Selection, Use and Psychometric Properties of Physical Activity Measures to Assess Individuals with Severe Mental Illness: A Narrative Synthesis
Open accessAbstract
This research provides a critical consideration of the outcome measures used to assess physical activity in individuals with severe mental illness. A narrative synthesis was utilised to provide a simple juxtapose of the current research. A sensitive topic-based search strategy was conducted in order to identify studies that met the eligibility criteria. Fifty two studies met the inclusion criteria and 5 were identified specially as validation studies. The current research identified several methodological shortcomings. The justification and choice of outcome measure used is often weak and only five studies have validated a specific outcome measure of physical activity. Within these validation studies, the validation process often lacked a consideration of agreement between measures. Accelerometers have been most frequently used as a criterion measure, notably the RT3 tri-axial accelerometer. Objective based measures may be best placed to consider physical activity levels, although, methodological considerations for the utilization of such tools is required. Self-report questionnaires have benefits for use in this population but require further validation. Researchers and clinicians need to carefully consider what outcome measure they are using and be aware of the development, scope and purpose of that measure.
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Reliance on self-report may lead to inaccurate estimates of physical activity in people with severe mental illness.
“There have been concerns that reliance on self-report may lead to inaccurate estimates of physical activity in people with severe mental illness 53”
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- Authors
- Soundy, A., Roskell, C., Stubbs, B., & Vancampfort, D.
- Affiliations
- University of Birmingham (GB)
- University of Greenwich (GB)
- KU Leuven (BE)
- Venue
- Archives of Psychiatric Nursing
- Publisher
- Elsevier BV
- Published
- 2014-04
- Volume
- 28
- Issue
- 2
- Pages
- 135-151
- ISSN
- 0883-9417 (ISSN-L)
- OpenAlex
- W1978678949
- Cited by
- 131
- References
- 7
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 8 · 2019: 14 · 2018: 22 · 2017: 23 · 2016: 19 · 2015: 16 · 2014: 3
- FWCI
- 8.82
- Type
- journal article
- Language
- en
- Open access
- green
- lirias.kuleuven.be
- Licence
- Locations
- Archives of Psychiatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Greenwich Academic Literature Archive (University of Greenwich) (acceptedVersion)
- Lirias (submittedVersion, other-oa)
- Research Portal (King's College London) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- physical activity, severe mental illness, psychometric validation, accelerometer, self-report questionnaire, measurement agreement
- MeSH terms
- Mental Disorders, Humans, Motor Activity, Psychometrics, Surveys and Questionnaires, Severity of Illness Index, Outcome Assessment, Health Care, Narration, Accelerometry
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