TAxonomy of Self-reported Sedentary behaviour Tools (TASST) framework for development, comparison and evaluation of self-report tools: Content analysis and systematic review

P M Dall, E H Coulter, Claire Fitzsimons, D A Skelton, S F M Chastin, Nanette Mutrie (Member of Group Organisation)

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Sedentary behaviour (SB) has distinct deleterious health outcomes, yet there is no consensus on best practice for measurement. This study aimed to identify the optimal self-report tool for population surveillance of SB, using a systematic framework.
Design: A framework, TAxonomy of Self-report SB Tools (TASST), consisting of four domains (type of assessment, recall period, temporal unit, and assessment period), was developed based on a systematic inventory of existing tools. The inventory was achieved through a systematic review of studies reporting SB and tracing back to the original description. A systematic review of the accuracy and sensitivity to change of these tools was then mapped against TASST domains.
Data Sources: Systematic searches were conducted via EBSCO, reference lists and expert opinion.
Eligibility Criteria for selecting studies: The inventory included tools measuring SB in adults that could be self-completed at one sitting, and excluded tools measuring SB in specific populations or contexts. The systematic review included studies reporting on the accuracy against an objective measure of SB and/or sensitivity to change of a tool in the inventory.
Results: The systematic review initially identified 32 distinct tools (141 questions), which were used to develop the TASST framework. Twenty-two studies evaluated accuracy and/or sensitivity to change representing only 8 taxa. Assessing SB as a sum of behaviours and using a previous day recall were the most promising features of existing tools. Accuracy was poor for all existing tools, with both under and over estimation of SB. There was a lack of evidence about sensitivity to change.
Conclusions: Despite the limited evidence, mapping existing SB tools onto the TASST framework has enabled informed recommendations to be made about the most promising features for a surveillance tool, identified aspects on which future research and development of SB surveillance tools should focus.
Original languageEnglish
Article numbere013844
JournalBMJ Open
Volume7
Early online date8 Apr 2017
DOIs
Publication statusPublished - 8 Apr 2017

Keywords

  • population surveillance
  • validation
  • sedentary behaviour
  • sitting
  • measurement

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