PMID- 32184584 OWN - NLM STAT- MEDLINE DCOM- 20210209 LR - 20210209 IS - 1178-2005 (Electronic) IS - 1176-9106 (Print) IS - 1176-9106 (Linking) VI - 15 DP - 2020 TI - Translation and Cultural Adaptation of PROactive Instruments for COPD in French and Influence of Weather and Pollution on Its Difficulty Score. PG - 471-478 LID - 10.2147/COPD.S214410 [doi] AB - INTRODUCTION: The recently developed daily and clinical visit PROactive physical activity in COPD (PPAC) instruments are hybrid tools to objectively quantify the level of physical activity and the difficulties experienced in everyday life. Our aim was to translate these instruments for the French-speaking chronic obstructive pulmonary disease (COPD) community worldwide and evaluate the influence of weather and pollution on difficulty score. METHODS: The translation procedure was conducted following the guidelines for cross-cultural adaptation process. The translated clinical visit (C-PPAC) was tested among COPD patients in France. A retest was conducted after an interval of at least 2 weeks. The C-PPAC difficulty score was then tested to see how sensitive it was to the influence of weather and outdoor pollution. RESULTS: One hundred and seventeen COPD patients (age 65+/-9 years; FEV1: 51+/-20%) from 9 regions in France were included. The French version of C-PPAC was found comprehensible by the patients with an average score of 4.8/5 on a Likert-scale. It showed good internal consistency with Cronbach's alpha>0.90 and a good test retest reliability with an intraclass correlation coefficient of >/=0.80. The difficulty score was negatively correlated with duration of daylight (rho=-0.266; p<0.01) and influenced by the intensity of rainfall (light vs. heavy rainfall: 68+/-16 vs. 76+/-14 respectively, p=0.045). The score was lower in patients receiving long term oxygen therapy (60+/-15 vs. 71+/-15, p<0.01), but not correlated with the pollution indices. CONCLUSION: The French versions of the questionnaires of the PPAC instruments are accepted and comprehensible to COPD patients. The difficulty score of C-PPAC is sensitive to duration of daylight and rainfall. Such weather factors must be taken into consideration when evaluating the physical activity behavior using these tools in COPD. CI - (c) 2020 Vaidya et al. FAU - Vaidya, Trija AU - Vaidya T AUID- ORCID: 0000-0001-8527-2918 AD - Laboratory MOVE (EA6314), Universite de Poitiers, Faculty of Sport Sciences, Poitiers, France. FAU - Thomas-Ollivier, Veronique AU - Thomas-Ollivier V AD - Faculty of Sport Sciences, Movement-Interactions-Performance, MIP, EA 4334, Universite de Nantes, Nantes F-4000, France. FAU - Hug, Francois AU - Hug F AD - Faculty of Sport Sciences, Movement-Interactions-Performance, MIP, EA 4334, Universite de Nantes, Nantes F-4000, France. AD - Institut Universitaire de France (IUF), Paris, France. FAU - Bernady, Alain AU - Bernady A AUID- ORCID: 0000-0002-3721-6812 AD - Toki-Eder Centre Medical Cardio-Respiratoire, Cambo-Les-Bains, France. FAU - Le Blanc, Camille AU - Le Blanc C AD - Physical Medicine and Rehabilitation Department, University Hospital of Nantes, Nantes, France. FAU - de Bisschop, Claire AU - de Bisschop C AUID- ORCID: 0000-0001-6815-0660 AD - Laboratory MOVE (EA6314), Universite de Poitiers, Faculty of Sport Sciences, Poitiers, France. FAU - Chambellan, Arnaud AU - Chambellan A AD - Faculty of Sport Sciences, Movement-Interactions-Performance, MIP, EA 4334, Universite de Nantes, Nantes F-4000, France. AD - L'institut du Thorax, Laboratory MIP, UNIV Nantes, University Hospital of Nantes, Nantes, France. LA - eng PT - Evaluation Study PT - Journal Article PT - Multicenter Study DEP - 20200303 PL - New Zealand TA - Int J Chron Obstruct Pulmon Dis JT - International journal of chronic obstructive pulmonary disease JID - 101273481 SB - IM MH - *Activities of Daily Living MH - Aged MH - *Air Pollution MH - Cross-Sectional Studies MH - *Cultural Characteristics MH - *Exercise MH - Female MH - Forced Expiratory Volume MH - France/epidemiology MH - *Health Status Indicators MH - Humans MH - Lung/*physiopathology MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Pulmonary Disease, Chronic Obstructive/*diagnosis/ethnology/physiopathology MH - Reproducibility of Results MH - *Surveys and Questionnaires MH - *Translating MH - *Weather PMC - PMC7060774 OTO - NOTNLM OT - COPD OT - physical activity OT - questionnaire OT - reliability COIS- The authors report no conflicts of interest in this work. EDAT- 2020/03/19 06:00 MHDA- 2021/02/10 06:00 PMCR- 2020/03/03 CRDT- 2020/03/19 06:00 PHST- 2019/05/06 00:00 [received] PHST- 2019/10/31 00:00 [accepted] PHST- 2020/03/19 06:00 [entrez] PHST- 2020/03/19 06:00 [pubmed] PHST- 2021/02/10 06:00 [medline] PHST- 2020/03/03 00:00 [pmc-release] AID - 214410 [pii] AID - 10.2147/COPD.S214410 [doi] PST - epublish SO - Int J Chron Obstruct Pulmon Dis. 2020 Mar 3;15:471-478. doi: 10.2147/COPD.S214410. eCollection 2020.