Construct Validity and Responsiveness of the Rapid Assessment of Physical Activity in Adults Living With HIV

doi:10.1016/j.arrct.2021.100164

. 2021 Oct 24;3(4):100164.

doi: 10.1016/j.arrct.2021.100164. eCollection 2021 Dec.

Construct Validity and Responsiveness of the Rapid Assessment of Physical Activity in Adults Living With HIV

Kenneth S Noguchi¹, Kelly K O'Brien^{2

3

4}, Rachel L Aubry², Soo Chan Carusone^{5

6}, Lisa Avery^{7

8}, Patricia Solomon¹, Ivan Ilic⁹, Zoran Pandovski⁹, Mehdi Zobeiry⁹, Ada Tang¹

Affiliations

¹ School of Rehabilitation Science, McMaster University, Hamilton, Ontario.
² Department of Physical Therapy, University of Toronto, Toronto, Ontario.
³ Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario.
⁴ Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario.
⁵ Casey House, Toronto, Ontario.
⁶ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario.
⁷ University Health Network, Toronto, Ontario.
⁸ Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario.
⁹ Toronto Central Grosvenor Street YMCA, Toronto, Ontario, Canada.

PMID: 34977546
PMCID: PMC8683868
DOI: 10.1016/j.arrct.2021.100164

Construct Validity and Responsiveness of the Rapid Assessment of Physical Activity in Adults Living With HIV

Kenneth S Noguchi et al. Arch Rehabil Res Clin Transl. 2021.

. 2021 Oct 24;3(4):100164.

doi: 10.1016/j.arrct.2021.100164. eCollection 2021 Dec.

Authors

Kenneth S Noguchi¹, Kelly K O'Brien^{2

3

4}, Rachel L Aubry², Soo Chan Carusone^{5

6}, Lisa Avery^{7

8}, Patricia Solomon¹, Ivan Ilic⁹, Zoran Pandovski⁹, Mehdi Zobeiry⁹, Ada Tang¹

Affiliations

¹ School of Rehabilitation Science, McMaster University, Hamilton, Ontario.
² Department of Physical Therapy, University of Toronto, Toronto, Ontario.
³ Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario.
⁴ Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario.
⁵ Casey House, Toronto, Ontario.
⁶ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario.
⁷ University Health Network, Toronto, Ontario.
⁸ Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario.
⁹ Toronto Central Grosvenor Street YMCA, Toronto, Ontario, Canada.

PMID: 34977546
PMCID: PMC8683868
DOI: 10.1016/j.arrct.2021.100164

Abstract

Objective: To evaluate the construct validity and responsiveness of the Rapid Assessment of Physical Activity (RAPA) for measuring physical activity (PA) in adults living with HIV.

Design: Secondary analysis of an interrupted time-series intervention study.

Setting: Community-based fitness facility in Toronto, Canada.

Participants: Sixty-seven adults (N=67) living with HIV (n=5 women; mean age, 51.8±11.6 years) with available baseline data to assess for construct validity of the RAPA, of which 50 (n=4 women; age, 53.2±11.4 years) had follow-up data to evaluate responsiveness.

Interventions: Two months of a community-based exercise intervention involving thrice weekly multicomponent exercises.

Main outcome measures: We used a single-item PA questionnaire as a convergent outcome to the RAPA, while peak oxygen consumption, general health status, and number of concurrent health conditions were divergent outcomes. We tested 11 a priori hypotheses (6 construct validity, 5 responsiveness) using Spearman ρ, Wilcoxon signed-rank tests, Cohen's d, standardized effect size (SES), and standardized response mean (SRM). We considered acceptable construct validity and responsiveness if >75% of hypotheses were confirmed.

Results: All of the hypotheses (100%) for construct validity were confirmed. The RAPA demonstrated moderate correlations with the single-item PA questionnaire (ρ=0.61), and negligible correlations with divergent outcome measures (ρ=0.08-0.21). Two of the 5 hypotheses (40.0%) for responsiveness were confirmed. RAPA scores were significantly greater after 2 months of training (P<.001) and demonstrated a small to moderate effect size (d=0.50, SES=0.47, SRM=0.48). There was a low correlation between change in RAPA scores and change in single-item PA questionnaire scores (ρ=0.48).

Conclusions: The RAPA demonstrated acceptable construct validity and poor responsiveness in adults living with HIV. Therefore, the RAPA can be used cross-sectionally but may be used in conjunction with other measures of PA for adults living with HIV.

Keywords: CBE, community-based exercise; Exercise; HIV; PA, physical activity; Psychometrics; RAPA, Rapid Assessment of Physical Activity; Rehabilitation.

PubMed Disclaimer

Figures

See this image and copyright information in PMC

Cited by

Cross-cultural adaptation and validation of the rapid assessment of physical activity questionnaire (RAPA) in Hungarian elderly over 50 years.
Miszory EV, Makai A, Pakai A, Járomi M. Miszory EV, et al. BMC Sports Sci Med Rehabil. 2022 Jul 16;14(1):131. doi: 10.1186/s13102-022-00512-3. BMC Sports Sci Med Rehabil. 2022. PMID: 35842730 Free PMC article.
Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study.
O'Brien KK, Ibáñez-Carrasco F, Carusone SC, Bayoumi AM, Tang A, McDuff K, Jiancaro T, Da Silva G, Torres B, Loutfy MR, Islam S, Lindsay J, Price C, Zobeiry M, Pandovski Z, Illic I, Ahluwalia P, Brown DA, Avery L, Solomon P. O'Brien KK, et al. BMJ Open. 2023 Mar 30;13(3):e067703. doi: 10.1136/bmjopen-2022-067703. BMJ Open. 2023. PMID: 36997255 Free PMC article.
Wireless physical activity monitor use among adults living with HIV in a community-based exercise intervention study: a quantitative, longitudinal, observational study.
Turner JR, Chow J, Cheng J, Hassanali F, Sevigny H, Sperduti M, Chan Carusone S, Dagenais M, O'Brien KK. Turner JR, et al. BMJ Open. 2023 Apr 5;13(4):e068754. doi: 10.1136/bmjopen-2022-068754. BMJ Open. 2023. PMID: 37019491 Free PMC article.

References

1. Frank TD, Carter A, Jahagirdar D, et al. Global, regional, and national incidence, prevalence, and mortality of HIV, 1980–2017, and forecasts to 2030, for 195 countries and territories: a systematic analysis for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. Lancet HIV. 2019;6:e831–e859. - PMC - PubMed
1. Gebo KA, Fleishman JA, Conviser R, et al. Contemporary costs of HIV healthcare in the HAART era. AIDS. 2010;24:2705–2715. - PMC - PubMed
1. Teeraananchai S, Kerr S, Amin J, Ruxrungtham K, Law M. Life expectancy of HIV-positive people after starting combination antiretroviral therapy: a meta-analysis. HIV Med. 2017;18:256–266. - PubMed
1. Triant VA, Lee H, Hadigan C, Grinspoon SK. Increased acute myocardial infarction rates and cardiovascular risk factors among patients with human immunodeficiency virus disease. The J Clin Endocrinol Metab. 2007;92:2506–2512. - PMC - PubMed
1. Goulet JL, Fultz SL, Rimland D, et al. Do patterns of comorbidity vary by HIV status, age, and HIV severity? Clin Infect Dis. 2007;45:1593–1601. - PMC - PubMed

LinkOut - more resources

Full Text Sources

[1] Frank TD, Carter A, Jahagirdar D, et al. Global, regional, and national incidence, prevalence, and mortality of HIV, 1980–2017, and forecasts to 2030, for 195 countries and territories: a systematic analysis for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. Lancet HIV. 2019;6:e831–e859. - PMC - PubMed

[2] Frank TD, Carter A, Jahagirdar D, et al. Global, regional, and national incidence, prevalence, and mortality of HIV, 1980–2017, and forecasts to 2030, for 195 countries and territories: a systematic analysis for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. Lancet HIV. 2019;6:e831–e859. - PMC - PubMed

[3] Gebo KA, Fleishman JA, Conviser R, et al. Contemporary costs of HIV healthcare in the HAART era. AIDS. 2010;24:2705–2715. - PMC - PubMed

[4] Gebo KA, Fleishman JA, Conviser R, et al. Contemporary costs of HIV healthcare in the HAART era. AIDS. 2010;24:2705–2715. - PMC - PubMed

[5] Teeraananchai S, Kerr S, Amin J, Ruxrungtham K, Law M. Life expectancy of HIV-positive people after starting combination antiretroviral therapy: a meta-analysis. HIV Med. 2017;18:256–266. - PubMed

[6] Teeraananchai S, Kerr S, Amin J, Ruxrungtham K, Law M. Life expectancy of HIV-positive people after starting combination antiretroviral therapy: a meta-analysis. HIV Med. 2017;18:256–266. - PubMed

[7] Triant VA, Lee H, Hadigan C, Grinspoon SK. Increased acute myocardial infarction rates and cardiovascular risk factors among patients with human immunodeficiency virus disease. The J Clin Endocrinol Metab. 2007;92:2506–2512. - PMC - PubMed

[8] Triant VA, Lee H, Hadigan C, Grinspoon SK. Increased acute myocardial infarction rates and cardiovascular risk factors among patients with human immunodeficiency virus disease. The J Clin Endocrinol Metab. 2007;92:2506–2512. - PMC - PubMed

[9] Goulet JL, Fultz SL, Rimland D, et al. Do patterns of comorbidity vary by HIV status, age, and HIV severity? Clin Infect Dis. 2007;45:1593–1601. - PMC - PubMed

[10] Goulet JL, Fultz SL, Rimland D, et al. Do patterns of comorbidity vary by HIV status, age, and HIV severity? Clin Infect Dis. 2007;45:1593–1601. - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Construct Validity and Responsiveness of the Rapid Assessment of Physical Activity in Adults Living With HIV

Affiliations

Construct Validity and Responsiveness of the Rapid Assessment of Physical Activity in Adults Living With HIV

Authors

Affiliations

Abstract

Figures

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources

Abstract

Figures

Similar articles

Cited by

References

Related information

LinkOut - more resources

Full Text Sources