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      Translation and validation of the Persian version of Godin Leisure-Time Exercise Questionnaire in patients with multiple sclerosis

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          Abstract

          Study Design

          Psychometric study.

          Objective

          The purpose of this study is to translate, culturally adapt and evaluate the validity and reliability of the Persian (Farsi) version of GLTEQ in patients with multiple sclerosis.

          Methods

          This study had three phases, including translation of the questionnaire into Persian and making cultural adaptation, evaluation of pre-final version of questionnaire’s comprehensibility in a pilot study, and investigation of reliability and validity of the final version of the translated questionnaire. Content validity, and convergent validity (correlations among the Persian version of GLTEQ and Global physical activity questionnaire (GPAQ), and international physical activity questionnaire (IPAQ)) and after all test-retest reliability were studied.

          Results

          The subjects were 87 MS patients. The Persian version demonstrated moderate to good convergent validity; the correlation coefficient between the Persian version and GPAQ was r=0.64 (p<0.001), and between the Persian version and IPAQ was r=0.59 (p<0.001). The test-retest reliability was strong (Intra-class Correlation (ICC) value ranged between 0.908 and 0.992). Besides, its face validity and content validity were acceptable.

          Conclusions

          The Persian version of GLTEQ is a valid and reliable instrument to assess physical activity in patients with MS. This questionnaire can be a step toward standardization of physical activity measurement in patients with MS. Also, in research, it provides the possibilities to carry on a comparative study across cultures using the same outcome measure.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12883-021-02465-5.

          Related collections

          Most cited references45

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          A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research.

          Intraclass correlation coefficient (ICC) is a widely used reliability index in test-retest, intrarater, and interrater reliability analyses. This article introduces the basic concept of ICC in the content of reliability analysis.
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            Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures

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              Correlation Coefficients

              Correlation in the broadest sense is a measure of an association between variables. In correlated data, the change in the magnitude of 1 variable is associated with a change in the magnitude of another variable, either in the same (positive correlation) or in the opposite (negative correlation) direction. Most often, the term correlation is used in the context of a linear relationship between 2 continuous variables and expressed as Pearson product-moment correlation. The Pearson correlation coefficient is typically used for jointly normally distributed data (data that follow a bivariate normal distribution). For nonnormally distributed continuous data, for ordinal data, or for data with relevant outliers, a Spearman rank correlation can be used as a measure of a monotonic association. Both correlation coefficients are scaled such that they range from -1 to +1, where 0 indicates that there is no linear or monotonic association, and the relationship gets stronger and ultimately approaches a straight line (Pearson correlation) or a constantly increasing or decreasing curve (Spearman correlation) as the coefficient approaches an absolute value of 1. Hypothesis tests and confidence intervals can be used to address the statistical significance of the results and to estimate the strength of the relationship in the population from which the data were sampled. The aim of this tutorial is to guide researchers and clinicians in the appropriate use and interpretation of correlation coefficients.
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                Author and article information

                Contributors
                dr_m_abolhasani@yahoo.com
                Journal
                BMC Neurol
                BMC Neurol
                BMC Neurology
                BioMed Central (London )
                1471-2377
                5 November 2021
                5 November 2021
                2021
                : 21
                : 431
                Affiliations
                [1 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, Multiple Sclerosis Research Center, Neuroscience institute, , Tehran University of Medical Sciences, ; Tehran, Iran
                [2 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, Sports Medicine Research Center, Neuroscience Institute, , Tehran University of Medical Sciences, ; Tehran, Iran
                [3 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, Department of Sports and Exercise Medicine, School of Medicine, , Tehran University of Medical Sciences, ; Tehran, Iran
                [4 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, Sports and Exercise Medicine, MS Research Center, Neuroscience Institute, , Tehran University of Medical Sciences, ; Tehran, Iran
                [5 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, Neurology, MS Fellowship, MS Research Center, Neuroscience Institute, , Tehran University of Medical Sciences, ; Tehran, Iran
                [6 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, Department of Epidemiology and Biostatistics, School of Public Health, , Tehran University of Medical Sciences, ; Tehran, Iran
                [7 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, PHD Candidate in Sport Physiology Cardiac Primary Prevention Research Center (CPPRC), Heart Centre hospital, , Tehran University of Medical Sciences, ; Tehran, Iran
                [8 ]GRID grid.415927.c, ISNI 0000 0004 0612 627X, Department of Sports Medicine, Sports and Exercise medicine, Sina MS Research Center, , Sina Hospital, ; Hassan Abad Square, Tehran, Iran
                Article
                2465
                10.1186/s12883-021-02465-5
                8569962
                34740328
                39ce680d-18cc-45ef-b053-5126088b00d4
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 12 April 2021
                : 25 October 2021
                Categories
                Research
                Custom metadata
                © The Author(s) 2021

                Neurology
                multiple sclerosis,cross-cultural comparison,persian,validation study,reliability and validity

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