Background

Individuals with stroke demonstrate low levels of physical activity. Self-report measures of physical activity are frequently used and the choice of the best one to use for each purpose and context should take into account the measurement properties of these instruments.

Objective

To summarize the measurement properties and clinical utility of self-report measures of physical activity of post-stroke subjects and to evaluate both the methodological quality of the studies and the quality of the measurement properties.

Methods

Searches were made in MEDLINE, EMBASE, PEDro, LILACS, and SCIELO. Two reviewers independently screened studies that investigated measurement properties or clinical utility of self-report measures of physical activity in post-stroke subjects. The studies’ methodological quality, quality of the measurement properties, and clinical utility were evaluated.

Results

From the 11,826 identified studies, 19 were included. Six self-report tools were evaluated: The Activity card sort, Coded activity diary, Frenchay activities index (FAI), Human activity profile (HAP), Multimedia activity recall for children and adults, and the Nottingham leisure questionnaire. The methodological quality of the studies ranged from “poor” to “good”. Most of the results regarding the quality of the measurement properties were doubtful. None of the self-report tools had their content validity investigated. The FAI and HAP showed the highest clinical utility scores.

Conclusions

Content validity needs to be better investigated to determine if the instruments actually measure the physical activity domain. Further studies with good methodological quality are required to assist clinicians and researchers in selecting the best instrument to measure physical activity levels.

中文翻译：

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中风患者自我报告体力活动评估工具的测量特性：系统评价。

背景

中风患者的体力活动水平较低。身体活动的自我报告测量方法经常被使用，在选择适合每种目的和背景的最佳测量方法时，应考虑这些仪器的测量特性。

客观的

总结中风后受试者体力活动自我报告测量的测量特性和临床实用性，并评估研究的方法学质量和测量特性的质量。

方法

在 MEDLINE、EMBASE、PEDro、LILACS 和 SCIELO 中进行了检索。两名评审员独立筛选了研究，这些研究调查了中风后受试者身体活动自我报告测量的测量特性或临床效用。对研究的方法学质量、测量特性的质量和临床实用性进行了评估。

结果

在 11,826 项已确定的研究中，纳入了 19 项。评估了六种自我报告工具：活动卡分类、编码活动日记、Frenchay 活动指数 (FAI)、人类活动概况 (HAP)、儿童和成人多媒体活动回忆以及诺丁汉休闲问卷。研究的方法学质量从“差”到“好”不等。大多数有关测量特性质量的结果都是值得怀疑的。没有对任何自我报告工具的内容有效性进行调查。FAI 和 HAP 显示出最高的临床效用得分。

结论

需要更好地研究内容有效性，以确定这些仪器是否真正测量身体活动领域。需要进行具有良好方法学质量的进一步研究，以帮助临床医生和研究人员选择测量身体活动水平的最佳仪器。