Abstract
BACKGROUND: People with physical disabilities and/or chronic diseases tend to have an inactive lifestyle. Monitoring physical activity levels is important to provide insight on how much and what types of activities people with physical disabilities and/or chronic diseases engage in. This information can be used as input for interventions to promote a physically active lifestyle. Therefore, valid and reliable physical activity measurement instruments are needed. This scoping review aims 1) to provide a critical mapping of the existing literature and 2) directions for future research on measurement properties of device-based instruments assessing physical activity behavior in ambulant adults with physical disabilities and/or chronic diseases.
METHODS: Four databases (MEDLINE, CINAHL, Web of Science, Embase) were systematically searched from 2015 to April 16 th 2023 for articles investigating measurement properties of device-based instruments assessing physical activity in ambulatory adults with physical disabilities and/or chronic diseases. For the majority, screening and selection of eligible studies were done in duplicate. Extracted data were publication data, study data, study population, device, studied measurement properties and study outcome. Data were synthesized per device.
RESULTS: One hundred three of 21566 Studies were included. 55 Consumer-grade and 23 research-grade devices were studied on measurement properties, using 14 different physical activity outcomes, in 23 different physical disabilities and/or chronic diseases. ActiGraph (n = 28) and Fitbit (n = 39) devices were most frequently studied. Steps (n = 68) was the most common used physical activity outcome. 97 studies determined validity, 11 studies reliability and 6 studies responsiveness.
CONCLUSION: This scoping review shows a large variability in research on measurement properties of device-based instruments in ambulatory adults with physical disabilities and/or chronic diseases. The variability highlights a need for standardization of and consensus on research in this field. The review provides directions for future research.
| Original language | English |
|---|---|
| Article number | 115 |
| Pages (from-to) | 1-35 |
| Number of pages | 35 |
| Journal | BMC Sports Science, Medicine and Rehabilitation |
| Volume | 15 |
| DOIs | |
| Publication status | Published - 21 Sept 2023 |
Bibliographical note
Funding Information:This work was funded by the Dutch Ministry of Health, Welfare and Sports (grant no. 319758); Stichting Beatrixoord Noord-Nederland (ReSpAct 2.0; grant date 19–2-2018); and a personal grant received from the University Medical Center Groningen (BLS). FH is supported by the Craig H. Neilsen Foundation Postdoctoral Fellowship (#719049) and Michael Smith Foundation for Health Research (MSFHR) Trainee Award (#RT-2020–0489).
Publisher Copyright:
© 2023, BioMed Central Ltd., part of Springer Nature.
Funding
This work was funded by the Dutch Ministry of Health, Welfare and Sports (grant no. 319758); Stichting Beatrixoord Noord-Nederland (ReSpAct 2.0; grant date 19–2-2018); and a personal grant received from the University Medical Center Groningen (BLS). FH is supported by the Craig H. Neilsen Foundation Postdoctoral Fellowship (#719049) and Michael Smith Foundation for Health Research (MSFHR) Trainee Award (#RT-2020–0489).
| Funders | Funder number |
|---|---|
| Craig H. Neilsen Foundation | 719049 |
| Craig H. Neilsen Foundation | |
| British Lichen Society | |
| Stichting Beatrixoord Noord-Nederland | date 19–2-2018 |
| Stichting Beatrixoord Noord-Nederland | |
| Michael Smith Health Research BC | -2020–0489 |
| Michael Smith Health Research BC | |
| Ministerie van Volksgezondheid, Welzijn en Sport | 319758 |
| Ministerie van Volksgezondheid, Welzijn en Sport | |
| Universitair Medisch Centrum Groningen |
Keywords
- Accelerometry
- Chronic disease
- Device-based instruments
- Measurement properties
- Physical activity
- Physical disability
- Reliability
- Responsiveness
- Scoping review
- Validity