confirmed, with intraclass correlation coefficients of 0.950 for the total sample, PWD, and people without disabilities.
Conclusions:
- The SAVe-IT framework provides a systematic process for adapting survey instruments.
- The adapted IPAQ is reliable and can be used in both disabled and non-disabled populations.
- This methodology promotes inclusive data collection for physical activity research.

