Physical Activity Change in an RCT: Comparison of Measurement Methods.

Objectives: We aimed to quantify the agreement between self-report, standard cut-point accelerometer, and machine learning accelerometer estimates of physical activity (PA), and examine how agreement changes over time among older adults in an intervention setting. Methods: Data were from a randomize...

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Publicado en:American Journal of Health Behavior Vol. 43; no. 3; pp. 543 - 556
Autores principales: Nelson, Sandahl H., Natarajan, Loki, Patterson, Ruth E., Hartman, Sheri J., Thompson, Caroline A., Godbole, Suneeta V., Johnson, Eileen, Marinac, Catherine R., Kerr, Jacqueline
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: PNG Publications May/Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2019
      vid: 43
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      pub: PNG Publications
      place: Oak Ridge, North Carolina
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        10.5993/AJHB.43.3.9
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        atl: Physical Activity Change in an RCT: Comparison of Measurement Methods.
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          Nelson, Sandahl H.
          Natarajan, Loki
          Patterson, Ruth E.
          Hartman, Sheri J.
          Thompson, Caroline A.
          Godbole, Suneeta V.
          Johnson, Eileen
          Marinac, Catherine R.
          Kerr, Jacqueline
        affil: Department of Family Medicine and Public Health, University of California-San Diego, La Jolla, CA
      sug:
        subj:
          Postmenopause
          Breast Neoplasms
          Cancer Survivors
          Self Report
          Physical Activity
          Accelerometry Evaluation
          Human
          Middle Age
          Machine Learning
          Algorithms
          Randomized Controlled Trials
          Obesity
          Descriptive Statistics
          Body Mass Index
          Questionnaires
          Funding Source
          Middle Aged: 45-64 years
      ab: Objectives: We aimed to quantify the agreement between self-report, standard cut-point accelerometer, and machine learning accelerometer estimates of physical activity (PA), and examine how agreement changes over time among older adults in an intervention setting. Methods: Data were from a randomized weight loss trial that encouraged increased PA among 333 postmenopausal breast cancer survivors. PA was estimated using accelerometry and a validated questionnaire at baseline and 6-months. Accelerometer data were processed using standard cut-points and a validated machine learning algorithm. Agreement of PA at each time-point and change was assessed using mixed effects regression models and concordance correlation. Results: At baseline, self-report and machine learning provided similar PA estimates (mean difference = 11.5 min/day) unlike self-report and standard cut-points (mean difference = 36.3 min/ day). Cut-point and machine learning methods assessed PA change over time more similarly than other comparisons. Specifically, the mean difference of PA change for the cut-point versus machine learning methods was 5.1 min/day for intervention group and 2.9 in controls, whereas it was ⩾ 24.7 min/day for other comparisons. Conclusions: Intervention researchers are facing the issue of self-report measures introducing bias and accelerometer cut-points being insensitive. Machine learning approaches may bridge this gap.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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