Physical activity barriers in diabetes:: Development and validation of a new scale
Physical activity barriers in diabetes:: Development and validation of a new scale
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DOI：
10.1016/j.diabres.2005.08.008
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发表时间：
2006-04-01
影响因子：
5.1
通讯作者：
Lavoie, C
中科院分区：
文献类型：
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作者：
Dubé, MC;Valois, P;Lavoie, C
开发并验证一份测量糖尿病（1型）或BAPAD1患者身体活动感知障碍的问卷。最初，36名患者填写了一份开放式问卷。对本初步研究中获得的模态可达信念进行分析，并编制了一个由12个项目组成的量表（BAPAD1）。74例1型糖尿病患者填写了BAPADI量表。Cronbach alpha系数为0.85，重测得分之间的相关系数为0.84，均表明障碍量表具有足够的信度。BAPAD1量表除第12项被撤回外，其余各项特征曲线均很好。测试信度曲线表明，BAPADI量表在所有水平的体育活动感知障碍上都具有信息性（值>= 0.82）。此外，在糖尿病相关项目中，低血糖风险表现出特别好的项目特征曲线。综上所述，BAPAD1量表具有良好的心理测量特性，在糖尿病相关项目中，应将低血糖风险视为需要克服的重要目标，以增加体力活动。这种经过验证的新工具应该有助于识别身体活动实践中最突出的障碍，从而允许更有针对性的干预，以克服这些障碍。2005爱思唯尔爱尔兰有限公司版权所有。
To develop and validate a questionnaire measuring perceived Barriers to Physical Activity in Diabetes (type 1) or BAPAD1. Initially, an open-ended questionnaire was filled by 36 patients. The modal accessible beliefs obtained on this pilot study were analysed and a scale composed of 12 items (BAPAD1) was developed and validated. Seventy-four type 1 diabetic patients filled the BAPADI scale. Cronbach alpha coefficient was 0.85 and the correlation between the test-retest scores was 0.84, both indicating adequate reliability of the barriers scale. Each item of BAPAD1 scale displayed very good item characteristic curve except for item 12, which was withdrawn. The test reliability curve indicated that the BAPADI scale is informative (value >= 0.82) at all levels of perceived barriers toward physical activity. Moreover, among diabetic-related items, the risk of hypoglycemia showed a particularly good item characteristic curve. In summary, the BAPAD1 scale presents excellent psychometric proprieties and among diabetic-related items, the risk of hypoglycemia should be considered as a significant target to overcome in order to increase physical activity. This new validated tool should be useful in identifying the most salient barriers toward the practice of physical activity and thus, permit more focused intervention in order to overcome those barriers. (c) 2005 Elsevier Ireland Ltd. All rights reserved.