Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness

Purpose: Past-day recall rather than recall of past week or a usual/typical day may improve the validity of self-reported sedentary time measures. This study examined the test–retest reliability, criterion validity, and responsiveness of the seven-item questionnaire, Past-day Adults’ Sedentary Time...

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Main Authors: Clark, B., Winkler, E., Healy, Genevieve, Gardiner, P., Dunstan, D., Owen, N., Reeves, M.
Format: Journal Article
Published: 2013
Online Access:http://hdl.handle.net/20.500.11937/14319
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author Clark, B.
Winkler, E.
Healy, Genevieve
Gardiner, P.
Dunstan, D.
Owen, N.
Reeves, M.
author_facet Clark, B.
Winkler, E.
Healy, Genevieve
Gardiner, P.
Dunstan, D.
Owen, N.
Reeves, M.
author_sort Clark, B.
building Curtin Institutional Repository
collection Online Access
description Purpose: Past-day recall rather than recall of past week or a usual/typical day may improve the validity of self-reported sedentary time measures. This study examined the test–retest reliability, criterion validity, and responsiveness of the seven-item questionnaire, Past-day Adults’ Sedentary Time (PAST). Methods: Participants (breast cancer survivors, n = 90, age = 33–75 yr, body mass index = 25–40 kg·m−2) in a 6-month randomized controlled trial of a lifestyle-based weight loss intervention completed the interviewer-administered PAST questionnaire about time spent sitting/lying on the previous day for work, transport, television viewing, nonwork computer use, reading, hobbies, and other purposes (summed for total sedentary time). The instrument was administered at baseline, 7 d later for test–retest reliability (n = 86), and at follow-up. ActivPAL3-assessed sit/lie time in bouts of ≥5 min during waking hours on the recall day was used as the validity criterion measure at both baseline (n = 72) and follow-up (n = 68). Analyses included intraclass correlation coefficients, Pearson’s correlations (r), and Bland–Altman plots and responsiveness index.Results: The PAST had fair to good test–retest reliability (intraclass correlation coefficient = 0.50, 95% confidence interval [CI] = 0.32–0.64). At baseline, the correlation between PAST and activPAL sit/lie time was r = 0.57 (95% CI = 0.39–0.71). The mean difference between PAST at baseline and retest was −25 min (5.2%), 95% limits of agreement = −5.9 to 5.0 h, and the activPAL sit/lie time was −9 min (1.8%), 95% limits of agreement = −4.9 to 4.6 h. The PAST showed small but significant responsiveness (−0.44, 95% CI = −0.92 to −0.04); responsiveness of activPAL sit/lie time was not significant. Conclusion: The PAST questionnaire provided an easy-to-administer measure of sedentary time in this sample. Validity and reliability findings compare favorably with other sedentary time questionnaires. Past-day recall of sedentary time shows promise for use in future health behavior, epidemiological, and population surveillance studies.
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spelling curtin-20.500.11937-143192017-09-13T14:05:40Z Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness Clark, B. Winkler, E. Healy, Genevieve Gardiner, P. Dunstan, D. Owen, N. Reeves, M. Purpose: Past-day recall rather than recall of past week or a usual/typical day may improve the validity of self-reported sedentary time measures. This study examined the test–retest reliability, criterion validity, and responsiveness of the seven-item questionnaire, Past-day Adults’ Sedentary Time (PAST). Methods: Participants (breast cancer survivors, n = 90, age = 33–75 yr, body mass index = 25–40 kg·m−2) in a 6-month randomized controlled trial of a lifestyle-based weight loss intervention completed the interviewer-administered PAST questionnaire about time spent sitting/lying on the previous day for work, transport, television viewing, nonwork computer use, reading, hobbies, and other purposes (summed for total sedentary time). The instrument was administered at baseline, 7 d later for test–retest reliability (n = 86), and at follow-up. ActivPAL3-assessed sit/lie time in bouts of ≥5 min during waking hours on the recall day was used as the validity criterion measure at both baseline (n = 72) and follow-up (n = 68). Analyses included intraclass correlation coefficients, Pearson’s correlations (r), and Bland–Altman plots and responsiveness index.Results: The PAST had fair to good test–retest reliability (intraclass correlation coefficient = 0.50, 95% confidence interval [CI] = 0.32–0.64). At baseline, the correlation between PAST and activPAL sit/lie time was r = 0.57 (95% CI = 0.39–0.71). The mean difference between PAST at baseline and retest was −25 min (5.2%), 95% limits of agreement = −5.9 to 5.0 h, and the activPAL sit/lie time was −9 min (1.8%), 95% limits of agreement = −4.9 to 4.6 h. The PAST showed small but significant responsiveness (−0.44, 95% CI = −0.92 to −0.04); responsiveness of activPAL sit/lie time was not significant. Conclusion: The PAST questionnaire provided an easy-to-administer measure of sedentary time in this sample. Validity and reliability findings compare favorably with other sedentary time questionnaires. Past-day recall of sedentary time shows promise for use in future health behavior, epidemiological, and population surveillance studies. 2013 Journal Article http://hdl.handle.net/20.500.11937/14319 10.1249/MSS.0b013e3182837f57 unknown
spellingShingle Clark, B.
Winkler, E.
Healy, Genevieve
Gardiner, P.
Dunstan, D.
Owen, N.
Reeves, M.
Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness
title Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness
title_full Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness
title_fullStr Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness
title_full_unstemmed Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness
title_short Adults' past-day recall of sedentary time: Reliability, validity, and responsiveness
title_sort adults' past-day recall of sedentary time: reliability, validity, and responsiveness
url http://hdl.handle.net/20.500.11937/14319