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Development and validation of the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA)
People with cystic fibrosis (pwCF) derive several physiological and psychological benefits from regular physical activity (PA), but the practice is lower than recommended. Knowledge about the facilitators of and barriers to PA at the individual level is important to act positively on PA behaviors. T...
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| Published in: | BMC pulmonary medicine 2021-04, Vol.21 (1), p.121-9, Article 121 |
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| creator | Filleul, Valentine Ladune, Raphaëlle Gruet, Mathieu Falzon, Charlène Fuchs, Amélie Mély, Laurent Hayotte, Meggy Vallier, Jean-Marc Giovannetti, Philippe Ramel, Sophie Vuillemin, Anne Corrion, Karine d'Arripe-Longueville, Fabienne |
| description | People with cystic fibrosis (pwCF) derive several physiological and psychological benefits from regular physical activity (PA), but the practice is lower than recommended. Knowledge about the facilitators of and barriers to PA at the individual level is important to act positively on PA behaviors. This study validated the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA) for adults with CF.
French adults with CF were recruited in several specialist centres in France. The CF-DB-PA scale was validated following a quantitative study protocol comprising four stages: (1) tests of the clarity and relevance of a preliminary 44-item version and reduction analysis, (2) confirmatory factor analysis and tests of dimensionality through equation modelling analysis, (3) tests of reliability with Cronbach alphas for the internal consistency and a test-retest with a 2-to-3 week interval for temporal stability, and 4) tests of construct validity with Spearman correlations to measure the associations between each subscale and the theoretically related constructs (i.e., quality of life, PA and exercise tolerance).
A total of 201 French adults with CF participated in the validation study. The CF-DB-PA comprises 23 items divided into two factors: facilitators of and barriers to PA. Each factor is divided into three subscales: physical, psychological and environmental. The factors (facilitators and barriers) can be used independently or combined as a whole. A general score of decisional balance for PA can also be calculated. The bi-factor model presented satisfactory adjustment indexes: χ
(194) = 362.33; p |
| doi_str_mv | 10.1186/s12890-021-01471-0 |
| format | article |
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French adults with CF were recruited in several specialist centres in France. The CF-DB-PA scale was validated following a quantitative study protocol comprising four stages: (1) tests of the clarity and relevance of a preliminary 44-item version and reduction analysis, (2) confirmatory factor analysis and tests of dimensionality through equation modelling analysis, (3) tests of reliability with Cronbach alphas for the internal consistency and a test-retest with a 2-to-3 week interval for temporal stability, and 4) tests of construct validity with Spearman correlations to measure the associations between each subscale and the theoretically related constructs (i.e., quality of life, PA and exercise tolerance).
A total of 201 French adults with CF participated in the validation study. The CF-DB-PA comprises 23 items divided into two factors: facilitators of and barriers to PA. Each factor is divided into three subscales: physical, psychological and environmental. The factors (facilitators and barriers) can be used independently or combined as a whole. A general score of decisional balance for PA can also be calculated. The bi-factor model presented satisfactory adjustment indexes: χ
(194) = 362.33; p < .001; TLI = .87; CFI = .90; RMSEA = .067. The scale showed satisfactory internal consistency (Cronbach's α = .77). The test-retest reliability was not significant for either subscale, indicating stability over time. The facilitators subscale correlated significantly with the self-reported score of PA (r = .33, p < .01) and quality of life (r = .24, p < .05). The barriers subscale correlated significantly with the self-reported scores of PA (r = - .42, p > .01), quality of life (r = - .44, p < .01), exercise tolerance (r = - .34, p < .01) and spirometry tests (r = - .30, p < .05).
The CF-DB-PA is a reliable and valid questionnaire assessing the decisional balance for PA, the facilitators of and the barriers to PA for adults with CF in French-speaking samples.]]></description><identifier>ISSN: 1471-2466</identifier><identifier>EISSN: 1471-2466</identifier><identifier>DOI: 10.1186/s12890-021-01471-0</identifier><identifier>PMID: 33853554</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Barriers and facilitators ; Care and treatment ; Cystic Fibrosis ; Cystic Fibrosis - psychology ; Cystic Fibrosis - rehabilitation ; Decisional balance ; Delphi method ; Evaluation ; Exercise ; Exercise - psychology ; Factor analysis ; Factor Analysis, Statistical ; Female ; France ; Health surveys ; Human health and pathology ; Humans ; Life expectancy ; Life Sciences ; Male ; Patient Acceptance of Health Care - psychology ; Perceptions ; Physical activity ; Physical fitness ; Physical training ; Psychological aspects ; Psychometrics - methods ; Pulmonology ; Pulmonology and respiratory tract ; Quality of Life ; Questionnaire ; Questionnaires ; Reproducibility of Results ; Santé publique et épidémiologie ; Social support ; Sociodemographics ; Surveys ; Surveys and Questionnaires ; Tissues and Organs ; Validity ; Young Adult</subject><ispartof>BMC pulmonary medicine, 2021-04, Vol.21 (1), p.121-9, Article 121</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c597t-c29c8b513849ad20870fa59e40723987e17cafdde8170f346b5cc9a19849e30b3</citedby><cites>FETCH-LOGICAL-c597t-c29c8b513849ad20870fa59e40723987e17cafdde8170f346b5cc9a19849e30b3</cites><orcidid>0000-0001-7187-2576 ; 0000-0002-2658-277X ; 0000-0002-1176-3279 ; 0000-0002-5778-0285</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8048282/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2514831064?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,44566,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33853554$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-tln.hal.science/hal-03198781$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Filleul, Valentine</creatorcontrib><creatorcontrib>Ladune, Raphaëlle</creatorcontrib><creatorcontrib>Gruet, Mathieu</creatorcontrib><creatorcontrib>Falzon, Charlène</creatorcontrib><creatorcontrib>Fuchs, Amélie</creatorcontrib><creatorcontrib>Mély, Laurent</creatorcontrib><creatorcontrib>Hayotte, Meggy</creatorcontrib><creatorcontrib>Vallier, Jean-Marc</creatorcontrib><creatorcontrib>Giovannetti, Philippe</creatorcontrib><creatorcontrib>Ramel, Sophie</creatorcontrib><creatorcontrib>Vuillemin, Anne</creatorcontrib><creatorcontrib>Corrion, Karine</creatorcontrib><creatorcontrib>d'Arripe-Longueville, Fabienne</creatorcontrib><title>Development and validation of the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA)</title><title>BMC pulmonary medicine</title><addtitle>BMC Pulm Med</addtitle><description><![CDATA[People with cystic fibrosis (pwCF) derive several physiological and psychological benefits from regular physical activity (PA), but the practice is lower than recommended. Knowledge about the facilitators of and barriers to PA at the individual level is important to act positively on PA behaviors. This study validated the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA) for adults with CF.
French adults with CF were recruited in several specialist centres in France. The CF-DB-PA scale was validated following a quantitative study protocol comprising four stages: (1) tests of the clarity and relevance of a preliminary 44-item version and reduction analysis, (2) confirmatory factor analysis and tests of dimensionality through equation modelling analysis, (3) tests of reliability with Cronbach alphas for the internal consistency and a test-retest with a 2-to-3 week interval for temporal stability, and 4) tests of construct validity with Spearman correlations to measure the associations between each subscale and the theoretically related constructs (i.e., quality of life, PA and exercise tolerance).
A total of 201 French adults with CF participated in the validation study. The CF-DB-PA comprises 23 items divided into two factors: facilitators of and barriers to PA. Each factor is divided into three subscales: physical, psychological and environmental. The factors (facilitators and barriers) can be used independently or combined as a whole. A general score of decisional balance for PA can also be calculated. The bi-factor model presented satisfactory adjustment indexes: χ
(194) = 362.33; p < .001; TLI = .87; CFI = .90; RMSEA = .067. The scale showed satisfactory internal consistency (Cronbach's α = .77). The test-retest reliability was not significant for either subscale, indicating stability over time. The facilitators subscale correlated significantly with the self-reported score of PA (r = .33, p < .01) and quality of life (r = .24, p < .05). The barriers subscale correlated significantly with the self-reported scores of PA (r = - .42, p > .01), quality of life (r = - .44, p < .01), exercise tolerance (r = - .34, p < .01) and spirometry tests (r = - .30, p < .05).
The CF-DB-PA is a reliable and valid questionnaire assessing the decisional balance for PA, the facilitators of and the barriers to PA for adults with CF in French-speaking samples.]]></description><subject>Adult</subject><subject>Barriers and facilitators</subject><subject>Care and treatment</subject><subject>Cystic Fibrosis</subject><subject>Cystic Fibrosis - psychology</subject><subject>Cystic Fibrosis - rehabilitation</subject><subject>Decisional balance</subject><subject>Delphi method</subject><subject>Evaluation</subject><subject>Exercise</subject><subject>Exercise - psychology</subject><subject>Factor analysis</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>France</subject><subject>Health surveys</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Life expectancy</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Perceptions</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Psychological aspects</subject><subject>Psychometrics - methods</subject><subject>Pulmonology</subject><subject>Pulmonology and respiratory tract</subject><subject>Quality of Life</subject><subject>Questionnaire</subject><subject>Questionnaires</subject><subject>Reproducibility of Results</subject><subject>Santé publique et épidémiologie</subject><subject>Social support</subject><subject>Sociodemographics</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Tissues and Organs</subject><subject>Validity</subject><subject>Young Adult</subject><issn>1471-2466</issn><issn>1471-2466</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk2P0zAQtRCIXQp_gAOyxGX3kMWfiXNByraUXakSe4Cz5Th265LExU4j9d_jNsuyRciSPZ5582Y8fgC8x-gGY5F_ipiIEmWI4AxhVqT9Bbg8GYTl-ctn9gV4E-MWIVwITl-DC0rTyTm7BD8XZjSt33WmH6DqGziq1jVqcL6H3sJhY-D8EAen4dLVwUcX4cJoF1NctfBWtarXBlof4MPmEJ1OzkoPbnTDAcZ0M_BqvswWt9lDdf0WvLKqjebd4zkDP5Zfvs_vstW3r_fzapVpXhZDpkmpRc0xFaxUDUGiQFbx0jBUEFqKwuBCK9s0RuAUoSyvudalwmXCG4pqOgP3E2_j1VbugutUOEivnDw5fFhLFdKTWiOtJgJZW1tSW2aVrktD6kYXiguscnrk-jxx7fZ1ZxqdxhRUe0Z6HundRq79KAViggiSCK4ngs0_aXfVSh59iKbOC4FHnLAfH4sF_2tv4iC3fh_SoKMkHDNBMcrZX9Q6jVe63vpUWHcualnlXHCOBTvWvfkPKq3GdE773liX_GcJZErQ6ZtjMPapW4zkUW9y0ptMepMnvaXWZ-DD8_E8pfwRGP0NMo7OsQ</recordid><startdate>20210414</startdate><enddate>20210414</enddate><creator>Filleul, Valentine</creator><creator>Ladune, Raphaëlle</creator><creator>Gruet, Mathieu</creator><creator>Falzon, Charlène</creator><creator>Fuchs, Amélie</creator><creator>Mély, Laurent</creator><creator>Hayotte, Meggy</creator><creator>Vallier, Jean-Marc</creator><creator>Giovannetti, Philippe</creator><creator>Ramel, Sophie</creator><creator>Vuillemin, Anne</creator><creator>Corrion, Karine</creator><creator>d'Arripe-Longueville, Fabienne</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7187-2576</orcidid><orcidid>https://orcid.org/0000-0002-2658-277X</orcidid><orcidid>https://orcid.org/0000-0002-1176-3279</orcidid><orcidid>https://orcid.org/0000-0002-5778-0285</orcidid></search><sort><creationdate>20210414</creationdate><title>Development and validation of the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA)</title><author>Filleul, Valentine ; Ladune, Raphaëlle ; Gruet, Mathieu ; Falzon, Charlène ; Fuchs, Amélie ; Mély, Laurent ; Hayotte, Meggy ; Vallier, Jean-Marc ; Giovannetti, Philippe ; Ramel, Sophie ; Vuillemin, Anne ; Corrion, Karine ; d'Arripe-Longueville, Fabienne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c597t-c29c8b513849ad20870fa59e40723987e17cafdde8170f346b5cc9a19849e30b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Barriers and facilitators</topic><topic>Care and treatment</topic><topic>Cystic Fibrosis</topic><topic>Cystic Fibrosis - psychology</topic><topic>Cystic Fibrosis - rehabilitation</topic><topic>Decisional balance</topic><topic>Delphi method</topic><topic>Evaluation</topic><topic>Exercise</topic><topic>Exercise - psychology</topic><topic>Factor analysis</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>France</topic><topic>Health surveys</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Life expectancy</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Perceptions</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Psychological aspects</topic><topic>Psychometrics - methods</topic><topic>Pulmonology</topic><topic>Pulmonology and respiratory tract</topic><topic>Quality of Life</topic><topic>Questionnaire</topic><topic>Questionnaires</topic><topic>Reproducibility of Results</topic><topic>Santé publique et épidémiologie</topic><topic>Social support</topic><topic>Sociodemographics</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Tissues and Organs</topic><topic>Validity</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Filleul, Valentine</creatorcontrib><creatorcontrib>Ladune, Raphaëlle</creatorcontrib><creatorcontrib>Gruet, Mathieu</creatorcontrib><creatorcontrib>Falzon, Charlène</creatorcontrib><creatorcontrib>Fuchs, Amélie</creatorcontrib><creatorcontrib>Mély, Laurent</creatorcontrib><creatorcontrib>Hayotte, Meggy</creatorcontrib><creatorcontrib>Vallier, Jean-Marc</creatorcontrib><creatorcontrib>Giovannetti, Philippe</creatorcontrib><creatorcontrib>Ramel, Sophie</creatorcontrib><creatorcontrib>Vuillemin, Anne</creatorcontrib><creatorcontrib>Corrion, Karine</creatorcontrib><creatorcontrib>d'Arripe-Longueville, Fabienne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC pulmonary medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Filleul, Valentine</au><au>Ladune, Raphaëlle</au><au>Gruet, Mathieu</au><au>Falzon, Charlène</au><au>Fuchs, Amélie</au><au>Mély, Laurent</au><au>Hayotte, Meggy</au><au>Vallier, Jean-Marc</au><au>Giovannetti, Philippe</au><au>Ramel, Sophie</au><au>Vuillemin, Anne</au><au>Corrion, Karine</au><au>d'Arripe-Longueville, Fabienne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and validation of the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA)</atitle><jtitle>BMC pulmonary medicine</jtitle><addtitle>BMC Pulm Med</addtitle><date>2021-04-14</date><risdate>2021</risdate><volume>21</volume><issue>1</issue><spage>121</spage><epage>9</epage><pages>121-9</pages><artnum>121</artnum><issn>1471-2466</issn><eissn>1471-2466</eissn><abstract><![CDATA[People with cystic fibrosis (pwCF) derive several physiological and psychological benefits from regular physical activity (PA), but the practice is lower than recommended. Knowledge about the facilitators of and barriers to PA at the individual level is important to act positively on PA behaviors. This study validated the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA) for adults with CF.
French adults with CF were recruited in several specialist centres in France. The CF-DB-PA scale was validated following a quantitative study protocol comprising four stages: (1) tests of the clarity and relevance of a preliminary 44-item version and reduction analysis, (2) confirmatory factor analysis and tests of dimensionality through equation modelling analysis, (3) tests of reliability with Cronbach alphas for the internal consistency and a test-retest with a 2-to-3 week interval for temporal stability, and 4) tests of construct validity with Spearman correlations to measure the associations between each subscale and the theoretically related constructs (i.e., quality of life, PA and exercise tolerance).
A total of 201 French adults with CF participated in the validation study. The CF-DB-PA comprises 23 items divided into two factors: facilitators of and barriers to PA. Each factor is divided into three subscales: physical, psychological and environmental. The factors (facilitators and barriers) can be used independently or combined as a whole. A general score of decisional balance for PA can also be calculated. The bi-factor model presented satisfactory adjustment indexes: χ
(194) = 362.33; p < .001; TLI = .87; CFI = .90; RMSEA = .067. The scale showed satisfactory internal consistency (Cronbach's α = .77). The test-retest reliability was not significant for either subscale, indicating stability over time. The facilitators subscale correlated significantly with the self-reported score of PA (r = .33, p < .01) and quality of life (r = .24, p < .05). The barriers subscale correlated significantly with the self-reported scores of PA (r = - .42, p > .01), quality of life (r = - .44, p < .01), exercise tolerance (r = - .34, p < .01) and spirometry tests (r = - .30, p < .05).
The CF-DB-PA is a reliable and valid questionnaire assessing the decisional balance for PA, the facilitators of and the barriers to PA for adults with CF in French-speaking samples.]]></abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>33853554</pmid><doi>10.1186/s12890-021-01471-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7187-2576</orcidid><orcidid>https://orcid.org/0000-0002-2658-277X</orcidid><orcidid>https://orcid.org/0000-0002-1176-3279</orcidid><orcidid>https://orcid.org/0000-0002-5778-0285</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC pulmonary medicine, 2021-04, Vol.21 (1), p.121-9, Article 121 |
| issn | 1471-2466 1471-2466 |
| language | eng |
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| subjects | Adult Barriers and facilitators Care and treatment Cystic Fibrosis Cystic Fibrosis - psychology Cystic Fibrosis - rehabilitation Decisional balance Delphi method Evaluation Exercise Exercise - psychology Factor analysis Factor Analysis, Statistical Female France Health surveys Human health and pathology Humans Life expectancy Life Sciences Male Patient Acceptance of Health Care - psychology Perceptions Physical activity Physical fitness Physical training Psychological aspects Psychometrics - methods Pulmonology Pulmonology and respiratory tract Quality of Life Questionnaire Questionnaires Reproducibility of Results Santé publique et épidémiologie Social support Sociodemographics Surveys Surveys and Questionnaires Tissues and Organs Validity Young Adult |
| title | Development and validation of the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA) |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T15%3A44%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Development%20and%20validation%20of%20the%20Cystic%20Fibrosis%20Decisional%20Balance%20for%20Physical%20Activity%20scale%20(CF-DB-PA)&rft.jtitle=BMC%20pulmonary%20medicine&rft.au=Filleul,%20Valentine&rft.date=2021-04-14&rft.volume=21&rft.issue=1&rft.spage=121&rft.epage=9&rft.pages=121-9&rft.artnum=121&rft.issn=1471-2466&rft.eissn=1471-2466&rft_id=info:doi/10.1186/s12890-021-01471-0&rft_dat=%3Cgale_doaj_%3EA658551842%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c597t-c29c8b513849ad20870fa59e40723987e17cafdde8170f346b5cc9a19849e30b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2514831064&rft_id=info:pmid/33853554&rft_galeid=A658551842&rfr_iscdi=true |