Thai diabetes prevention education program: development and validation of the Thai physical activity questionnaire for at-risk people

• Published in: Journal of public health Vol. 27; no. 5; pp. 659 - 667
• Main Authors: Chirdkiatisak, Maenum, Sranacharoenpong, Kitti, Churak, Piyanit, Praditsorn, Panrawee
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2019; Springer Nature B.V
• Subjects: Accelerometers; Communities; Diabetes; Diabetes mellitus; Diabetes mellitus (non-insulin dependent); Epidemiology; Exercise; Health Promotion and Disease Prevention; Medicine; Medicine & Public Health; Occupations; Original Article; Physical activity; Public Health; Reliability analysis; Risk; Statistical tests; Validity; Diabetes prevention program; Obesity; Thailand; Physical activity questionnaire
• ISSN: 2198-1833; 1613-2238
• DOI: 10.1007/s10389-018-0989-2

Aim This study aimed to develop and validate the Thai physical activity questionnaire (Thai-PAQ) for Thai people at risk for type 2 diabetes (T2D). Subjects and methods After development and validation of the questionnaire, 95 people at risk for T2D were recruited. The Thai-PAQ was developed based on the International-PAQ. The Thai-PAQ was evaluated by three experts to ensure content validity. The at-risk people were interviewed using the Thai-PAQ for the previous 7 days’ activities. Spearman’s correlation was used to compare the accelerometer and Thai-PAQ for concurrent validity. Interclass correlation was used to evaluate the reliability of the Thai-PAQ separated by 3 days. Chi-square test was used to represent significant differences ( p < 0.05) in the proportion of participants meeting the current physical activity guidelines. Results The content validity of the Thai-PAQ was 0.91. The total physical activity from the Thai-PAQ (MET-min week −1 ), which included the part-time occupation domain and excluded the part-time occupation domain, was significantly correlated with the total physical activity (counts week −1 ) according to the ActiGraph accelerometer ( r  = 0.57 and 0.54, p  < 0.01, respectively). The 3-day test-retest reliability of the total physical activity of the developed PAQ was 0.86 ( p  < 0.05) when including the part-time occupation domain and was 0.85 ( p  < 0.05) when excluding the part-time occupation domain. Conclusions The study showed that that concurrent validity had high correlation compared with the ActiGraph accelerometer. Reliability was also acceptable as high reliability. The Thai-PAQ is considered useful for communities as well as a means to ultimately promote physical activity in communities.