Development and Profiles of the Concise Scale of Benefits of and Barriers to Physical Activity in Taiwan

台灣版簡式身體活動的利益／障礙量表的發展及描述

劉影梅(Yiing-Mei Liou) ； 吳佳珊(Jia-Shan Wu) ； Mary Jo Clark ； Fiona Bull

《臺灣運動心理學報》 13卷2期 (2013/11) Pp. 1-22

https://doi.org/10.6497/BSEPT.20131101_13(2).0001

摘要

提昇民眾健康之部份焦點從運動轉移到更全面性之身體活動，因此運動、醫療人員與流行病學研究均有需要一個簡式的量表，以測量身體活動的障礙與利益。目的：發展及驗證簡式身體活動的障礙和利益量表，使其更具有文化的敏感度；契合本土的語言；進而報告最重要的身體活動的障礙和利益項目。方法：全面且完整的簡式身體活動的利益、障礙量表發展過程：包括51篇相關研究文獻回顧、雙重回譯法、深入訪談6位成人、田野調查、23位專家進行討論、與用101位成人之先驅研究精簡題目。驗證期在一家電腦製造工廠，以方便取樣方式，得到184位成人個案資料。完成問卷調查。結果：測試表面效度後，擷取出影響身體活動之各七項之利益／障礙變項。心理測量顯示：簡式身體活動利益、障礙量表具可接受的内在信度（Cronbach's alpha = .838；.796）。簡式身體活動利益、障礙二分量表雖分別由七道題目、四個選項所構成，但仍具有相當的一致性（內在等級相關 = .809；.803）。簡式身體活動利益、障礙量表能準確區辨出個案是否採活躍生活方式，也與身體活動之能量消耗和肥胖指數有關。研究顯示樣本常見的身體活動利益為促進健康，障礙則為缺乏指導與沒有夥伴。結論：此工具可有效的幫助健康照護從業人員進行身體活動的介入措施，以促進民眾進行活躍的生活型態。

關鍵字

工具 ； 測量 ； 運動 ； 利益 ； 障礙

並列摘要

To shift focus from exercise to physical activity for health gain is global concern by health professionals. Exercise, medical clinical and epidemiological studies need a parsimonious scale to measure the benefits of and barriers to physical activity. Purpose: We are going to develop and verify a concise scale related to the benefits of and barriers to physical activity and the scale would be linguistically and culturally appropriate to Taiwanese. The second aim as report the most important items of the culture-specific scale in Taiwan. Methods: A comprehensive process was used to develop the Concise Scale of Benefits/Barriers of Physical Activity (CSBBPA) for Taiwanese. A systemic review of 51 literatures, interviews 6 persons, dual-translation, field testing, discussion with 23 experts, and preliminary testing among 101 cases for item analysis to decrease the item number in development phase. In verification phase: a quantitative survey was carried out in a computer manufacturing company in 184 cases. Results: Through face validity examination, extracted benefit/barrier items to produce two brief 7-items to form the CSBBPA. The two 7-items CSBBPA had acceptable internal consistency (Cronbach's alpha = .838; .796). The CSBBPA showed an acceptable internal consistence (Intra-Classification Correlation =.809; .803), even though it was only made up of seven items and four response levels. The CSBBPA was able to accurately discriminate an active lifestyle, the subject's participation in and energy expenditure on physical activity, and to predict obesity. The main benefit of physical activity was identified as health enhancement. Lack of instruction and companionship was the commonly perceived barrier in Taiwan. Conclusions: This efficient tool allows the health providers to assess whether there should be intervention for Chinese clients in terms of physical activity and this will result in the promotion of an active lifestyle.

並列關鍵字

instrument ； measurement ； physical activity ； advantages ； obstacles

參考文獻

Allison, K. R.,Dwyer, J. J.,Makin, S.(1999).Perceived barriers to physical activity among high school students.Preventive Medicine.28,608-615.

Barbara, G.(Ed.),Tabachnick, B. G.(Ed.),Fidell, L. S.(Ed.)(2006).Using multivariate statistics.New York:Harrper Collins.

Bauman, A.,Ainsworth, B. E.,Sallis, J. F.,Hagstromer, M.,Craig, C. L.,Bull, F.,IPS Group(2011).The descriptive epidemiology of sitting. A 20-country comparison using the International Physical Activity Questionnaire (IPAQ).American Journal of Preventive Medicine.41(2),228-235.

Bauman, A.,Bull, F.,Chey, T.,Craig, C. L.,Ainsworth, B. E.,Sallis, J. F.,IPS Group(2009).The International Prevalence Study on Physical Activity: Results from 20 countries.International Journal of Behavioral Nutrition and Physical Activity.6(21),1-25.

Booth, M. L.,Bauman, A.,Owen, N.,Gore, C. J.(1997).Physical activity preferences, preferred sources of assistance, and perceived barriers to increased activity among physically inactive Australians.Preventive Medicine.26,131-137.