Cross-Cultural Adaptation and Psychometric Evaluation of the Community Healthy Activities Model Program for Seniors Physical Activity Questionnaire in Chinese Older Adults

in Journal of Aging and Physical Activity
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The study’s aims were to translate the Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire to Chinese and examine its psychometric properties. Adapting it for use in China involved forward translation, synthesis, back translation, expert review, and pretesting. A convenience sample of 201 Chinese older adults completed the Chinese version (CHAMPS-C) to evaluate its construct validity index and associations with physiological, psychosocial, and energy expenditure measures. The construct validity index of the CHAMPS-C was 0.95, and it had fair to moderate associations with physiological and psychosocial measures, other scales of physical activity, and accelerometer measurements. Our structured, stepwise process of cross-cultural adaptation produced a scale (i.e., CHAMPS-C), with items equivalent in meaning to the English version, for use with Chinese older adults. The findings of this study indicate that the CHAMPS-C has acceptable reliability and validity to assess the physical activity of older Chinese adults.

Shi, Wang, and Gao are with the School of Nursing, Hebei University, Baoding, Hebei, China. Huang, Wan, and Shang are with the School of Nursing, Peking University, Beijing, China.

Wan (qqwan05@163.com) and Shang (mei916@263.net) are corresponding authors.
  • Ainsworth, B.E., Haskell, W.L., Herrmann, S.D., Meckes, N., Bassett, D.R., Jr., Tudor-Locke, C. . . . Leon, A.S. (2011). 2011 Compendium of Physical Activities: A second update of codes and MET values. Medicine & Science in Sports & Exercise, 43(8), 15751581. PubMed ID: 21681120 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Barry, E., Galvin, R., Keogh, C., Horgan, F., & Fahey, T. (2014). Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: A systematic review and meta-analysis. BMC Geriatrics, 14, Article 14. PubMed ID: 24484314 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Beaton, D.E., Bombardier, C., Guillemin, F., & Ferraz, M.B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 31869. PubMed ID: 11124735 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cancela, J.M., Ayán C., Sánchez-Lastra, M.A., & Casal, A. (2017). Construct validity of the Spanish version of the CHAMPS questionnaire for institutionalized patients over 65 years old. Motriz. Revista de Educação, 23(1), 8187. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Caspersen, C.J., Bloemberg, B.P., Saris, W.H., Merritt, R.K., & Kromhout, D. (1991). The prevalence of selected physical activities and their relation with coronary heart disease risk factors in elderly men: the Zutphen Study, 1985. American Journal of Epidemiology, 133(11), 10781092. PubMed ID: 2035512 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • China Association of Geriatric Health Services and Standardization. (2018). Expert consensus on motor function assessment and intervention in elderly people at home. Chinese Journal of Geriatric Care, 16(3), 5256. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Colbert, L.H., Matthews, C.E., Havighurst, T.C., Kim, K., & Schoeller, D.A. (2011). Comparative validity of physical activity measures in older adults. Medicine & Science in Sports & Exercise, 43(5), 86776. PubMed ID: 20881882 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cyarto, E.V., Marshall, A.L., Dickinson, R.K., & Brown, W.J. (2006). Measurement properties of the CHAMPS physical activity questionnaire in a sample of older Australians. Journal of Science and Medicine in Sport, 9(4), 31926. PubMed ID: 16621699 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Daley, M.J., & Spinks, W.L. (2000). Exercise, mobility and aging. Sports Medicine, 29(1), 112. PubMed ID: 10688279 doi:

  • Davis, L. (1992). Instrument review: Getting the most from your panel of experts. Applied Nursing Research, 5(4), 194197. doi:

  • de Rezende, L.F., Rey-López, J.P., Matsudo, V.K., & do Carmo Luiz, O. (2014). Sedentary behavior and health outcomes among older adults: A systematic review. BMC Public Health, 14, Article 333. PubMed ID: 24712381 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dipietro, L., Caspersen, C.J., Ostfeld, A.M., & Nadel, E.R. (1993). A survey for assessing physical activity among older adults. Medicine & Science in Sports & Exercise, 25(5): 628642. PubMed ID: 8492692

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Doherty, T.J. (2003). Invited review: Aging and sarcopenia. Journal of Applied Physiology, 95(4), 17171727. PubMed ID: 12970377 doi:

  • Freedson, P.S., Melanson, E., & Sirard, J. (1998). Calibration of the computer science and applications,inc. accelerometer. Medicine & Science in Sports & Exercise, 30(5), 777781. PubMed ID: 9588623 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Harada, N.D., Chiu, V., King, A.C., & Stewart, A.L. (2001). An evaluation of three self-report physical activity instruments for older adults. Medicine & Science in Sports & Exercise, 33(6), 962970. PubMed ID: 11404662 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hekler, E.B., Buman, M.P., Haskell, W.L., Conway, T.L., Cain, K.L., Sallis, J.F., . . . King, A.C. (2012). Reliability and validity of CHAMPS self-reported sedentary-to-vigorous intensity physical activity in older adults. Journal of Physical Activity and Health, 9(2), 225236. PubMed ID: 22368222 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • IPAQ Group. (2002). International physical activity questionnaire [EB/OL]. Retrieved from http://www.Ipaq.ki.Se/downloads.html

    • Export Citation
  • Kowalski, K., Rhodes, R., Naylor, P.J., Tuokko, H., & MacDonald, S. (2012). Direct and indirect measurement of physical activity in older adults: A systematic review of the literature. International Journal of Behavioral Nutrition and Physical Activity, 9, Article 148. PubMed ID: 23245612 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kozey-Keadle, S., Libertine, A., Lyden, K., Staudenmayer, J., & Freedson, P.S. (2011). Validation of wearable monitors for assessing sedentary behavior. Medicine & Science in Sports & Exercise, 43(8), 15611567. PubMed ID: 21233777 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Król-Zielińska, M., Ciekot-Sołtysiak, M., Szeklicki, R., Zieliński, J., Osiński, W., & Kantanista, A. (2019). Validity and reliability of the polish adaptation of the CHAMPS Physical Activity Questionnaire. Biomed Research International, 2019, Article 6187616. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lee, J.Y., Lee, D.W., Cho, S.J., Na, D.L., Hong, J.J., Kim, S.K., . . . Cho, M.J. (2008). Brief screening for mild cognitive impairment in elderly outpatient clinic validation of the Korean version of the cognitive assessment. Journal of Geriatric Psychiatry and Neurology, 21(2), 104110. PubMed ID: 18474719 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lynn, M.R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382385. PubMed ID: 3640358

  • Mak, S., Soicher, J.E., Mayo, N.E., Wood-Dauphinee, S., & Bourbeau, J. (2016). Cross-cultural adaptation of the CHAMPS questionnaire in French Canadians with COPD. Canadian Respiratory Journal, 2016, 9304505. PubMed ID: 27445570 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mokkink, L.B., Terwee, C.B., Patrick, D.L., Alonso, J., Stratford, P.W., Knol, D.L., . . . Bouter, L.M. (2010). The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Quality of Life Research, 19(4), 53949. PubMed ID: 20169472 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ngai, S.P., Cheung, R.T., Lam, P.L., Chiu, J.K., & Fung, E.Y. (2012). Validation and reliability of the physical activity scale for the elderly in Chinese population. Journal of Rehabilitation Medicine, 44(5), 4625. PubMed ID: 22549657 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Physical Activity Guidelines Advisory Committee. (2009). Physical activity guidelines advisory committee report, 2008. To the secretary of health and human services. Part A: Executive summary. Nutrition Reviews, 67(2), 114120. PubMed ID: 19178654 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Podsiadlo, D., & Richardson, S. (1991). The timed Up & Go: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142148. PubMed ID: 1991946 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Reiner, M., Niermann, C., Jekauc, D., & Woll, A.M. (2013). Long-term health benefits of physical activity—A systematic review of longitudinal studies. BMC Public Health, 13, Article 813. PubMed ID: 24010994 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Resnicow, K., McCarty, F., Blissett, D., Wang, T., Heitzler, C., & Lee, R.E. (2003). Validity of a modified CHAMPS physical activity questionnaire among African-Americans. Medicine & Science in Sports & Exercise, 35(9), 15371545. PubMed ID: 12972874 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rikli, R.E. (2000). Reliability,validity,and methodological issues in assessing physical activity in older adults. Research Quarterly for Exercise and Sport, 71(Suppl. 2), S89S96. PubMed ID: 10925830 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sallis, J.F., & Saelens, B.E. (2000). Assessment of physical activity by self-report: status,limitations,and future directions. Research Quarterly for Exercise and Sport, 71(2), S1S14. PubMed ID: 10925819 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Smith, T., Gildeh, N., & Holmes, C. (2007). The Montreal Cognitive Assessment validity and utility in a memory clinic setting. Canadian Journal of Psychiatry, 52(5), 329332. PubMed ID: 17542384 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stewart, A.L., Mills, K.M., King, A.C., Haskell, W.L., Gillis, D., & Ritter, P.L. (2001). CHAMPS physical activity questionnaire for older adults: Outcomes for interventions. Medicine & Science in Sports & Exercise, 33(7), 11261141. PubMed ID: 11445760 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tao, Y.X., Wang, L., Dong, X.Y., Zheng, H., Zheng, Y.S., Tang, X.Y., . . . Zhao, Y. (2016). Psychometric properties of the Physical Activity Scale for the Elderly in Chinese patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 12, 105114. PubMed ID: 28053520 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Taylor, A.H., Cable, N.T., Faulkner, G., Hillsdon, M., Narici, M., & Van Der Bij, A.K. (2004). Physical activity and older adults: A review of health benefits and the effectiveness of interventions. Journal of Sports Sciences, 22(8), 703725. PubMed ID: 15370483 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Terwee, C.B., Mokkink, L.B., van Poppel, M.N., Chinapaw, M.J., van Mechelen, W., & de Vet, H.C. (2010). Qualitative attributes and measurement properties of physical activity questionnaires: A checklist. Sports Medicine, 40(7), 525537. PubMed ID: 20545379 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Troiano, R.P., Berrigan, D., Dodd, K.W., Mâsse, L.C., Tilert, T., & McDowell, M. (2008). Physical activity in the United States measured by accelerometer. Medicine & Science in Sports & Exercise, 40(1), 181189. PubMed ID: 18091006 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Vaughan, K., & Miller, W.C. (2012). Validity and reliability of the Chinese translation of the Physical Activity Scale for the Elderly (PASE). Disability and Rehabilitation, 35(3), 191197. PubMed ID: 22671717 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wang, H.T., Shou, J., Ren, L.M., & Liu, Y. (2019). Reliability and validity of the 12-item short-form health survey questionnaire among the elderly in Shanghai. Chinese General Practice, 22(9), 10571061. PubMed ID: 26142623 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Warburton, D., Nicol, C.W., & Bredin, S.S.D. (2006). Health benefits of physical activity: The evidence. Canadian Medical Association Journal, 174(6), 801809. PubMed ID: 16534088 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ware, J.E., Kosinski, M., & Keller, S.D. (1995). How to score the SF-12 physical and mental health summary scales. (2nd ed.). Boston, MA: The Health Institute, New England Medical center.

    • Search Google Scholar
    • Export Citation
  • Washburn, R.A., Smith, K.W., Jette, A.M., & Janney, C.A. (1993). The Physical Activity Scale for the Elderly (PASE): Development and evaluation. Journal of Clinical Epidemiology, 46(2), 153162. PubMed ID: 8437031 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Yan, H., & Zhiwen, W. (2017). Nursing research. Beijing, China: People’s Medical Publishing House.

  • Zheng, Y., Jiang, S., Guo, Y.F., Sun, S.Y., Wu, F., & Shi, Y. (2016). Analysis on the major chronic non-communicable diseases and associated common risk factors among Chinese middle-aged and older population. Shanghai Journal of Preventive Medicine, 28(6), 353357. PubMed ID: 25885218 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
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