Abstract
Background: In the Czech Republic a standardized measuring method has not been applied yet in order to monitor the amount and intensity of physical activity of persons with spinal cord injury. Objective: The purpose of this study was to translate, adapt and validate administration and scoring manual of the semi-structured interview Physical Activity Recall Assessment for People with Spinal Cord Injury (PARA-SCI), focused on the subjective perception of the amount of physical activity of persons with paraplegia. Methods: To determine the criterion validity of the research tool, we compared data from 53 people with paraplegia collected through PARA-SCI interviews and data from the ActiGraph GT3X+ accelerometer, which respondents wore on their non-dominant wrist. We evaluated the test-retest reliability among 39 subjects with paraplegia, which consists in administering the questionnaire on two occasions separated by a time interval one week. Results: : In the validity study, the correlation between data for overall physical activity over three days form accelerometers and PARA-SCI interviews showed the strong level of correlation strength (r = .58, p < .001). The intraclass correlation between data for overall physical activity over three days from two PARA-SCI interviews showed a moderate level of test-retest reliability (r = .70, p < .001). The intraclass correlations ranged from .38 to .80 for the various PARA-SCI activity categories and intensities. Conclusions: A Czech version of the semi-structured interview PARA-SCI was standardised and can be used by physiotherapists, nutrition therapists and sports educators from the field of adapted physical activities in the Czech Republic.
Highlights
Czech epidemiological data from spinal rehabilitation departments in hospitals between the years 2006–2015 (Kriz, Kulakovska, Davidova, Silova, & Kobesova, 2017) indicated more than 250 new cases of spinal cord injury per year, male to female ratio of 4:1
It is important to note, that for most people with spinal cord injury (SCI), physical deconditioning was a common consequence of the injury (Buchholz, McGillivray, & Pencharz, 2003; Latimer, Martin Ginis, Craven, & Hicks, 2006), and led to the increased risk of developing obesity and other chronic secondary health complications (Garshick et al, 2005; Tawashy, Eng, Lin, Tang, & Hung, 2009)
Inspection of the coefficients of variation indicated that overall, there was large within-subject variability. Was it relevant to determine PARA-SCI.CZ reliability and validity, when the translated semi-structured interview guide was only intended for Czech specialists – physiotherapists, sports educators, nutrition therapists and, eventually, for doctors who included the interview into a battery of their professional check-ups? if we wanted to use the data obtained through the PARA-SCI.CZ for scientific purposes, it was desirable that the Czech version of the semi-structured interview is standardized
Summary
Czech epidemiological data from spinal rehabilitation departments in hospitals between the years 2006–2015 (Kriz, Kulakovska, Davidova, Silova, & Kobesova, 2017) indicated more than 250 new cases of spinal cord injury per year, male to female ratio of 4:1. It is important to note, that for most people with spinal cord injury (SCI), physical deconditioning was a common consequence of the injury (Buchholz, McGillivray, & Pencharz, 2003; Latimer, Martin Ginis, Craven, & Hicks, 2006), and led to the increased risk of developing obesity and other chronic secondary health complications (Garshick et al, 2005; Tawashy, Eng, Lin, Tang, & Hung, 2009). It brought about further handicap by contributing to decreased mobility, physical function, independence and self-care of a person with spinal cord injury (SCI; Hetz, Latimer, Buchholz, & Martin Ginis, 2009; Pokuta, Slavíková, & Honzátková, 2014). Conclusions: A Czech version of the semi-structured interview PARA-SCI was standardised and can be used by physiotherapists, nutrition therapists and sports educators from the field of adapted physical activities in the Czech Republic
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