Self-reported pediatric measures of physical activity, sedentary behavior, and strength impact for PROMIS: Item development

Carole A. Tucker, Katherine B. Bevans, Rachel E. Teneralli, Ashley Wilder Smith, Heather R. Bowles, Christopher B. Forrest

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


Background: Children's activity level is commonly assessed in clinical research, but rigorous assessment tools for children are scarce. Our objectives were to improve pediatric activity self-reportmeasures using qualitative methods to develop item pools that measure these concepts. Methods: On the basis of the items generated from our conceptual framework development, we applied cognitive interviews and comprehensibility reviews to ensure children readily understood the items. Results: Our methods resulted in 129 unique items-physical activities (80 items), sedentary behaviors (23 items), and strengthening activities (26 items)-that were comprehensible to children between the ages of 8 and 18 years. Comprehensibility review resulted in the deletion of 4 items. Conclusions: The resultant item pools reflect children's experiences and understanding of the concepts of physical activities, sedentary behaviors, and strengthening activities. The item pools will undergo calibration using item response theory to support computer-adaptive test administration of self- and proxyreported outcomes. (Pediatr Phys Ther 2014;26:385-392) Key words: adolescent, child, female, health status, humans, information systems, male, outcome assessment (health care)/methods, parents, pediatrics/methods, physical activities, quality of life, sedentary lifestyle, strengthening.

Original languageEnglish (US)
Pages (from-to)385-392
Number of pages8
JournalPediatric Physical Therapy
Issue number4
StatePublished - Dec 1 2014
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation


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