Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey points
Background: As physical function and physical activity are often compromised among children and adolescents undergoing acute cancer treatment, psychometrically robust and feasible assessment tools are needed. The aim of this study is to evaluate the construct validity, responsiveness and feasibility...
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Elsevier
2024-12-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772696724000139 |
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| author | Sarah L. Grimshaw Nicholas F. Taylor Rachel Conyers Nora Shields |
| author_facet | Sarah L. Grimshaw Nicholas F. Taylor Rachel Conyers Nora Shields |
| author_sort | Sarah L. Grimshaw |
| collection | DOAJ |
| description | Background: As physical function and physical activity are often compromised among children and adolescents undergoing acute cancer treatment, psychometrically robust and feasible assessment tools are needed. The aim of this study is to evaluate the construct validity, responsiveness and feasibility of one physical activity assessment tool (Fitbit Inspire); and six physical function assessment tools (Movement ABC-2, Timed Up and Go, 30-s Chair Stand, Timed Rise from the Floor, Timed Up and Down Stairs, 6-min Walk Test) for children undergoing acute cancer treatment. Methods: A prospectively-registered, mixed methods, single-group study evaluated measurement properties against a priori hypothesis using Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN) framework. Feasibility was assessed quantitively (a priori thresholds), and qualitatively (semi-structured interviews, focus-groups). Results: Twenty children/adolescents (median age 13 ± 5 years, various cancer diagnoses), 20 parents and 16 clinicians participated. Fitbit was feasible to assess daily steps only, had evidence of construct validity, tendency to overestimate step count and adequate evidence of responsiveness (compared to Actigraph). The 30-s Chair stand, 6-min Walk Test and Timed Up and Go were feasible and showed evidence of construct validity and responsiveness. To maximise feasibility, consideration of timing and intent of assessment are crucial. Conclusion: Fitbit has limitations as a physical activity assessment tool. The 30-s Chair Stand, 6-min Walk Test and Timed Up and Go were feasible to use and showed favourable measurement properties to assess physical function. |
| format | Article |
| id | doaj-art-eb921d262cfe4d7fabc678baf7f134ee |
| institution | OA Journals |
| issn | 2772-6967 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSAMS Plus |
| spelling | doaj-art-eb921d262cfe4d7fabc678baf7f134ee2025-08-20T02:05:29ZengElsevierJSAMS Plus2772-69672024-12-01410006510.1016/j.jsampl.2024.100065Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey pointsSarah L. Grimshaw0Nicholas F. Taylor1Rachel Conyers2Nora Shields3La Trobe University, School of Allied Health, Human Services and Sport, Bundoora, Melbourne, VIC, 3086, Australia; Murdoch Children's Research Institute, Parkville, Melbourne, VIC, 3052, Australia; Children's Cancer Centre, The Royal Children's Hospital, Parkville, Melbourne, VIC, 3052, Australia; Corresponding author. School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, 3086, Australia.La Trobe University, School of Allied Health, Human Services and Sport, Bundoora, Melbourne, VIC, 3086, AustraliaMurdoch Children's Research Institute, Parkville, Melbourne, VIC, 3052, Australia; Department of Paediatrics, University of Melbourne, Carlton, Melbourne, VIC, 3052, Australia; Children's Cancer Centre, The Royal Children's Hospital, Parkville, Melbourne, VIC, 3052, AustraliaMurdoch Children's Research Institute, Parkville, Melbourne, VIC, 3052, Australia; La Trobe University, Olga Tennison Autism Research Centre, School of Psychology and Public Health, Bundoora, VIC, 3086, AustraliaBackground: As physical function and physical activity are often compromised among children and adolescents undergoing acute cancer treatment, psychometrically robust and feasible assessment tools are needed. The aim of this study is to evaluate the construct validity, responsiveness and feasibility of one physical activity assessment tool (Fitbit Inspire); and six physical function assessment tools (Movement ABC-2, Timed Up and Go, 30-s Chair Stand, Timed Rise from the Floor, Timed Up and Down Stairs, 6-min Walk Test) for children undergoing acute cancer treatment. Methods: A prospectively-registered, mixed methods, single-group study evaluated measurement properties against a priori hypothesis using Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN) framework. Feasibility was assessed quantitively (a priori thresholds), and qualitatively (semi-structured interviews, focus-groups). Results: Twenty children/adolescents (median age 13 ± 5 years, various cancer diagnoses), 20 parents and 16 clinicians participated. Fitbit was feasible to assess daily steps only, had evidence of construct validity, tendency to overestimate step count and adequate evidence of responsiveness (compared to Actigraph). The 30-s Chair stand, 6-min Walk Test and Timed Up and Go were feasible and showed evidence of construct validity and responsiveness. To maximise feasibility, consideration of timing and intent of assessment are crucial. Conclusion: Fitbit has limitations as a physical activity assessment tool. The 30-s Chair Stand, 6-min Walk Test and Timed Up and Go were feasible to use and showed favourable measurement properties to assess physical function.http://www.sciencedirect.com/science/article/pii/S2772696724000139CancerChildMeasurement propertiesCOSMINPhysical activityPhysical function |
| spellingShingle | Sarah L. Grimshaw Nicholas F. Taylor Rachel Conyers Nora Shields Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey points JSAMS Plus Cancer Child Measurement properties COSMIN Physical activity Physical function |
| title | Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey points |
| title_full | Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey points |
| title_fullStr | Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey points |
| title_full_unstemmed | Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey points |
| title_short | Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentKey points |
| title_sort | evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatmentkey points |
| topic | Cancer Child Measurement properties COSMIN Physical activity Physical function |
| url | http://www.sciencedirect.com/science/article/pii/S2772696724000139 |
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