中文版绝经后女性妇女健康倡议体力活动问卷的信效度研究

Reliability and Validity of the Chinese Version Women's Health Initiative Physical Activity Questionnaire for Postmenopausal Women

目的评价中文版绝经后女性妇女健康倡议体力活动问卷(women's health initiative physical activity questionnaire,WHI-PAQ)的信效度。方法将WHI-PAQ进行翻译、回译、修改,形成中文版的WHI-PAQ。采用便利抽样的方法,选取2015年2—7月天津市绝经后女性102名进行问卷调查,7 d后再次填写问卷以测定其重测信度;其中68名绝经后女性在两次问卷填写期间连续佩戴欧姆龙计步器7 d,以测定问卷的效标效度;5名专家评价问卷的内容效度。结果问卷总体活动的重测信度r为0.950,其中步行r为0.838,轻、中、重度体力活动r分别为0.787、0.849、0.880,家务劳动r为0.702,庭院活动r为0.957,坐立+仰卧时间r为0.669;调整年龄、身高、体质量后,总体效标效度rs为0.884,其中步行rs为0.608,轻、中、重度体力活动rs分别为0.511、0.461、0.672,家务劳动rs为0.486;内容效度指数(CVI)为0.923,内容效度比(CVR)为0.846。结论中文版WHI-PAQ具有良好的信效度,可用于对绝经后女性体力活动情况的评价与监测。

Objective To examine the reliability and validity of the Chinese version of Women＇s Health Initiative Physical Activity Questionnaire（ WHI-PAQ） for postmenopausal women.Methods By translation, back- translation and revision of the original version of WHI-PAQ,the Chinese version of WHI-PAQ was acquired.From February to July in 2015,we conducted questionnaire survey on 102 postmenopausal women in Tianjin who were selected using convenience sampling method.Seven days later,questionnaire survey was conducted again to determine the test- retest reliability.During the 7 days between the two surveys,68 subjects were asked to wear omron pedometers to determine the criterion validity.And 5 experts evaluated the content validity of the questionnaire.Results The test- retest reliability r for total activity was 0.950,and the r values for walking and mild,moderate and intense physical activity were 0.838,0.787,0.849 and 0.880,the r value was0.702 for housework and 0.957 for yard activity, and the r value for the time of sitting and lying down was 0.669.After the adjustment for age,height and weight,the rsvalue was 0.884 for general criterion validity and 0.608 for walking,and the rs values for mild, medium and intense physical activities were 0.511,0.461 and 0.672, and the rsvalue for housework was0.486; the CVI was 0.923 and the CVR was 0.846.Conclusion The Chinese version of WHI-PAQ has good reliability and validity,which can be used for the evaluation and monitoring of physical activities of postmenopausal women.