Development and validation of the Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) in 14 countries: study protocol
Issued Date
2024-07-24
Resource Type
eISSN
20446055
Scopus ID
2-s2.0-85199650326
Pubmed ID
39053955
Journal Title
BMJ open
Volume
14
Issue
7
Rights Holder(s)
SCOPUS
Bibliographic Citation
BMJ open Vol.14 No.7 (2024) , e082275
Suggested Citation
Larouche R., Abadi M.R.H., Aubert S., Bhawra J., Brazo-Sayavera J., Carson V., Colley R.C., Nyström C.D., Esliger D.W., Harper-Brown R., Alejandra Gonzalez Cifuentes S., Jáuregui A., Katewongsa P., Khadilkar A., Kira G., Kuzik N., Liu Y., Lof M., Loney T., Manyanga T., Mwase-Vuma T.W., Oyeyemi A.L., Reilly J.J., Richards J., Roberts K., Sarmiento O.L., Augusto Santos Silva D., Smith M., Subedi N., Vanderloo L.M., Widyastari D.A., Wilson O.W.A., Wong S.H., Tremblay M.S. Development and validation of the Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) in 14 countries: study protocol. BMJ open Vol.14 No.7 (2024) , e082275. doi:10.1136/bmjopen-2023-082275 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/100210
Title
Development and validation of the Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) in 14 countries: study protocol
Author(s)
Larouche R.
Abadi M.R.H.
Aubert S.
Bhawra J.
Brazo-Sayavera J.
Carson V.
Colley R.C.
Nyström C.D.
Esliger D.W.
Harper-Brown R.
Alejandra Gonzalez Cifuentes S.
Jáuregui A.
Katewongsa P.
Khadilkar A.
Kira G.
Kuzik N.
Liu Y.
Lof M.
Loney T.
Manyanga T.
Mwase-Vuma T.W.
Oyeyemi A.L.
Reilly J.J.
Richards J.
Roberts K.
Sarmiento O.L.
Augusto Santos Silva D.
Smith M.
Subedi N.
Vanderloo L.M.
Widyastari D.A.
Wilson O.W.A.
Wong S.H.
Tremblay M.S.
Abadi M.R.H.
Aubert S.
Bhawra J.
Brazo-Sayavera J.
Carson V.
Colley R.C.
Nyström C.D.
Esliger D.W.
Harper-Brown R.
Alejandra Gonzalez Cifuentes S.
Jáuregui A.
Katewongsa P.
Khadilkar A.
Kira G.
Kuzik N.
Liu Y.
Lof M.
Loney T.
Manyanga T.
Mwase-Vuma T.W.
Oyeyemi A.L.
Reilly J.J.
Richards J.
Roberts K.
Sarmiento O.L.
Augusto Santos Silva D.
Smith M.
Subedi N.
Vanderloo L.M.
Widyastari D.A.
Wilson O.W.A.
Wong S.H.
Tremblay M.S.
Author's Affiliation
College of Medicine
Nepal Development Society
Universidad de Los Andes, Facultad de Medicina
Redeemer‘s University
Shanghai University of Sport
Jehangir Hospital, Pune
University of Malawi
Toronto Metropolitan University
University of Alberta
Universidad Pablo de Olavide, de Sevilla
Statistics Canada
Public Health Agency of Canada
University of Lethbridge
University of Strathclyde
Instituto Nacional de Salud Publica
Children's Hospital of Eastern Ontario, Ottawa
Universidade Federal de Santa Catarina
Mahidol University
Karolinska Institutet
University of Northern British Columbia
Western University
The University of Auckland
Arizona State University
Chinese University of Hong Kong
Victoria University of Wellington
Loughborough University
Active Healthy Kids Global Alliance
ParticipACTION
Nepal Development Society
Universidad de Los Andes, Facultad de Medicina
Redeemer‘s University
Shanghai University of Sport
Jehangir Hospital, Pune
University of Malawi
Toronto Metropolitan University
University of Alberta
Universidad Pablo de Olavide, de Sevilla
Statistics Canada
Public Health Agency of Canada
University of Lethbridge
University of Strathclyde
Instituto Nacional de Salud Publica
Children's Hospital of Eastern Ontario, Ottawa
Universidade Federal de Santa Catarina
Mahidol University
Karolinska Institutet
University of Northern British Columbia
Western University
The University of Auckland
Arizona State University
Chinese University of Hong Kong
Victoria University of Wellington
Loughborough University
Active Healthy Kids Global Alliance
ParticipACTION
Corresponding Author(s)
Other Contributor(s)
Abstract
INTRODUCTION: Global surveillance of physical activity (PA) of children and adolescents with questionnaires is limited by the use of instruments developed in high-income countries (HICs) lacking sociocultural adaptation, especially in low- and middle-income countries (LMICs); under-representation of some PA domains; and omission of active play, an important source of PA. Addressing these limitations would help improve international comparisons, and facilitate the cross-fertilisation of ideas to promote PA. We aim to develop and assess the reliability and validity of the app-based Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) among 8-17 years old in 14 LMICs and HICs representing all continents; and generate the 'first available data' on active play in most participating countries. METHODS AND ANALYSIS: Our study involves eight stages: (1) systematic review of psychometric properties of existing PA questionnaires for children and adolescents; (2) development of the GAC-PAQ (first version); (3) content validity assessment with global experts; (4) cognitive interviews with children/adolescents and parents in all 14 countries; (5) development of a revised GAC-PAQ; (6) development and adaptation of the questionnaire app (application); (7) pilot-test of the app-based GAC-PAQ; and, (8) main study with a stratified, sex-balanced and urban/rural-balanced sample of 500 children/adolescents and one of their parents/guardians per country. Participants will complete the GAC-PAQ twice to assess 1-week test-retest reliability and wear an ActiGraph wGT3X-BT accelerometer for 9 days to test concurrent validity. To assess convergent validity, subsamples (50 adolescents/country) will simultaneously complete the PA module from existing international surveys. ETHICS AND DISSEMINATION: Approvals from research ethics boards and relevant organisations will be obtained in all participating countries. We anticipate that the GAC-PAQ will facilitate global surveillance of PA in children/adolescents. Our project includes a robust knowledge translation strategy sensitive to social determinants of health to inform inclusive surveillance and PA interventions globally.