Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness
Abstract Introduction Engaging in physical activity is essential for a healthy pregnancy. A reliable tool is necessary to enhance the assessment and counseling of safe physical activity. This study aimed to translate the original English Get Active Questionnaire for Pregnancy (GAQ-P) and its compani...
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BMC
2025-03-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-025-07381-x |
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| author | Fangping Xu Hua Tao Zachary J. Weston Liping Sun Lingyan Lu Xiaojiao Wang Chunyi Gu |
| author_facet | Fangping Xu Hua Tao Zachary J. Weston Liping Sun Lingyan Lu Xiaojiao Wang Chunyi Gu |
| author_sort | Fangping Xu |
| collection | DOAJ |
| description | Abstract Introduction Engaging in physical activity is essential for a healthy pregnancy. A reliable tool is necessary to enhance the assessment and counseling of safe physical activity. This study aimed to translate the original English Get Active Questionnaire for Pregnancy (GAQ-P) and its companion Health Care Provider Consultation Form for Prenatal Physical Activity (cHCP-CF-PPA) into simplified Chinese language and evaluate the psychometric properties in Chinese pregnant women. Methods The Brislin’s model of translation was employed to translate the GAQ-P/cHCP-CF-PPA tool. We conducted a cross-sectional study at a tertiary women’s hospital in Shanghai, China, enrolling a convenience sample of 325 pregnant women across all trimesters to evaluate the psychometric properties of the GAQ-P/cHCP-CF-PPA. Reliability was assessed through test-retest reliability and inter-rater reliability, while validity was examined using content validity, known-groups validity, and criterion validity. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated using PARmed-X for Pregnancy as the gold standard. Results Regarding content validity, the GAQ-P had an average S-CVI/UA of 0.81 (I-CVIs: 0.83-1.0), while the cHCP-CF-PPA exhibited an average S-CVI/UA of 0.87 (I-CVIs: 0.83-1.0). The GAQ-P/cHCP-CF-PPA scores effectively distinguished women recommended for physical activity from those with contraindications. The Spearman’s correlations between the GAQ-P/cHCP-CF-PPA and the PARmed-X for Pregnancy were 0.851 for absolute contraindications and 0.847 for relative contraindications. The test-retest reliability score was 0.759 for physical activity contraindications, and 0.953 for inter-rater reliability. The sensitivity of the GAQ-P/cHCP-CF-PPA was determined to be 90.00%, with a specificity of 98.31%. The positive predictive value was 78.26%, while the negative predictive value reached 99.32%. Conclusion The Chinese version of the GAQ-P/cHCP-CF-PPA is a reliable and valid tool for assessing physical activity readiness in pregnant women. |
| format | Article |
| id | doaj-art-9c514d7c5ef84d46ae70d7f159a4f3f2 |
| institution | OA Journals |
| issn | 1471-2393 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
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| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-9c514d7c5ef84d46ae70d7f159a4f3f22025-08-20T02:10:19ZengBMCBMC Pregnancy and Childbirth1471-23932025-03-012511910.1186/s12884-025-07381-xPsychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readinessFangping Xu0Hua Tao1Zachary J. Weston2Liping Sun3Lingyan Lu4Xiaojiao Wang5Chunyi Gu6Department of Nursing, Obstetrics and Gynecology Hospital of Fudan UniversityDepartment of Nursing, Obstetrics and Gynecology Hospital of Fudan UniversityCanadian Society for Exercise Physiology (CSEP)Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan UniversityDepartment of Obstetrics, Obstetrics and Gynecology Hospital of Fudan UniversityDepartment of Nursing, Obstetrics and Gynecology Hospital of Fudan UniversityDepartment of Nursing, Obstetrics and Gynecology Hospital of Fudan UniversityAbstract Introduction Engaging in physical activity is essential for a healthy pregnancy. A reliable tool is necessary to enhance the assessment and counseling of safe physical activity. This study aimed to translate the original English Get Active Questionnaire for Pregnancy (GAQ-P) and its companion Health Care Provider Consultation Form for Prenatal Physical Activity (cHCP-CF-PPA) into simplified Chinese language and evaluate the psychometric properties in Chinese pregnant women. Methods The Brislin’s model of translation was employed to translate the GAQ-P/cHCP-CF-PPA tool. We conducted a cross-sectional study at a tertiary women’s hospital in Shanghai, China, enrolling a convenience sample of 325 pregnant women across all trimesters to evaluate the psychometric properties of the GAQ-P/cHCP-CF-PPA. Reliability was assessed through test-retest reliability and inter-rater reliability, while validity was examined using content validity, known-groups validity, and criterion validity. Sensitivity, specificity, positive predictive value, and negative predictive value were calculated using PARmed-X for Pregnancy as the gold standard. Results Regarding content validity, the GAQ-P had an average S-CVI/UA of 0.81 (I-CVIs: 0.83-1.0), while the cHCP-CF-PPA exhibited an average S-CVI/UA of 0.87 (I-CVIs: 0.83-1.0). The GAQ-P/cHCP-CF-PPA scores effectively distinguished women recommended for physical activity from those with contraindications. The Spearman’s correlations between the GAQ-P/cHCP-CF-PPA and the PARmed-X for Pregnancy were 0.851 for absolute contraindications and 0.847 for relative contraindications. The test-retest reliability score was 0.759 for physical activity contraindications, and 0.953 for inter-rater reliability. The sensitivity of the GAQ-P/cHCP-CF-PPA was determined to be 90.00%, with a specificity of 98.31%. The positive predictive value was 78.26%, while the negative predictive value reached 99.32%. Conclusion The Chinese version of the GAQ-P/cHCP-CF-PPA is a reliable and valid tool for assessing physical activity readiness in pregnant women.https://doi.org/10.1186/s12884-025-07381-xPhysical activityContraindicationPsychometricQuestionnairePregnant women |
| spellingShingle | Fangping Xu Hua Tao Zachary J. Weston Liping Sun Lingyan Lu Xiaojiao Wang Chunyi Gu Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness BMC Pregnancy and Childbirth Physical activity Contraindication Psychometric Questionnaire Pregnant women |
| title | Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness |
| title_full | Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness |
| title_fullStr | Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness |
| title_full_unstemmed | Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness |
| title_short | Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness |
| title_sort | psychometric properties of the chinese version of the get active questionnaire for pregnancy and its companion form to assess physical activity readiness |
| topic | Physical activity Contraindication Psychometric Questionnaire Pregnant women |
| url | https://doi.org/10.1186/s12884-025-07381-x |
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