Psychometric Properties of the Brazilian Portuguese Version of the PARmed-X for Pregnancy

in Journal of Physical Activity and Health
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Background:

The Physical Activity Readiness Medical Examination (PARmed-X) for Pregnancy aims to facilitate the communication between the health care provider, the fitness professional and the pregnant woman. The purpose of the current study was to test the psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy.

Methods:

Reliability and validity of psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy were tested in 107 women recruited from the Hospital de Clínicas de Porto Alegre. Participants completed the first page of the instrument twice with a minimal interval of 1 week for test-retest reliability analysis. The absolute and relative contraindications to exercise on page 2 of the document were completed by the obstetrician.

Results:

Results indicated good evidence of construct validity. The isolated items in the PARmed-X document presented a large heterogeneity in kappa coefficients ranging from very low estimates to perfect estimates. The overall indication of prescription of physical activity, nonetheless, presented a good kappa coefficient of 0.749.

Conclusions:

The Brazilian Portuguese version of the PARmed-X for Pregnancy can be applied as a valid tool for medical screening by health care providers to help inform safe exercise prescription during pregnancy.

Bgeginski, Vettorazzi, and Ramos are with the Post-graduate Program in Health Sciences: Obstetrics and Gynecology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. Bgeginski, Vettorazzi, and Ramos are also with, and Schuch is with, the Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil. DeSousa is with the Laboratory of Assessment and Measurement in Psychology, Universidade Tiradentes, Aracaju, SE, Brazil. Barroso is with the Post-graduate Program in Human Movement Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. Mottola is with the R. Samuel McLaughlin Foundation, Exercise and Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, Dept of Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada; and the Children’s Health Research Institute, London, Ontario, Canada. Schuch is also with the Centro Universitário La Salle, Canoas, RS, Brazil.

Bgeginski (robertabg@gmail.com) is corresponding author.