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Assessing Physical Activity in People with Mental Illness: 23-Country Reliability and Validity of the Simple Physical Activity Questionnaire (SIMPAQ)

34 Pages Posted: 28 May 2019

See all articles by Simon Rosenbaum

Simon Rosenbaum

University of New South Wales (UNSW)

Rachel Morell

affiliation not provided to SSRN

Amal Abdel-Baki

affiliation not provided to SSRN

Mohammad Ahamadpanah

affiliation not provided to SSRN

Thekkethayyil V Anilkumar

affiliation not provided to SSRN

Lara Baie

affiliation not provided to SSRN

Adrian Bauman

affiliation not provided to SSRN

Stefan Bender

affiliation not provided to SSRN

Justin Boyan Han

affiliation not provided to SSRN

Serge Brand

affiliation not provided to SSRN

Solfrid Bratland-Sanda

affiliation not provided to SSRN

Javier Bueno-Antequera

affiliation not provided to SSRN

Andrea Camaz Deslandes

affiliation not provided to SSRN

Lara Carneiro

affiliation not provided to SSRN

Attilio Carraro

affiliation not provided to SSRN

Carmen Castañeda

affiliation not provided to SSRN

Fernanda Castro Monteiro

affiliation not provided to SSRN

Justin Chapman

affiliation not provided to SSRN

Josephine Y Chau

affiliation not provided to SSRN

Li J Chen

affiliation not provided to SSRN

Barbora Chvatalova

affiliation not provided to SSRN

Lydia Chwastiak

affiliation not provided to SSRN

Giorgio Corretti

affiliation not provided to SSRN

Maurice Dillon

affiliation not provided to SSRN

Christie Douglas

affiliation not provided to SSRN

Stephan Egger

affiliation not provided to SSRN

Fiona Gaughran

affiliation not provided to SSRN

Markus Gerber

affiliation not provided to SSRN

Erica Gobbi

affiliation not provided to SSRN

Kirrily Gould

affiliation not provided to SSRN

Martin Hatzinger

affiliation not provided to SSRN

Edith Holsboer-Trachsler

affiliation not provided to SSRN

Zahra Hoodbhoy

affiliation not provided to SSRN

Christian Imboden

affiliation not provided to SSRN

Pillaveetil S Indu

affiliation not provided to SSRN

Romaina Iqbal

affiliation not provided to SSRN

Fabianna Jesus-Moraleida

affiliation not provided to SSRN

Shinsuke Kondo

affiliation not provided to SSRN

Po W Ku

affiliation not provided to SSRN

Oscar Lederman

affiliation not provided to SSRN

Edwin H Lee

affiliation not provided to SSRN

Berend Malchow

affiliation not provided to SSRN

Evan Matthews

affiliation not provided to SSRN

Peter Mazur

affiliation not provided to SSRN

Anna Meneghelli

affiliation not provided to SSRN

Ayesha Mian

affiliation not provided to SSRN

Bente Morseth

affiliation not provided to SSRN

Diego Munguia-Izquierdo

affiliation not provided to SSRN

Lene Nyboe

affiliation not provided to SSRN

Brian O'Donoghue

affiliation not provided to SSRN

Amy Perram

affiliation not provided to SSRN

Justin Richards

affiliation not provided to SSRN

Ahmed J Romain

affiliation not provided to SSRN

Madeline Romaniuk

affiliation not provided to SSRN

Dena Sadeghi-Bahmani

affiliation not provided to SSRN

Mariella Sarno

affiliation not provided to SSRN

Felipe Schuch

affiliation not provided to SSRN

Nina Schweinfurth

affiliation not provided to SSRN

Brendon Stubbs

affiliation not provided to SSRN

Richard Uwakwe

affiliation not provided to SSRN

Tine van Damme

affiliation not provided to SSRN

Elisabeth C. van der Stouwe

affiliation not provided to SSRN

Davy Vancampfort

affiliation not provided to SSRN

Stefan Vetter

affiliation not provided to SSRN

Anna Waterreus

affiliation not provided to SSRN

Philip B. Ward

affiliation not provided to SSRN

More...

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. Investigators from 43 centres in 23 countries collected reliability and validity data on the SIMPAQ from patients with DSM or ICD mental illness diagnoses. Test-retest repeatability was assessed one-week apart. Criterion SIMPAQ validity was assessed against accelerometer-derived measures of physical activity.

Findings: Data were obtained from 1,010 participants. The SIMPAQ had good test-retest reliability (Spearman rho approximately 0.70). Criterion validity for moderate-vigorous physical activity was comparable to studies conducted in general population samples. Criterion validity of the sedentary behaviour item was poor. An alternative method to calculate sedentary behaviour had greater criterion validity. This alternative method is recommended for use in future studies employing the SIMPAQ.

Interpretation: The SIMPAQ is a brief measure of physical activity and sedentary behaviour that can be reliably and validly administered by health professionals.

Funding Statement: SR is funded by an NHMRC Early Career Fellowship (APP1123336). BS is supported by Health Education England and the National Institute for Health Research HEE/ NIHR ICA Programme Clinical Lectureship (ICA-CL-2017-03-001). FG and BS are part supported by the Maudsley Charity and the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London (NIHR CLAHRC South London) at King’s College Hospital NHS Foundation Trust with support from the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care. JBA was supported by the Spanish Ministry of Education (FPU13/05130).

Declaration of Interests: We confirm that authors have no competing interests.

Ethics Approval Statement: Approval was obtained from the Human Research Ethics Committee (HREC) of UNSW Sydney, Australia (HC15586) as the lead site. Details of individual site ethics approvals from participating sites are listed in Supplementary material.

Keywords: physical activity, exercise, mental illness, measurement, validity

Suggested Citation

Rosenbaum, Simon and Morell, Rachel and Abdel-Baki, Amal and Ahamadpanah, Mohammad and Anilkumar, Thekkethayyil V and Baie, Lara and Bauman, Adrian and Bender, Stefan and Han, Justin Boyan and Brand, Serge and Bratland-Sanda, Solfrid and Bueno-Antequera, Javier and Camaz Deslandes, Andrea and Carneiro, Lara and Carraro, Attilio and Castañeda, Carmen and Castro Monteiro, Fernanda and Chapman, Justin and Chau, Josephine Y and Chen, Li J and Chvatalova, Barbora and Chwastiak, Lydia and Corretti, Giorgio and Dillon, Maurice and Douglas, Christie and Egger, Stephan and Gaughran, Fiona and Gerber, Markus and Gobbi, Erica and Gould, Kirrily and Hatzinger, Martin and Holsboer-Trachsler, Edith and Hoodbhoy, Zahra and Imboden, Christian and Indu, Pillaveetil S and Iqbal, Romaina and Jesus-Moraleida, Fabianna and Kondo, Shinsuke and Ku, Po W and Lederman, Oscar and Lee, Edwin H and Malchow, Berend and Matthews, Evan and Mazur, Peter and Meneghelli, Anna and Mian, Ayesha and Morseth, Bente and Munguia-Izquierdo, Diego and Nyboe, Lene and O'Donoghue, Brian and Perram, Amy and Richards, Justin and Romain, Ahmed J and Romaniuk, Madeline and Sadeghi-Bahmani, Dena and Sarno, Mariella and Schuch, Felipe and Schweinfurth, Nina and Stubbs, Brendon and Uwakwe, Richard and van Damme, Tine and van der Stouwe, Elisabeth C. and Vancampfort, Davy and Vetter, Stefan and Waterreus, Anna and Ward, Philip B., Assessing Physical Activity in People with Mental Illness: 23-Country Reliability and Validity of the Simple Physical Activity Questionnaire (SIMPAQ) (May 20, 2019). Available at SSRN: https://ssrn.com/abstract=3391379

Simon Rosenbaum (Contact Author)

University of New South Wales (UNSW) ( email )

Kensington
High St
Sydney, NSW 2052
Australia

Rachel Morell

affiliation not provided to SSRN

Amal Abdel-Baki

affiliation not provided to SSRN

Mohammad Ahamadpanah

affiliation not provided to SSRN

Thekkethayyil V Anilkumar

affiliation not provided to SSRN

Lara Baie

affiliation not provided to SSRN

Adrian Bauman

affiliation not provided to SSRN

Stefan Bender

affiliation not provided to SSRN

Justin Boyan Han

affiliation not provided to SSRN

Serge Brand

affiliation not provided to SSRN

Solfrid Bratland-Sanda

affiliation not provided to SSRN

Javier Bueno-Antequera

affiliation not provided to SSRN

Andrea Camaz Deslandes

affiliation not provided to SSRN

Lara Carneiro

affiliation not provided to SSRN

Attilio Carraro

affiliation not provided to SSRN

Carmen Castañeda

affiliation not provided to SSRN

Fernanda Castro Monteiro

affiliation not provided to SSRN

Justin Chapman

affiliation not provided to SSRN

Josephine Y Chau

affiliation not provided to SSRN

Li J Chen

affiliation not provided to SSRN

Barbora Chvatalova

affiliation not provided to SSRN

Lydia Chwastiak

affiliation not provided to SSRN

Giorgio Corretti

affiliation not provided to SSRN

Maurice Dillon

affiliation not provided to SSRN

Christie Douglas

affiliation not provided to SSRN

Stephan Egger

affiliation not provided to SSRN

Fiona Gaughran

affiliation not provided to SSRN

Markus Gerber

affiliation not provided to SSRN

Erica Gobbi

affiliation not provided to SSRN

Kirrily Gould

affiliation not provided to SSRN

Martin Hatzinger

affiliation not provided to SSRN

Edith Holsboer-Trachsler

affiliation not provided to SSRN

Zahra Hoodbhoy

affiliation not provided to SSRN

Christian Imboden

affiliation not provided to SSRN

Pillaveetil S Indu

affiliation not provided to SSRN

Romaina Iqbal

affiliation not provided to SSRN

Fabianna Jesus-Moraleida

affiliation not provided to SSRN

Shinsuke Kondo

affiliation not provided to SSRN

Po W Ku

affiliation not provided to SSRN

Oscar Lederman

affiliation not provided to SSRN

Edwin H Lee

affiliation not provided to SSRN

Berend Malchow

affiliation not provided to SSRN

Evan Matthews

affiliation not provided to SSRN

Peter Mazur

affiliation not provided to SSRN

Anna Meneghelli

affiliation not provided to SSRN

Ayesha Mian

affiliation not provided to SSRN

Bente Morseth

affiliation not provided to SSRN

Diego Munguia-Izquierdo

affiliation not provided to SSRN

Lene Nyboe

affiliation not provided to SSRN

Brian O'Donoghue

affiliation not provided to SSRN

Amy Perram

affiliation not provided to SSRN

Justin Richards

affiliation not provided to SSRN

Ahmed J Romain

affiliation not provided to SSRN

Madeline Romaniuk

affiliation not provided to SSRN

Dena Sadeghi-Bahmani

affiliation not provided to SSRN

Mariella Sarno

affiliation not provided to SSRN

Felipe Schuch

affiliation not provided to SSRN

Nina Schweinfurth

affiliation not provided to SSRN

Brendon Stubbs

affiliation not provided to SSRN

Richard Uwakwe

affiliation not provided to SSRN

Tine Van Damme

affiliation not provided to SSRN

Elisabeth C. Van der Stouwe

affiliation not provided to SSRN

Davy Vancampfort

affiliation not provided to SSRN

Stefan Vetter

affiliation not provided to SSRN

Anna Waterreus

affiliation not provided to SSRN

Philip B. Ward

affiliation not provided to SSRN

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