Skip to main content
placeholder image

Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: the Barriers to Physical Activity After Stroke Scale

Journal Article


Abstract


  • Objective: To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors. Design: Psychometric study. Setting: Ambulatory stroke care.

    Participants: A total of one hundred and forty-six (N=146) individuals were included in this study. In stage 1, community-living stroke survivors (n=37; 13 women) with low-moderate disability (modified Rankin Score 0-3, stroke >3mo) were included. In stage 2, participants (n=109; 40 women) with same characteristics were included. Nine professionals experienced in PA for poststroke patients formed an expert panel.

    Interventions: In stage 1, semistructured interviews identified perceived barriers to PA, which were then selected by the expert panel and grouped on a Barriers to Physical Activity After Stroke (BAPAS) scale. In stage 2, stroke participants completed a personal information questionnaire and the BAPAS scale.

    Main Outcome Measures: An item selection process with factor analysis was carried out. The suitability of the data set was analyzed using the Kaiser-Meyer-Olkin coefficient, internal consistency was evaluated by Cronbach α, and concurrent validity was assessed with Spearman correlation coefficients between the BAPAS scale and the modified Rankin Scale. Test-retest repeatability was estimated using 2-way random effects intraclass correlation coefficient model 2,1 at 4-6 day follow-up (n=21).

    Results: Factor analysis supported a 14-item BAPAS that explained 62% of total variance (Kaiser-Meyer-Olkin=0.82) and total score calculated higher than 70 (higher scores for higher barriers). Cronbach α was 0.86, Spearman correlation with the modified Rankin Scale was r=0.65 (P<.001), and test-retest intraclass correlation coefficient was 0.91 (95% CI, 0.79-0.97). The BAPAS scores were higher in patients with greater disabilities and in those with a longer time since the stroke event (P<.01).

    Conclusion: We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.

Authors


  •   Drigny, Joffrey (external author)
  •   Joussain, Charles (external author)
  •   Gremeaux, Vincent (external author)
  •   Morello, Remy (external author)
  •   Van Truc, Patrick (external author)
  •   Stapley, Paul J.
  •   Touze, Emmanuel (external author)
  •   Ruet, Alexis (external author)

Publication Date


  • 2019

Citation


  • Drigny, J., Joussain, C., Gremeaux, V., Morello, R., Van Truc, P., Stapley, P., Touze, E. & Ruet, A. (2019). Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: the Barriers to Physical Activity After Stroke Scale. Archives of Physical Medicine and Rehabilitation, Online First 1-8.

Scopus Eid


  • 2-s2.0-85062724196

Number Of Pages


  • 7

Start Page


  • 1

End Page


  • 8

Volume


  • Online First

Place Of Publication


  • United States

Abstract


  • Objective: To develop and validate a self-reported questionnaire assessing the barriers to physical activity (PA) among stroke survivors. Design: Psychometric study. Setting: Ambulatory stroke care.

    Participants: A total of one hundred and forty-six (N=146) individuals were included in this study. In stage 1, community-living stroke survivors (n=37; 13 women) with low-moderate disability (modified Rankin Score 0-3, stroke >3mo) were included. In stage 2, participants (n=109; 40 women) with same characteristics were included. Nine professionals experienced in PA for poststroke patients formed an expert panel.

    Interventions: In stage 1, semistructured interviews identified perceived barriers to PA, which were then selected by the expert panel and grouped on a Barriers to Physical Activity After Stroke (BAPAS) scale. In stage 2, stroke participants completed a personal information questionnaire and the BAPAS scale.

    Main Outcome Measures: An item selection process with factor analysis was carried out. The suitability of the data set was analyzed using the Kaiser-Meyer-Olkin coefficient, internal consistency was evaluated by Cronbach α, and concurrent validity was assessed with Spearman correlation coefficients between the BAPAS scale and the modified Rankin Scale. Test-retest repeatability was estimated using 2-way random effects intraclass correlation coefficient model 2,1 at 4-6 day follow-up (n=21).

    Results: Factor analysis supported a 14-item BAPAS that explained 62% of total variance (Kaiser-Meyer-Olkin=0.82) and total score calculated higher than 70 (higher scores for higher barriers). Cronbach α was 0.86, Spearman correlation with the modified Rankin Scale was r=0.65 (P<.001), and test-retest intraclass correlation coefficient was 0.91 (95% CI, 0.79-0.97). The BAPAS scores were higher in patients with greater disabilities and in those with a longer time since the stroke event (P<.01).

    Conclusion: We developed and validated the BAPAS scale to assess barriers to PA in stroke survivors with low-moderate disability with promising psychometric properties.

Authors


  •   Drigny, Joffrey (external author)
  •   Joussain, Charles (external author)
  •   Gremeaux, Vincent (external author)
  •   Morello, Remy (external author)
  •   Van Truc, Patrick (external author)
  •   Stapley, Paul J.
  •   Touze, Emmanuel (external author)
  •   Ruet, Alexis (external author)

Publication Date


  • 2019

Citation


  • Drigny, J., Joussain, C., Gremeaux, V., Morello, R., Van Truc, P., Stapley, P., Touze, E. & Ruet, A. (2019). Development and Validation of a Questionnaire to Assess Barriers to Physical Activity After Stroke: the Barriers to Physical Activity After Stroke Scale. Archives of Physical Medicine and Rehabilitation, Online First 1-8.

Scopus Eid


  • 2-s2.0-85062724196

Number Of Pages


  • 7

Start Page


  • 1

End Page


  • 8

Volume


  • Online First

Place Of Publication


  • United States