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The purpose of the study was to identify physical activity questionnaires for older adults that might be suitable outcome measures in clinical trials of fall-injury-prevention intervention and to undertake a systematic quality assessment of their measurement properties. PubMed, CINAHL, and PsycINFO were systematically searched to identify measurements and articles reporting the methodological quality of relevant measures. Quality extraction relating to content, population, reliability, validity, responsiveness, acceptability, practicality, and feasibility was undertaken. Twelve outcome measures met the inclusion criteria. There is limited evidence about the measures’ properties. None of the measures is entirely satisfactory for use in a large-scale trial at present. There is a need to develop suitable measures. The Stanford 7-day Physical Activity Recall Questionnaire and the Community Health Activities Model Program for Seniors questionnaire might be appropriate for further development. The results have implications for the designs of large-scale trials investigating many different geriatric syndromes.
Jørstad-Stein is with the University of Pennsylvania. Hauer and Becker are with the Dept. of Geriatric Rehabilitation, Robert-Bosch-Hospital, Stuttgart, Germany. Bonnefoy is with the Centre Hospitalier Lyon Sud, Service Universitaire de Medecine Geriatrique, Lyon, France. Skelton is with the School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK. Nakash and Lamb are with Warwick Emergency Care and Rehabilitation, Warwick Medical School, University of Warwick, Coventry, CV4 7AL UK, as was Jørstad-Stein at the time of this work.