Search terms included physical activity, exercise, questionnaire, instrument, measurement, and assessment.
All but 12 of the 53 instruments identified in the literature search were eliminated because they were deemed to be too long and did not meet at least four of the review criteria.
(A table showing questionnaires and criteria met is available from the authors).
Both tend to focus on moderate and vigorous activity, and the PACE instrument has not been validated against other measures in older populations.
Back to top In 2000, a systematic literature review was conducted to determine whether an assessment or monitoring instrument existed that could be easily used in a primary care setting with adults aged 50 years and older.
Age 50 was used because community-based organizations often use this age as the lower-end cutoff and because it was the age cutoff used in the National Blueprint program for increasing physical activity among older adults (12).
Searches of Medline, Psyc INFO, and the World Wide Web and queries of physical activity assessment experts and geriatric physicians helped us to identify 53 questionnaires that have been used in the past 25 years to assess physical activity.Results Compared with the BRFSS and the PACE, the RAPA was more positively correlated with the CHAMPS moderate caloric expenditure (r = 0.54 for RAPA, r = 0.40 for BRFSS, and r = 0.44 for PACE) and showed as good or better sensitivity (81%), positive predictive value (77%), and negative predictive value (75%) as the other tools.Specificity, sensitivity, and positive predictive value of the questions on flexibility and strength training were in the 80% range, except for specificity of flexibility questions (62%).These instruments were evaluated for 1) feasibility of collecting data in a primary care setting and feasibility of producing a summary for inclusion in a medical record; 2) psychometric properties of an optimal self-report screening instrument, including reliability and criterion validity; and 3) acceptability and relevance of the instrument to major ethnic populations in the United States, including Latinos and African Americans.Members of the research team reviewed the instruments according to the following criteria: 1) dimensions of the questionnaires; 2) complexity; 3) recall time frame; 4) use as an outcome measure; 5) reliability/validity/responsiveness; 6) cultural adaptability; and 7) purpose of development.Prev Chronic Dis [serial online] 2006 Oct [date cited]. PEER REVIEWED Introduction The Rapid Assessment of Physical Activity (RAPA) was developed to provide an easily administered and interpreted means of assessing levels of physical activity among adults older than 50 years.