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Longmuir PE, Chubbs Payne A, Beshara N, Brandão LR, Wright FV, Pohl D, Katz SL, McCormick A, De Laat D, Klaassen RJ, Johnston DL, Lougheed J, Roth J, McMillan HJ, Venkateswaran S, Sell E, Doja A, Boafo A, Macartney G, Matheson K, Feldman BM. Quick, Effective Screening Tasks Identify Children With Medical Conditions or Disabilities Needing Physical Literacy Support. Pediatr Exerc Sci 2024:1-11. [PMID: 38171358 DOI: 10.1123/pes.2023-0130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 10/26/2023] [Accepted: 11/06/2023] [Indexed: 01/05/2024]
Abstract
PURPOSE This study evaluated screening tasks able to identify children with medical conditions or disabilities who may benefit from physical literacy. METHOD Children completed ≤20 screening tasks during their clinic visit and then the Canadian Assessment of Physical Literacy (2nd edition) at a separate visit. Total Canadian Assessment of Physical Literacy scores <30th percentile were categorized as potentially needing physical literacy support. Receiver operator characteristic curves identified assessment cut points with 80% sensitivity and 40% specificity relative to total physical literacy scores. RESULTS 223 children (97 girls; 10.1 [2.6] y) participated. Physical activity adequacy, predilection, and physical competence achieved ≥80% sensitivity and ≥40% specificity in both data sets. Adequacy ≤ 6.5 had 86% to 100% sensitivity and 48% to 49% specificity. Daily screen time >4.9 hours combined with Adequacy ≤6.15 had 88% to 10% sensitivity and 53% to 56% specificity. CONCLUSIONS Activity adequacy, alone or with screen time, most effectively identified children likely to benefit from physical literacy support. Adequacy and screen time questionnaires are suitable for clinical use. Similar results regardless of diagnosis suggest physical competence deficits are not primary determinants of active lifestyles. Research to enhance screening specificity is required.
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Affiliation(s)
- Patricia E Longmuir
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Faculty of Health Sciences, University of Ottawa, Ottawa, ON,Canada
| | - Adam Chubbs Payne
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
| | - Natalie Beshara
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
| | - Leonardo R Brandão
- Division of Hematology/Oncology, The Hospital for Sick Children, Toronto, ON,Canada
- Faculty of Medicine, University of Toronto, Toronto, ON,Canada
| | - F Virginia Wright
- Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON,Canada
- Department of Physical Therapy, University of Toronto, Toronto, ON,Canada
| | - Daniela Pohl
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Sherri Lynne Katz
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Respirology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Anna McCormick
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Health Sciences, University of Ottawa, Ottawa, ON,Canada
- Division of Developmental Pediatrics and Rehabilitation Medicine, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Denise De Laat
- Division of Developmental Pediatrics and Rehabilitation Medicine, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Robert J Klaassen
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Hematology/Oncology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Donna L Johnston
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Hematology/Oncology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Jane Lougheed
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Cardiology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Johannes Roth
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Dermatology and Rheumatology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Hugh J McMillan
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Sunita Venkateswaran
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Erick Sell
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Asif Doja
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Addo Boafo
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Psychiatry, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Gail Macartney
- Faculty of Health Sciences, University of Ottawa, Ottawa, ON,Canada
- Faculty of Nursing, University of Prince Edward Island, Charlottetown, PE,Canada
| | - Katherine Matheson
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON,Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON,Canada
- Division of Psychiatry, Children's Hospital of Eastern Ontario, Ottawa, ON,Canada
| | - Brian M Feldman
- Faculty of Medicine, University of Toronto, Toronto, ON,Canada
- Division of Rheumatology, Department of Pediatrics, and the Institute of Health Policy and Evaluation, The Hospital for Sick Children, Dalla Lana School of Public Health, University of Toronto, Toronto, ON,Canada
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