TY - JOUR
T1 - Development and validation of the Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) in 14 countries
T2 - study protocol
AU - Larouche, Richard
AU - Abadi, Mahdi Rostami Haji
AU - Aubert, Salomé
AU - Bhawra, Jasmin
AU - Brazo-Sayavera, Javier
AU - Carson, Valerie
AU - Colley, Rachel C.
AU - Nyström, Christine Delisle
AU - Esliger, Dale W.
AU - Harper-Brown, Ryan
AU - Alejandra Gonzalez Cifuentes, Silvia
AU - Jáuregui, Alejandra
AU - Katewongsa, Piyawat
AU - Khadilkar, Anuradha
AU - Kira, Geoff
AU - Kuzik, Nicholas
AU - Liu, Yang
AU - Lof, Marie
AU - Loney, Tom
AU - Manyanga, Taru
AU - Mwase-Vuma, Tawonga W.
AU - Oyeyemi, Adewale L.
AU - Reilly, John J.
AU - Richards, Justin
AU - Roberts, Karen
AU - Sarmiento, Olga Lucia
AU - Augusto Santos Silva, Diego
AU - Smith, Melody
AU - Subedi, Narayan
AU - Vanderloo, Leigh M.
AU - Widyastari, Dyah Anantalia
AU - Wilson, Oliver W.A.
AU - Wong, S. H.
AU - Tremblay, Mark S.
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2024.
PY - 2024/7/24
Y1 - 2024/7/24
N2 - Introduction Global surveillance of physical activity (PA) of children and adolescents with questionnaires is limited by the use of instruments developed in high-income countries (HICs) lacking sociocultural adaptation, especially in low- and middle-income countries (LMICs); under-representation of some PA domains; and omission of active play, an important source of PA. Addressing these limitations would help improve international comparisons, and facilitate the cross-fertilisation of ideas to promote PA. We aim to develop and assess the reliability and validity of the app-based Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) among 8–17 years old in 14 LMICs and HICs representing all continents; and generate the ‘first available data’ on active play in most participating countries. Methods and analysis Our study involves eight stages: (1) systematic review of psychometric properties of existing PA questionnaires for children and adolescents; (2) development of the GAC-PAQ (first version); (3) content validity assessment with global experts; (4) cognitive interviews with children/adolescents and parents in all 14 countries; (5) development of a revised GAC-PAQ; (6) development and adaptation of the questionnaire app (application); (7) pilot-test of the app-based GAC-PAQ; and, (8) main study with a stratified, sex-balanced and urban/ rural-balanced sample of 500 children/adolescents and one of their parents/guardians per country. Participants will complete the GAC-PAQ twice to assess 1-week test–retest reliability and wear an ActiGraph wGT3X-BT accelerometer for 9 days to test concurrent validity. To assess convergent validity, subsamples (50 adolescents/country) will simultaneously complete the PA module from existing international surveys.
AB - Introduction Global surveillance of physical activity (PA) of children and adolescents with questionnaires is limited by the use of instruments developed in high-income countries (HICs) lacking sociocultural adaptation, especially in low- and middle-income countries (LMICs); under-representation of some PA domains; and omission of active play, an important source of PA. Addressing these limitations would help improve international comparisons, and facilitate the cross-fertilisation of ideas to promote PA. We aim to develop and assess the reliability and validity of the app-based Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) among 8–17 years old in 14 LMICs and HICs representing all continents; and generate the ‘first available data’ on active play in most participating countries. Methods and analysis Our study involves eight stages: (1) systematic review of psychometric properties of existing PA questionnaires for children and adolescents; (2) development of the GAC-PAQ (first version); (3) content validity assessment with global experts; (4) cognitive interviews with children/adolescents and parents in all 14 countries; (5) development of a revised GAC-PAQ; (6) development and adaptation of the questionnaire app (application); (7) pilot-test of the app-based GAC-PAQ; and, (8) main study with a stratified, sex-balanced and urban/ rural-balanced sample of 500 children/adolescents and one of their parents/guardians per country. Participants will complete the GAC-PAQ twice to assess 1-week test–retest reliability and wear an ActiGraph wGT3X-BT accelerometer for 9 days to test concurrent validity. To assess convergent validity, subsamples (50 adolescents/country) will simultaneously complete the PA module from existing international surveys.
KW - Health Surveys
KW - PUBLIC HEALTH
KW - Psychometrics
KW - Surveys and Questionnaires
UR - http://www.scopus.com/inward/record.url?scp=85199650326&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2023-082275
DO - 10.1136/bmjopen-2023-082275
M3 - Article
C2 - 39053955
AN - SCOPUS:85199650326
SN - 2044-6055
VL - 14
JO - BMJ open
JF - BMJ open
IS - 7
M1 - e082275
ER -