Assessing physical activity in people with mental illness: 23-country reliability and validity of the simple physical activity questionnaire (SIMPAQ)

S. Rosenbaum*, R. Morell, A. Abdel-Baki, M. Ahmadpanah, T. V. Anilkumar, L. Baie, A. Bauman, S. Bender, J. Boyan Han, S. Brand, S. Bratland-Sanda, J. Bueno-Antequera, A. Camaz Deslandes, L. Carneiro, A. Carraro, C. P. Castañeda, F. Castro Monteiro, J. Chapman, J. Y. Chau, L. J. ChenB. Chvatalova, L. Chwastiak, G. Corretti, M. Dillon, C. Douglas, S. T. Egger, F. Gaughran, M. Gerber, E. Gobbi, K. Gould, M. Hatzinger, E. Holsboer-Trachsler, Z. Hoodbhoy, C. Imboden, P. S. Indu, R. Iqbal, F. R. Jesus-Moraleida, S. Kondo, P. W. Ku, O. Lederman, E. H. M. Lee, B. Malchow, E. Matthews, P. Mazur, A. Meneghelli, A. Mian, B. Morseth, D. Munguia-Izquierdo, L. Nyboe, B. O'Donoghue, A. Perram, J. Richards, A. J. Romain, M. Romaniuk, D. Sadeghi Bahmani, M. Sarno, F. Schuch, N. Schweinfurth, B. Stubbs, R. Uwakwe, T. Van Damme, E. Van Der Stouwe, D. Vancampfort, S. Vetter, A. Waterreus, P. B. Ward

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    41 Citations (Scopus)
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    Abstract

    Background: Physical inactivity is a key contributor to the global burden of disease and disproportionately impacts the wellbeing of people experiencing mental illness. Increases in physical activity are associated with improvements in symptoms of mental illness and reduction in cardiometabolic risk. Reliable and valid clinical tools that assess physical activity would improve evaluation of intervention studies that aim to increase physical activity and reduce sedentary behaviour in people living with mental illness. Methods: The five-item Simple Physical Activity Questionnaire (SIMPAQ) was developed by a multidisciplinary, international working group as a clinical tool to assess physical activity and sedentary behaviour in people living with mental illness. Patients with a DSM or ICD mental illness diagnoses were recruited and completed the SIMPAQ on two occasions, one week apart. Participants wore an Actigraph accelerometer and completed brief cognitive and clinical assessments. Results: Evidence of SIMPAQ validity was assessed against accelerometer-derived measures of physical activity. Data were obtained from 1010 participants. The SIMPAQ had good test-retest reliability. Correlations for moderate-vigorous physical activity was comparable to studies conducted in general population samples. Evidence of validity for the sedentary behaviour item was poor. An alternative method to calculate sedentary behaviour had stronger evidence of validity. This alternative method is recommended for use in future studies employing the SIMPAQ. Conclusions: The SIMPAQ is a brief measure of physical activity and sedentary behaviour that can be reliably and validly administered by health professionals.

    Original languageEnglish
    Article number108
    Pages (from-to)1-12
    Number of pages12
    JournalBMC Psychiatry
    Volume20
    Issue number1
    DOIs
    Publication statusPublished - 6 Mar 2020

    Bibliographical note

    Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

    Keywords

    • Assessment
    • Exercise
    • Measurement
    • Mental illness
    • Physical activity
    • Sedentary behaviour

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