Vulnerability to physical inactivity: evidence of content validity and response processes

Pereira, Déborah Santana; Florêncio, Raquel Sampaio; Cestari, Virna Ribeiro Feitosa; Moreira, Thereza Maria Magalhães

doi:10.1590/0034-7167-2022-0563

Déborah Santana Pereira Corresponding author: Déborah Santana Pereira E-mail: deborahsan@gmail.com

conception or design of the study/research

analysis and/or interpretation of data

Instituto Federal de Educação, Ciência e Tecnologia do Ceará. Juazeiro do Norte, Ceará, Brazil

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0002-8377-4874

Raquel Sampaio Florêncio

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0003-3119-7187

Virna Ribeiro Feitosa Cestari

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0002-7955-0894

Thereza Maria Magalhães Moreira

conception or design of the study/research

final review with critical and intellectual participation in the manuscript

Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil

https://orcid.org/0000-0003-1424-0649

Corresponding author: Déborah Santana Pereira E-mail: deborahsan@gmail.com

EDITOR IN CHIEF: Antonio José de Almeida Filho

ASSOCIATE EDITOR: Alexandre Balsanelli

	CVI	Psychometric parameters
		Objectivity	Simplicity	Clarity	Precision	Relevance
Unmodified item	≥0.78	Agreement ≥ 80%	Agreement ≥ 80%	Agreement ≥ 80%	Agreement ≥ 80%	Agreement ≥ 80%
Modified item	≥0.78	Agreement < 80%	Agreement < 80%	Agreement < 80%	Agreement < 80%	Agreement < 80%
Deleted item	<0.78	Independent	Independent	Independent	Independent	Independent

Items - Subject Dimension		CVI	p Value*	JPC
1	Full age (in years)	1.0	0.055	< 80%
2	Birth sex?	0.84	0.502	< 80%
3	Race/Color?	1.0	0.055	< 80%
4	Current body mass (nutritional status)?	0.92	0.234	< 80%
5	In general, how would you rate your health?	1.0	0.055	≥ 80%⁺
6	Compared to other people of the same gender and age, how is your physical fitness?	0.92	0.234	< 80%
7	Has a healthcare professional told you that you have a chronic health condition: high blood pressure, diabetes, heart disease, asthma, neuromuscular conditions, cancer, or other?	0.84	0.502	< 80%
8	Do you feel weakness or lack of energy?	0.92	0.234	< 80%
9	Do you have physical-motor characteristics that limit your ability to engage in physical activity (arm/leg malfunction)?	0.92	0.234	< 80%
10	Do you have sensory characteristics that limit your ability to engage in physical activity (vision/hearing malfunction)?	0.92	0.234	< 80%
11	Do you have symptoms of depression?	1.0	0.055	< 80%
12	Do you have anxiety symptoms?	1.0	0.055	< 80%
13	Do you have frequent bouts of other mental disorders?	1.0	0.055	< 80%
14	Are you exposed to stressful situations that harm your well-being?	0.84	0.502	< 80%
15	Do you find your life discouraging?	1.0	0.055	< 80%
16	Are you bothered by the physical sensations experienced during exercise (sweating, labored breathing, rapid heartbeat)?	0.84	0.502	< 80%
17	Do you feel uncomfortable doing physical activities in front of other people?	1.0	0.055	≥ 80%⁺
18	Do you feel embarrassed about your body during physical activities?	0.92	0.234	> 80%⁺
19	Are you afraid of getting hurt while practicing physical activities?	0.84	0.502	< 80%
20	Do you feel motivated to practice physical activities?	1.0	0.234	≥ 80%⁺
21	Are you able to engage in physical activity if you are concerned?	1.0	0.055	< 80%
22	Do you feel able to practice physical activities if you are sad?	1.0	0.055	< 80%
23	Are you able to engage in physical activity if you are angry?	1.0	0.055	< 80%
24	Do you feel able to practice physical activities when the local conditions are bad?	0.92	0.234	< 80%
25	Do you feel able to practice physical activities when you are tired?	0.92	0.234	< 80%
26	Do you feel able to practice physical activities when you have body aches?	0.92	0.234	< 80%
27	Do you feel able to practice physical activities when you have no time?	1.0	0.055	< 80%
28	Do you feel able to practice physical activity when you don’t have support from another person?	1.0	0.055	< 80%
29	Do you like to practice physical activities?	1.0	0.055	≥ 80%⁺
30	Are you lazy to practice physical activities?	1.0	0.055	< 80%
31	Do you find physical activity boring or unpleasant?	0.92	0.234	< 80%
32	Do you have the self-control to stick with physical activity over time?	0.84	0.502	≥ 80%⁺
33	In everyday life, do you face situations that harm your health?	0.84	0.502	< 80%
34	Do you enjoy free or leisure time?	1.0	0.055	< 80%
35	In your free time, do you prefer to rest instead of doing physical activities?	0.92	0.234	< 80%
36	In the past, have you practiced any sport, dance, wrestling or other physical activity?	0.92	0.234	≥ 80%⁺
37	In your youth, did you use to participate in practical Physical Education classes?	0.84	0.502	< 80%
38	In your past, have you had serious injuries during the practice of physical activities that affect your interest in practicing them today?	0.84	0.502	< 80%
39	In your past, have you had any negative experiences during physical activities that affect your interest in doing them today?	0.84	0.502	< 80%
40	Do you eat well?	0.84	0.502	< 80%
41	Do you abstain from smoking?	0.84	0.502	< 80%
42	Do you abstain from alcoholic beverages or consume them in moderation?	0.84	0.502	< 80%
43	Do you sleep well?	0.84	0.502	< 80%
44	Highest level of education you completed?	0.92	0.234	< 80%
45	Do you believe that the regular practice of physical activities brings positive results for your health and well-being?	0.92	0.234	≥ 80%⁺
46	Do you know the effects of regular physical activity on health?	0.84	0.502	< 80%
47	Do you believe that the regular practice of physical activities helps in weight loss?	0.92	0.234	< 80%
48	Do you believe that the regular practice of physical activities helps in increasing the size of the muscles?	0.92	0.234	< 80%
49	Do you believe that the lack of physical activity can harm your health?	0.84	0.502	≥ 80%⁺
50	Do you have learning difficulties that interfere with the practice of physical activities?	0.84	0.498	< 80%

Items - Social Dimension		CVI	p Value*	JPC
1	Do you usually receive guidance from a physical education professional regarding the practice of physical activities for health?	1.0	0.055	> 80%⁺
2	Do your friends or family encourage you to practice physical activity?	1.0	0.055	< 80%
3	Do your friends or family invite you to practice physical activities?	1.0	0.055	< 80%
4	Are you responsible for looking after a small child in your family?	0.84	0.502	< 80%
5	Are you responsible for caring for a frail elderly person in your family?	0.84	0.502	< 80%
6	Are you responsible for caring for someone with special needs in your family?	0.92	0.234	< 80%
7	Do your family relationships present conflict or abuse?	0.92	0.234	< 80%
8	Do you experience situations of violence (assault, shouting, cursing, intimidation, harassment or similar)?	0.92	0.234	≥ 80%⁺
9	Do you experience situations of gender discrimination in places of leisure/practice of physical activities?	1.0	0.055	< 80%
10	Do you experience situations of ethnic-racial discrimination in places of leisure/practice of physical activities?	1.0	0.055	< 80%
11	Do you experience situations of religious discrimination in places of leisure/practice of physical activities?	1.0	0.055	< 80%
12	Main occupation?	0.92	0.234	< 80%
13	Is your income sufficient to meet your basic needs?	1.0	0.055	< 80%
14	Apart from what you spend on your basic needs, does your income have a reserve for personal and health emergencies?	1.0	0.055	< 80%
15	Do you receive aid or benefits (social and health) from the government to supplement your income?	0.92	0.234	< 80%
16	Have you and your family purchased transport goods (car or motorcycle)?	1.0	0.055	< 80%
17	Do you and your family hire domestic services?	1.0	0.055	< 80%
18	Does your home prevent you from doing physical activities because there is little space in it?	1.0	0.055	< 80%
19	Do you have materials to practice physical activities (clothes, shoes, bicycle, weights, or others)?	0.92	0.234	< 80%
20	Do you consider that your work/occupation demands a lot of physical effort?	0.84	0.234	< 80%
21	Do climatic factors in your region (rain, cold or heat) make it difficult for you to practice physical activity?	0.92	0.234	≥ 80%⁺
22	Near your home, do you find facilitators for walking/running on the streets (traffic lights, crosswalks, footbridges, signs or speed reducers)?	1.0	0.055	< 80%
23	Are there other residences close to yours (houses, buildings, or condos)?	0.84	0.502	< 80%
24	In your neighborhood and surroundings, do crimes occur (homicides, robberies, or drug trafficking)?	1.0	0.055	< 80%
25	Are there wild areas in your neighborhood and surroundings (unoccupied houses, stray animals, vandals, drunks or drug users)?	1.0	0.055	< 80%
26	In your neighborhood and surroundings, are the sidewalks and streets suitable for walking (flat, preserved and interconnected)?	1.0	0.055	< 80%
27	Is there public safety in places where you practice physical activity near your home?	1.0	0.055	≥ 80%⁺
28	Is there enough night lighting in the streets near your home and in places where you practice physical activities?	1.0	0.055	≥ 80%⁺
29	Is your home close to establishments that provide services to the community (shopping center, market, health center/unit, bank, restaurant, pharmacy, church, beauty salon, school or others)?	1.0	0.055	< 80%
30	In your neighborhood and surroundings, are there public places conducive to the practice of outdoor physical activities (squares, parks, beaches, gardens, lakes, trails, popular gyms, or exercise stations)?	1.0	0.055	< 80%
31	In your neighborhood and surroundings, are there public/private structures that encourage the practice of physical activity (walking paths, bike paths, sports courts, soccer fields or skate parks)?	1.0	0.055	< 80%
32	In your neighborhood and surroundings, are there private places conducive to the practice of physical activities (gym, fight, dance, swimming pool, club, active leisure center and similar establishments)?	0.92	0.234	≥ 80%⁺
33	Is your home close to places where you practice physical activities?	0.92	0.234	≥ 80%⁺
34	Near your home, do you see other people practicing physical activity?	0.92	0.234	< 80%
35	Does the neighborhood where you live, and its surroundings have air pollution, garbage or open sewage?	1.0	0.055	< 80%
36	Does the neighborhood where you live, and its surroundings have poorly maintained structures/no architecture?	1.0	0.055	< 80%
37	Are public physical activity facilities/equipment maintained for repair and upkeep?	1.0	0.055	< 80%
38	Do you see posters or information boards about the practice of physical activities in the places where you practice them?	0.84	0.502	< 80%
39	Nationality?	0.84	0.502	< 80%
40	Do your cultural differences limit your participation in physical activities performed in public/private places?	0.92	0.234	< 80%
41	Do you have access to essential public health services?	1.0	0.055	< 80%
42	Do you have access to private health services?	1.0	0.055	< 80%
43	Do you have free access to advice on physical activity?	0.92	0.234	< 80%
44	Do you have free access to guided physical activity practices?	0.92	0.234	< 80%
45	Do you have access to means of communication (internet, television, telephone, newspapers, or others)?	0.84	0.502	≥ 80%⁺
46	Do you face accessibility problems in public/collective spaces in your city?	0.84	0.502	< 80%
47	Do you enjoy the right to leisure where you live?	1.0	0.055	< 80%
48	Do you enjoy the right to the culture where you live?	1.0	0.055	< 80%
49	Do you enjoy the right to education where you live?	1.0	0.055	< 80%
50	Are there sports events or competitions in your city?	0.84	0.502	< 80%
51	Are there activities of labor gymnastics or other corporal practices in your work/study environment?	0.92	0.234	< 80%

Item	Items with changes after response processes
Subject Dimension
6	In general, how would you rate your ability to perform daily physical activities?
7	Have health professionals told you that you have a long-term health problem (high blood pressure, diabetes, asthma, heart problems, cancer...)?
9	Do you have trouble moving or moving any part of your body?
10	Do you have any vision/hearing impairments that affect your ability to exercise?
21	Do you feel able to engage in physical activity when you are worried?
22	Do you feel able to practice physical activities when you are sad?
23	Do you feel able to practice physical activities when you are angry?
27	Do you feel able to practice physical activities when you have little time available?
34	Do you enjoy free or leisure time on a daily basis?
37	During the school period, did you participate in practical Physical Education classes?
41	You smoke?
42	Do you use alcoholic beverages?
44	Education (complete)?
46	Are you aware of the effects of regular physical activity on health?
Social Dimension
1	Do you receive guidance from a physical education professional?
4	Do you take care of a small child in your family?
5	Do you take care of a frail elderly person in your family?
6	Do you care for someone with special needs in your family?
18	Does the physical space of your home make it difficult to practice physical activities at home?
20	Do you consider that your work/occupation requires a lot of physical effort?
23	Are there other occupied residences close to your home?
25	In your neighborhood and surroundings, do you often encounter drug users, vandals, or drunks?
26	Do you consider that the sidewalks and streets in your neighborhood are suitable for walking (flat, preserved and interconnected)?
27	Is there security/policing at places where you practice physical activity near your home?
30	In your neighborhood and surroundings, do you have access to public places conducive to the practice of outdoor physical activities (squares, parks, beaches, gardens, lakes or trails)?
31	In your neighborhood and surroundings, do you have access to public/private structures that encourage the practice of physical activity (walking paths, sports courts, soccer fields, popular gyms, bike paths, exercise stations or skate parks)?
32	In your neighborhood and surroundings, do you find private places conducive to the practice of physical activities (gym, fight, dance, swimming pool, club, active leisure center or similar establishments)?
47	Do you have access to leisure activities in the region where you live?
48	Do you have access to cultural activities in the region where you live?
49	Do you have access to public education in the region where you live?

[1] Corresponding author: Déborah Santana Pereira E-mail: deborahsan@gmail.com

Brasil

Brasil

Vulnerability to physical inactivity: evidence of content validity and response processes

Vulnerabilidad a la inactividad física: evidencias de validez de contenido y en los procesos de respuesta

ABSTRACT

Objective:

Method:

Results:

Conclusion: