Measuring physical activity-related environmental factors: reliability and predictive validity of the European environmental questionnaire ALPHA

Heleen Spittaels, Maïté Verloigne, Christopher Gidlow, Julien Gloanec, Sylvia Titze, Charlie Foster, Jean-Michel Oppert, Harry Rutter, Pekka Oja, Michael Sjöström, Ilse De Bourdeaudhuij, Heleen Spittaels, Maïté Verloigne, Christopher Gidlow, Julien Gloanec, Sylvia Titze, Charlie Foster, Jean-Michel Oppert, Harry Rutter, Pekka Oja, Michael Sjöström, Ilse De Bourdeaudhuij

Abstract

Background: A questionnaire to assess physical activity related environmental factors in the European population (a 49-item and an 11-item version) was created as part of the framework of the EU-funded project "Instruments for Assessing Levels of PHysical Activity and fitness (ALPHA)". This paper reports on the development and assessment of the questionnaire's test-retest stability, predictive validity, and applicability to European adults.

Methods: The first pilot test was conducted in Belgium, France and the UK. In total 190 adults completed both forms of the ALPHA questionnaire twice with a one-week interval. Physical activity was concurrently measured (i) by administration of the long version of the International Physical Activity Questionnaire (IPAQ) by interview and (ii) by accelerometry (Actigraph device). After adaptations, the second field test took place in Belgium, the UK and Austria; 166 adults completed the adapted questionnaire at two time points, with minimum one-week interval. In both field studies intraclass correlation coefficients (ICC) and proportion of agreement were computed to assess the stability of the two test scores. Predictive validity was examined in the first field test by correlating the results of the questionnaires with physical activity data from accelerometry and long IPAQ-last 7 days.

Results: The reliability scores of the ALPHA questionnaire were moderate-to good in the first field testing (ICC range 0.66 - 0.86) and good in the second field testing (ICC range 0.71 - 0.87). The proportion of agreement for the ALPHA short increased significantly from the first (range 50 - 83%) to the second field testing (range 85 - 95%). Environmental scales from both versions of the ALPHA questionnaire were significantly associated with self-reported minutes of transport-related walking, and objectively measured low intensity physical activity levels, particularly in women. Both versions were easily administered with an average completion time of six minutes for the 49-item version and less than two minutes for the short version.

Conclusion: The ALPHA questionnaire is an instrument to measure environmental perceptions in relation to physical activity. It appears to have good reliability and predictive validity. The questionnaire is now available to other researchers to investigate its usefulness and applicability across Europe.

References

    1. Green LW, Richard L, Potvin L. Ecological foundations of health promotion. Am J Health Promot. 1996;10:270–281.
    1. Sallis JF, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med. 1998;15:379–397. doi: 10.1016/S0749-3797(98)00076-2.
    1. Active Living Research. Introduction to the Active Living Research Reference List January - July 2008. 2009.
    1. Active Living Research. Introduction to the Active Living Research Reference List Jul. - Dec. 2008. 2009.
    1. Wendel-Vos W, Droomers M, Kremers S, Brug J, Van Lenthe F. Potential environmental determinants of physical activity in adults: A systematic review. Obes Rev. 2007;8:425–440. doi: 10.1111/j.1467-789X.2007.00370.x.
    1. Ferreira I, van der HK, Wendel-Vos W, Kremers S, van Lenthe FJ, Brug J. Environmental correlates of physical activity in youth - a review and update. Obes Rev. 2007;8:129–154. doi: 10.1111/j.1467-789X.2006.00264.x.
    1. Foster C, Hillsdon M, Jones A, Grundy C, Wilkinson P, White M, Sheehan B, Wareham N, Thorogood M. Objective Measures of the Environment and Physical Activity - Results of the Environment and Physical Activity Study in English adults. J Phys Activ Health. 2009;6
    1. Humpel N, Owen N, Leslie E. Environmental factors associated with adults' participation in physical activity: a review. Am J Prev Med. 2002;22:188–199. doi: 10.1016/S0749-3797(01)00426-3.
    1. Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med. 2002;54:1793–1812. doi: 10.1016/S0277-9536(01)00150-2.
    1. Emery J, Crump C, Bors P. Reliability and validity of two instruments designed to assess the walking and bicycling suitability of sidewalks and roads. Am J Health Promot. 2003;18:38–46.
    1. Kirtland KA, Porter DE, Addy CL, Neet MJ, Williams JE, Sharpe PA, Neff LJ, Kimsey CD Jr, Ainsworth BE. Environmental measures of physical activity supports: perception versus reality. Am J Prev Med. 2003;24:323–331. doi: 10.1016/S0749-3797(03)00021-7.
    1. Saelens BE, Sallis JF, Black JB, Chen D. Neighborhood-based differences in physical activity: an environment scale evaluation. Am J Public Health. 2003;93:1552–1558. doi: 10.2105/AJPH.93.9.1552.
    1. Meusel D, Ruiz JR, Ortega FB, Hägströmer M, Bergman P, Sjöström M. Assessing Levels of Physical Activity in the European Population - the ALPHA project. Selección. 2007;16:9–12.
    1. Spittaels H, Foster C, Oppert JM, Rutter H, Oja P, Sjöström M, De Bourdeaudhuij I. Assessment of environmental correlates of physical activity: development of a European questionnaire. Int J Behav Nutr Phys Act. 2009;6:39. doi: 10.1186/1479-5868-6-39.
    1. European commission. Guidelines for the development and criteria for the adoption of health survey instruments. Luxembourg; 2005.
    1. Smith TW. In: Cross-cultural survey methods. Harkness JA, Van de Vijver FJR, Molder PH, editor. NJ: Wiley; 2003. Developing comparable questions in cross-national surveys.
    1. Cochrane T, Davey RC, Gidlow C, Smith GR, Fairburn J, Armitage CJ, Stephansen H, Speight S. Small area and individual level predictors of physical activity in urban communities: a multi-level study in Stoke on Trent, England. Int J Environ Res Public Health. 2009;6:654–677. doi: 10.3390/ijerph6020654.
    1. Rzewnicki R, Vanden Auweele Y, De Bourdeaudhuij I. Addressing overreporting on the International Physical Activity Questionnaire (IPAQ) telephone survey with a population sample. Public Health Nutr. 2003;6:299–305. doi: 10.1079/PHN2002427.
    1. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB.
    1. Tyron WW, Williams R. Fully proportional actigraphy: a new instrument. Behav Res Meth Instrum Comput. 1996;28:392–403.
    1. Freedson PS, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30:777–781. doi: 10.1097/00005768-199805000-00021.
    1. Nunnally J, Bernstein I. Psychometric Theory. New York: McGraw-Hill; 1994.
    1. Portney L, White M. Foundations of clinical research. Applications to practice. New Yersey: Pearson Education Inc; 2009.
    1. Fleiss J. Statistical methods for rates and proportions. New York: Wiley; 1981.
    1. Titze S, Stronegger WJ, Janschitz S, Oja P. Association of built-environment, social-environment and personal factors with bicycling as a mode of transportation among Austrian city dwellers. Prev Med. 2008;47:252–259. doi: 10.1016/j.ypmed.2008.02.019.
    1. Brownson RC, Chang JJ, Eyler AA, Ainsworth BE, Kirtland KA, Saelens BE, Sallis JF. Measuring the environment for friendliness toward physical activity: a comparison of the reliability of 3 questionnaires. Am J Public Health. 2004;94:473–483. doi: 10.2105/AJPH.94.3.473.
    1. Alexander A, Bergman P, Hägströmer M, Sjöström M. IPAQ environmental module; reliability testing. J Public Health. 2006;14:76–80. doi: 10.1007/s10389-005-0016-2.
    1. Evenson KR, Eyler AA, Wilcox S, Thompson JL, Burke JE. Test-retest reliability of a questionnaire on physical activity and its correlates among women from diverse racial and ethnic groups. Am J Prev Med. 2003;25:15–22. doi: 10.1016/S0749-3797(03)00160-0.
    1. Chen DD. The science of smart growth. Sci Am. 2000;283:84–91. doi: 10.1038/scientificamerican1200-84.
    1. Handy SL, Boarnet MG, Ewing R, Killingsworth RE. How the built environment affects physical activity: views from urban planning. Am J Prev Med. 2002;23:64–73. doi: 10.1016/S0749-3797(02)00475-0.
    1. De Bourdeaudhuij I, Teixeira PJ, Cardon G, Deforche B. Environmental and psychosocial correlates of physical activity in Portuguese and Belgian adults. Public Health Nutr. 2005;8:886–895. doi: 10.1079/PHN2004673.
    1. Owen N, Humpel N, Leslie E, Bauman A, Sallis JF. Understanding environmental influences on walking; Review and research agenda. Am J Prev Med. 2004;27:67–76. doi: 10.1016/j.amepre.2004.03.006.
    1. Prins RG, Oenema A, van der HK, Brug J. Objective and perceived availability of physical activity opportunities: differences in associations with physical activity behavior among urban adolescents. Int J Behav Nutr Phys Act. 2009;6:70. doi: 10.1186/1479-5868-6-70.
    1. Lackey KJ, Kaczynski AT. Correspondence of perceived vs. objective proximity to parks and their relationship to park-based physical activity. Int J Behav Nutr Phys Act. 2009;6:53. doi: 10.1186/1479-5868-6-53.
    1. McGinn AP, Evenson KR, Herring AH, Huston SL, Rodriguez DA. Exploring associations between physical activity and perceived and objective measures of the built environment. J Urban Health. 2007;84:162–184. doi: 10.1007/s11524-006-9136-4.
    1. Maddison R, Hoorn SV, Jiang Y, Mhurchu CN, Exeter D, Dorey E, Bullen C, Utter J, Schaaf D, Turley M. The environment and physical activity: The influence of psychosocial, perceived and built environmental factors. Int J Behav Nutr Phys Act. 2009;6:19. doi: 10.1186/1479-5868-6-19.
    1. Lin L, Moudon AV. Objective versus subjective measures of the built environment, which are most effective in capturing associations with walking? Health Place. 2010;16:339–348. doi: 10.1016/j.healthplace.2009.11.002.
    1. Moudon AV, Lee C, Cheadle AD, Garvin C, Johnson D, Schmid TL, Weathers RD, Lin L. Operational definitions of walkable neighborhood: theoretical and empirical insights. J Phys Act Health. 2006;3:S99–S117.

Source: PubMed

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