ArticleBMC geriatrics2025
Development and validation of a physical activity barrier assessment scale for older patients with chronic diseases.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Assessment Tools, Interventions, and Biopsychosocial Factors Associated With Physical Activity in Older Adults: A Scoping Review.Nursing research and practice · 2026Review
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Authors and funding
6 authors.
Funding
Abstract
backgroundImplementing effective physical activity interventions remains challenging due to insufficient physical activity levels among hospitalized older adults with chronic diseases and the complex array of barriers they face. Existing interventions frequently fail to address the unique needs of this demographic. While research increasingly focuses on patient-related activity barriers, no standardized instrument exists to assess these factors in older chronic disease patients. This study aimed to develop and validate a Physical Activity Barrier Assessment Scale for this population.
methodsGuided by the socio-ecological model, we employed literature review, semi-structured interviews, Delphi expert consultation, and pilot testing to develop scale items. Between March and September 2023, 523 hospitalized older adults with chronic diseases from a tertiary hospital in Zhejiang Province completed the scale. Psychometric evaluation included item analysis, exploratory factor analysis, confirmatory factor analysis, and reliability testing.
resultsThe final 29-item scale comprises three domains: individual (health status, psychological factors), interpersonal (caregiver/staff support), and organizational (environmental barriers). EFA revealed four components explaining 74.14% variance. CFA indicated an acceptable model fit (RMSEA = 0.062; CFI = 0.834). The scale demonstrated excellent internal consistency (Cronbach's α = 0.863). Content validity index reached 0.931.
conclusionsThe scale demonstrates robust psychometric properties for identifying physical activity barriers in hospitalized older adults with chronic diseases. This instrument enables healthcare providers to develop targeted activity interventions, potentially improving clinical outcomes in this vulnerable population.
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