Evidence map›Paper›PMID 41815970›Full record

ArticleFrontiers in public health2026

A Scale for Older adults' decisional balance regarding physical ACTIVity (SO-ACTIV): development and validation in a French sample.

Camille Giaufer, Meggy Hayotte, Raphaëlle Ladune, Raphaël Zory, Frédéric Prate, Fabienne d'Arripe-Longueville

Abstract readValidation Study
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Camille GiauferUniversité Côte d'Azur, LAMHESS, Nice, France.
Meggy HayotteUniversité Côte d'Azur, LAMHESS, Nice, France.
Raphaëlle LaduneUniversité Côte d'Azur, LAMHESS, Nice, France.
Raphaël ZoryUniversité Côte d'Azur, LAMHESS, Nice, France.
Frédéric PrateDepartment of Geriatric Medicine, Clinique Gériatrique de Soins Ambulatoires, Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Nice, France.
Fabienne d'Arripe-LonguevilleUniversité Côte d'Azur, LAMHESS, Nice, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite its health benefits, physical activity declines with age. The transtheoretical model posits that individuals' choice to be active depends on their perceived decisional balance (i.e., facilitators weight against barriers). Some of these factors are age-specific and extend across multiple socioecological levels (intrapersonal, interpersonal, environmental, organizational). Yet, existing decisional balance measures overlook age-related concerns, lack theoretical grounding, or fail to reflect the multilevel socioecological structure. To address these gaps, we developed and validated the Scale for Older adults' decisional balance regarding physical ACTIVity (SO-ACTIV). Methods: Following established steps for scale development, an online survey was completed by 452 French-speaking older adults. Confirmatory factor analyses tested different models. Reliability was examined through internal consistency and 2-week test-retest. Construct validity was assessed through correlations with motivation toward health-oriented physical activity, a decisional-balance measure for exercise in adults, and a self-reported physical activity level score. Known-groups validity was tested across stages of change. Results: From an initial pool of 55-item, expert review retained 35-item divided into two overarching factors (facilitators, barriers) and four domains (intrapersonal, interpersonal, environmental, organizational). Confirmatory factor analyses supported a final 26-item instrument structured as a second-order hierarchical model, with two upper-level factors, and four specific domains for each. This model yielded the best fit indices. Internal consistency ranged from acceptable to excellent across domains and factors, and test-retest reliability was mainly demonstrated. Convergent validity was supported: facilitators correlated positively with self-determined forms of motivation and with physical activity, and negatively with amotivation; barriers showed the opposite patterns. Concurrent validity was attested by correlations between facilitators and pros, and between barriers and cons. Known-groups validity was supported by higher facilitator scores and lower barrier scores at action/maintenance stages compared with earlier stages of change. Conclusion: SO-ACTIV is a brief, theory-based instrument that captures facilitators and barriers to physical activity among French-speaking older adults across intrapersonal, interpersonal, environmental, and organizational levels. Its strong psychometric qualities support its use in future research and to guide targeted counseling and interventions in physical activity.

Indexed as

Decision MakingExerciseAgedAged, 80 and overFactor Analysis, StatisticalFemaleFranceHumansMaleMiddle AgedMotivationPsychometricsReproducibility of ResultsSurveys and Questionnairesbarriersfacilitatorspsychometric validationseniortranstheoretical model

Identifiers

PMID41815970
PMCPMC12971515

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.