Measuring the ability to tolerate activity-related discomfort: Initial validation of the physical activity acceptance questionnaire (PAAQ)

Journal of Physical Activity and Health

Volumn 12, Issue 5, 2015, Pages 717-726

  Butryn, Meghan L ^a   Arigo, Danielle ^b   Raggio, Greer A ^c   Kaufman, Alison Infield ^d   Kerrigan, Stephanie G ^a   Forman, Evan M ^a  

^a DREXEL UNIVERSITY COLLEGE OF MEDICINE   (United States)

^b UNIVERSITY OF SCRANTON   (United States)

^c VA BOSTON HEALTHCARE SYSTEM   (United States)

^d CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

Author keywords

Acceptance and Commitment Therapy (ACT); Adherence; Assessment; Exercise

Indexed keywords

ACCELEROMETRY; ADULT; AGED; DEVICES; EXERCISE; EXERCISE TOLERANCE; FEMALE; HUMAN; MALE; MIDDLE AGED; MINDFULNESS; PREDICTIVE VALUE; PSYCHOLOGY; PSYCHOMETRY; QUESTIONNAIRE; REPRODUCIBILITY; SELF REPORT; STATISTICS AND NUMERICAL DATA;

ACCELEROMETRY; ADULT; AGED; EXERCISE; EXERCISE TOLERANCE; FEMALE; HUMANS; MALE; MIDDLE AGED; MINDFULNESS; PREDICTIVE VALUE OF TESTS; PSYCHOMETRICS; REPRODUCIBILITY OF RESULTS; SELF REPORT; SURVEYS AND QUESTIONNAIRES;

EID: 84939188219     PISSN: 15433080     EISSN: 15435474     Source Type: Journal    
DOI: 10.1123/jpah.2013-0338     Document Type: Article

References (88)

1. Organization WH. Global strategy on diet, physical activity and health. Geneva: World Health Organization; 2013.
2. From the Centers for Disease Control and Prevention. Physical activity trends-United States, 1990-1998. JAMA. 2001;285(14):1835. PubMed
3. Hill JO, Wyatt HR, Reed GW, Peters JC. Obesity and the environment: where do we go from here? Science. 2003;299(5608):853-855. PubMed doi:10.1126/science.1079857
4. Wang SS, Brownell KD. Public policy and obesity: the need to marry science with advocacy. Psychiatr Clin North Am. 2005;28(1):235-252. PubMed doi:10.1016/j.psc.2004.09.001
5. Blair SN, Leermakers EA. Exercise and weight management. Handbook of obesity treatment. 2002:283-300.
6. Nestle M, Jacobson MF. Halting the obesity epidemic: A public health policy approach. Public Health Rep. 2000;115(1):12. PubMed doi:10.1093/phr/115.1.12
7. Jeffery RW, French SA. Epidemic obesity in the United States: Are fast foods and television viewing contributing? Am J Public Health. 1998;88(2):277-280. PubMed doi:10.2105/AJPH.88.2.277
8. Auweele YV, Rzewnicki R, Van Mele V. Reasons for not exercising and exercise intentions: A study of middle-aged sedentary adults. J Sports Sci. 1997;15(2):151-165. PubMed doi:10.1080/026404197367425
9. Buckworth J, Lee RE, Regan G, Schneider LK, DiClemente CC. Decomposing intrinsic and extrinsic motivation for exercise: Application to stages of motivational readiness. Psychol Sport Exerc. 2007;8(4):441-461. doi:10.1016/j.psychsport.2006.06.007
10. Cannioto RA. Physical activity barriers, behaviors, and beliefs of overweight and obese working women: A preliminary analysis. Women in Sport and Physical Activity Journal. 2010;19(1):17.
11. Sallis JF, Hovell MF. Determinants of exercise behavior. Exerc Sport Sci Rev. 1990;18(1):307-330. PubMed doi:10.1249/00003677-199001000-00014
12. Sherwood NE, Jeffery RW. The behavioral determinants of exercise: implications for physical activity interventions. Annu Rev Nutr. 2000;20:21-44. PubMed doi:10.1146/annurev.nutr.20.1.21
13. Soh M, Deam R, Kluger R. 10,000 reasons to step out-exercise patterns and pedometer evaluation of consultant anaesthetists. Anaesth Intensive Care. 2006;34(3):347-352. PubMed
14. Interventions for promoting physical activity. 2005.
15. Kahn EB, Ramsey LT, Brownson RC, et al. The effectiveness of interventions to increase physical activity: A systematic review. Am J Prev Med. 2002;22(Suppl 4):73-107. PubMed doi:10.1016/S0749-3797(02)00434-8
16. Hayes SC, Follette VM, Linehan MM. Mindfulness and acceptance: expanding the cognitive-behavioral tradition. New York, NY: Guilford Press; 2004.
17. Kristeller JL, Hallett C. An exploratory study of a meditation-based intervention for binge eating disorder. J Health Psychol. 1999;4:357-363. PubMed doi:10.1177/135910539900400305
18. Brown RA, Evans DM, Miller IW, Burgess ES, Mueller TI. Cognitivebehavioral treatment for depression in alcoholism. J Consult Clin Psychol. 1997;65(5):715-726. PubMed doi:10.1037/0022-006X.65.5.715
19. Patten CA, Drews AA, Myers MG, Martin JE, Wolter TD. Effect of depressive symptoms on smoking abstinence and treatment adherence among smokers with a history of alcohol dependence. Psychol Addict Behav. 2002;16(2):135-142. PubMed doi:10.1037/0893-164X.16.2.135
20. Gifford EV, Kohlenberg BS, Hayes SC, et al. Acceptance-based treatment for smoking cessation. Behavior Therapy 2004;35(4):689-705.
21. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25. PubMed doi:10.1016/j.brat.2005.06.006
22. Lillis J, Hayes SC, Bunting K, Masuda A. Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Ann Behav Med. 2009;37(1):58-69.
23. Butryn ML, Forman E, Hoffman K, Shaw J, Juarascio A. A pilot study of acceptance and commitment therapy for promotion of physical activity. J Phys Act Health. 2011;8(4):516-522. PubMed
24. Juarascio AS, Forman EM, Timko CA, Butryn M, Goodwin CL. The development and validation of the food craving acceptance and action questionnaire (FAAQ). Eat Behav. 2011;12(3):182-187. PubMed doi:10.1016/j.eatbeh.2011.04.008
25. Rimmer JH, Riley B, Wang E, Rauworth A, Jurkowski J. Physical activity participation among persons with disabilities: barriers and facilitators. Am J Prev Med. 2004;26(5):419-425. PubMed doi:10.1016/j.amepre.2004.02.002
26. Ekkekakis P, Lind E. Exercise does not feel the same when you are overweight: the impact of self-selected and imposed intensity on affect and exertion. Int J Obes. 2006;30(4):652-660. PubMed doi:10.1038/ sj.ijo.0803052
27. Blaney J, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey J. Cancer survivors' exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: A questionnaire-survey. Psychooncology. 2013;22(1):186-194. PubMed doi:10.1002/pon.2072
28. Little A, Lewis K. Influences on long-term exercise adherence in older patients with cardiac disease... including commentary by Ingle L. Int J Ther Rehabil. 2006;13(12):543-550. doi:10.12968/ ijtr.2006.13.12.22470
29. U.S. Department of Health & Human Services. Physical activity guidelines for Americans: chapter 6. 2008. http://www.health.gov/ paguidelines/guidelines/chapter6.aspx. Accessed 2/6/2010.
30. Dishman RK. Prescribing exercise intensity for healthy adults using perceived exertion. Med Sci Sports Exerc. 1994;26(9):1087-1094. PubMed doi:10.1249/00005768-199409000-00004
31. Lind E, Joens-Matre RR, Ekkekakis P. What intensity of physical activity do previously sedentary middle-aged women select? Evidence of a coherent pattern from physiological perceptual, and affective markers. Prev Med. 2005;40:407-419. PubMed doi:10.1016/j. ypmed.2004.07.006
32. Prochaska JO, DiClemete CC. The Transtheoretical Approach: crossing the traditional boundaries of therapy. Malabar, FL: Krieger Publishing Company; 1984.
33. Wadden TA, Bell ST. Obesity. In: Bellack AS, Hersen M, Kazdin AE, eds. International handbook of behavior modification and therapy. Vol 2. New York: Plenum Press; 1992:449-473.
34. Dishman RK. Increasing and maintaining exercise and physical activity. Behavior Therapy. 1991;22(3):345-378.
35. Brunet J, Sabiston CM. Exploring motivation for physical activity across the adult lifespan. Psych Sport Exercise. 2011;12(2):99-105.
36. Marcus BH, Napolitano MA, King AC, et al. Telephone versus print delivery of an individualized moticationally-tailored physical activity intervention: Project STRIDE. Health Psychol. 2007;26(4):401-409. PubMed doi:10.1037/0278-6133.26.4.401 37
37. Pinto BM, Friedman R, Marcus BH, Kelley H, Tennstedt S, Gillman M. Effects of a computer-based counseling system on physical activity. Am J Prev Med. 2002;23(2):113-120. PubMed doi:10.1016/S0749-3797(02)00441-5
38. Marcus BH, Bock BC, Pinto BM, Forsyth LH, Roberts MB, Traficante RM. Efficacy of an individualized, motivationally-tailored physical activity intervention. Ann Behav Med. 1998;20:174-180. PubMed doi:10.1007/BF02884958
39. Marcus BH, Emmons KM, Simkin-Silverman LR, et al. Evaluation of motivationally tailored vs. standard self-help physical activity interventions at the workplace. Am J Health Promot. 1998;12:246-253. PubMed doi:10.4278/0890-1171-12.4.246
40. Lowther M, Mutrie N, Marian SE. Identifying key processes of exercise behaviour change associated with movement through stages of exercise behaviour change. J Health Psychol. 2007;12(2):261-272. PubMed doi:10.1177/1359105307074253
41. Schelling S, Munsch S, Meyer AH, Newark P, Biedert E, Margraf J. Increasing the motivation for physical activity in obese patients. Int J Eat Disord. 2009;42(2):130-138. PubMed doi:10.1002/eat.20595
42. Deci E, Ryan RM. Intrinsic motivation and self-determination in human behavior. New York: Plenum; 1985. doi:10.1007/978-1-4899-2271-7
43. Hayes SC, Bissett R, Korn Z, et al. The impact of acceptance versus control rationales on pain tolerance. Psychol Rec. 1999;49:33-47.
44. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: the process and practice of mindful change. Guilford Press; 2011.
45. Tapper K, Shaw C, Ilsley J, Hill AJ, Bond FW, Moore L. Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite. 2009;52(2):396-404.
46. Katterman SN, Goldstein SP, Butryn ML, Forman EM, Lowe MR. Efficacy of an acceptance-based behavioral intervention for weight gain prevention in young adult women. J Contextual Behavioral Sciences. 2014;3:45-50.
47. Ekkekakis P, Parfitt G, Petruzzello SJ. The pleasure and displeasure people feel when they exercise at different intensities: decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Med. 2011;41(8):641-671. PubMed doi:10.2165/11590680-000000000-00000
48. Rhodes RE, Fiala B, Conner M. A review and meta-analysis of affective judgments and physical activity in adult populations. Ann Behav Med. 2009;38(3):180-204. PubMed doi:10.1007/s12160-009-9147-y
49. Salmon J, Owen N, Crawford D, Bauman A, Sallis JF. Physical activity and sedentary behavior: A population-based study of barriers, enjoyment, and preference. Health Psychol. 2003;22(2):178-188. PubMed doi:10.1037/0278-6133.22.2.178
50. Gyurcsik NC, Brawley LR, Spink KS, Glazebrook KE, Anderson TJ. Is level of pain acceptance differentially related to social cognitions and behavior? The case of active women with arthritis. J Health Psychol. 2011;16(3):530-539. PubMed doi:10.1177/1359105310394229
51. McCracken LM, Vowles KE, Eccleston C. Acceptance of chronic pain: component analysis and a revised assessment method. Pain. 2004;107(1):159-166. PubMed doi:10.1016/j.pain.2003.10.012
52. Plasqui G, Westerterp KR. Physical activity assessment with accelerometers: An evaluation against doubly labeled water. Obesity (Silver Spring). 2007;15(10):2371-2379. PubMed doi:10.1038/oby.2007.281
53. Slootmaker SM, Chin A Paw MJM, Schuit AJ, van Mechelen W, Koppes LLJ. Concurrent validity of the PAM accelerometer relative to the MTI Actigraph using oxygen consumption as a reference. Scand J Med Sci Sports. 2009;19(1):36-49.
54. Bouten CV, Westerterp KR, Verduin M, Janssen JD. Assessment of energy expenditure for physical activity using a triaxial accelerometer. Med Sci Sports Exerc. 1994;26(12):1516-1523. PubMed doi:10.1249/00005768-199412000-00016
55. Corder K, Brage S, Ekelund U. Accelerometers and pedometers: methodology and clinical application. Curr Opin Clin Nutr Metab Care. 2007;10(5):597-603. PubMed doi:10.1097/MCO.0b013e328285d883
56. Ward DS, Evenson KR, Vaughn A, Rodgers AB, Troiano RP. Accelerometer use in physical activity: best practices and research recommendations. Med Sci Sports Exerc. 2005;37(11, Suppl):S582-S588. PubMed doi:10.1249/01.mss.0000185292.71933.91
57. Hashii YYY, Ando S, Kimura M. Validity of triaxial accelerometer for estimating energy expenditure in non-athletes and athletes. Med Sci Sports Exerc. 2009;41:41-42. doi:10.1249/01. MSS.0000354689.00049.1e
58. Vanhees L, Lefevre J, Philippaerts R, et al. How to assess physical activity? How to assess physical fitness? European journal of cardiovascular prevention and rehabilitation: official journal of the European Society of Cardiology. Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology. 2005;12(2):102-114.
59. Westerterp KR. Assessment of physical activity: A critical appraisal. Eur J Appl Physiol. 2009;105(6):823-828. PubMed doi:10.1007/ s00421-009-1000-2
60. Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med. 2003;37(3):197-206, discussion 206. PubMed doi:10.1136/bjsm.37.3.197
61. Neilson HK, Robson PJ, Friedenreich CM, Csizmadi I. Estimating activity energy expenditure: how valid are physical activity questionnaires? Am J Clin Nutr. 2008;87(2):279-291. PubMed
62. Ward DS, Evenson KR, Vaughn A, Rodgers AB, Troiano RP. Accelerometer use in physical activity: best practices and research recommendations. Med Sci Sports Exerc. 2005;37(11):S582. PubMed doi:10.1249/01.mss.0000185292.71933.91
63. Matthew CE. Calibration of accelerometer output for adults. Med Sci Sports Exerc. 2005;37(11, Suppl):S512-S522. PubMed doi:10.1249/01.mss.0000185659.11982.3d
64. Booth M. Assessment of physical activity: An international perspective. Res Q Exerc Sport. 2000;71(2, Suppl):S114-S120. PubMed doi:10.1 080/02701367.2000.11082794
65. Hagstromer M, Oja P, Sjostrom M. The International Physical Activity Questionnaire (IPAQ): A study of concurrent and construct validity. Public Health Nutr. 2006;9(6):755-762. PubMed doi:10.1079/PHN2005898
66. Kim Y, Park I, Kang M. Convergent validity of the International Physical Activity Questionnaire (IPAQ): meta-analysis. Public Health Nutr. 2013;16(3):440-452. PubMed doi:10.1017/S1368980012002996
67. Bond FW, Hayes SC, Baer RA, et al. Preliminary Psychometric Properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behav Therapy. 2011;42(4):676-688.
68. Brown DR, Heath GW, Martin SL. Promoting physical activity: A guide for community action. Human Kinetics; 2010.
69. Radloff L. The CED-S scale: A self-report depression scale for research in the general population. Applied Psychosocial Measurement. 1977;1:385-401. doi:10.1177/014662167700100306
70. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.
71. Veehof MM, Ten Klooster PM, Taal E, Westerhof GJ, Bohlmeijer ET. Psychometric properties of the Dutch Five Facet Mindfulness Questionnaire (FFMQ) in patients with fibromyalgia. Clin Rheumatol. 2011;30(8):1045-1054. PubMed doi:10.1007/s10067-011-1690-9
72. Schmidt NB, Richey JA, Fitzpatrick KK. Discomfort intolerance: development of a construct and measure relevant to panic disorder. J Anxiety Disord. 2006;20(3):263-280. PubMed doi:10.1016/j.janxdis. 2005.02.002
73. Forman EM, Herbert JD, Juarascio AS, et al. The Drexel Defusion Scale: A new measure of experiential distancing. J Contextual Behav Sci. 2012;1(1-2):55-65. doi:10.1016/j.jcbs.2012.09.001
74. Rosen CB, Heiman J, Leiblum S, et al. R. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191-208. PubMed doi:10.1080/009262300278597
75. Schuster TL, Kessler RC, Aseltine RH, Jr. Supportive interactions, negative interactions, and depressed mood. Am J Community Psychol. 1990;18(3):423-438. PubMed doi:10.1007/BF00938116
76. Brown W, Trost S, Bauman A, Mummery K, Owen N. Test-retest reliability of four physical activity measures used in population surveys. J Sci Med Sport. 2004;7(2):205-215. PubMed doi:10.1016/S1440-2440(04)80010-0
77. Marx RG, Menezes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. J Clin Epidemiol. 2003;56(8):730-735. PubMed doi:10.1016/S0895-4356(03)00084-2
78. Dwyer JJM, Chulak T, Maitland S, et al. Adolescents' Self-Efficacy to Overcome Barriers to Physical Activity Scale. Res Q Exerc Sport. 2012;83(4):513-521.
79. Li F. The exercise motivation scale: its multifaceted structure and construct validity. J Appl Sport Psychol. 1999;11(1):97-115. doi:10.1080/10413209908402953
80. Sperber N, Hall KS, Allen K, DeVellis BM, Lewis M, Callahan LF. The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis. J Phys Act Health. 2014;11(3):528-35. PubMed
81. Wójcicki TR, White SM, McAuley E. Assessing outcome expectations in older adults: the multidimensional outcome expectations for exercise scale. J Gerontol B Psychol Sci Soc Sci. 2009;64(1):33-40. PubMed doi:10.1093/geronb/gbn032
82. Tudor-Locke C, Brashear MM, Johnson WD, Katzmarzyk PT. Accelerometer profiles of physical activity and inactivity in normal weight, overweight, and obese U.S. men and women. Int J Behav Nutr Phys Act. 2010;7:60. PubMed doi:10.1186/1479-5868-7-60
83. Adams SA, Der Ananian CA, DuBose KD, Kirtland KA, Ainsworth BE. Physical activity levels among overweight and obese adults in South Carolina. South Med J. 2003;96(6):539-543. PubMed doi:10.1097/01.SMJ.0000073569.34104.67
84. Heath GW, Brown DW. Recommended levels of physical activity and health-related quality of life among overweight and obese adults in the United States, 2005. J Phys Act Health. 2009;6(4):403-411. PubMed
85. Jakicic JM, Marcus BH, Lang W, Janney C. Effect of exercise on 24-month weight loss maintenance in overweight women. Arch Intern Med. 2008;168(14):1550-1559. PubMed doi:10.1001/ archinte.168.14.1550
86. Perri M, Corsica J. Improving the maintenance of weight lost in behavioral treatment of obesity. In: Wadden TASA, ed. Handbook of Obesity Treatment. New York: Guilford; 2002:357-379.
87. Tate DF, Jeffery RW, Sherwood NE, Wing RR. Long-term weight losses associated with prescription of higher physical activity goals. Are higher levels of physical activity protective against weight regain? Am J Clin Nutr. 2007;85(4):954-959. PubMed
88. Williams DM, Dunsiger S, Ciccolo JT, Lewis BA, Albrecht AE, Marcus BH. Acute affective response to a moderate-intensity exercise stimulus predicts physical activity participation 6 and 12 months later. Psychol Sport Exerc. 2008;9(3):231-245. PubMed doi:10.1016/j. psychsport.2007.04.002