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Protocol - Physical Activity Self-Efficacy - Adolescent

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Description:

The individual is asked to complete a series of questions about his or her feelings about physical activities and how sure he or she is that he or she will perform physical activities under certain circumstances. The questionnaire includes other questions about how much support the individual receives from family members and friends to participate in physical activity or sports. Almost all the items have five response options in a Likert-type scale with values of 1-5 (e.g., never = 1, many times = 5).

Protocol:

The 2001 PACE questionnaire is made available for research purposes only by San Diego State University.

Physical Activity Stages

Physical activity is any activity that increases your heart rate and makes you get out of breath some of the time.

Physical activity can be done in sports, playing with friends, or walking to school.

• Some examples of physical activity are running, brisk walking, rollerblading, biking, skateboarding, dancing, swimming, soccer, basketball, football, & surfing.

1. In a typical week, how many days do you do physical activity for 60 minutes or more?

Mark the answer that is true for you.

Zero
0

One
1

Two
2

Three
3

Four
4

Five
5

Six or more
6+

(If you answered between "0" and "4" to question 1, go to question 3.)

(If you answered "5" or "6 or more" to question 1, go to question 2.)

3. Do you think you will start doing 60 minutes of physical activity 5 or more days a week in the next 6 months?

2. How many months have you been doing 60 minutes of physical activity on 5 or more days per week?

1

No, and I do not intend to in the next six months.

1

Less than 6 months

2

Yes, I intend to in the next six months.

2

6 months or more

3

Yes, I intend to in the next 30 days.

Physical Activity Change Strategies

The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following.

Many Times

5

PLEASE:

Often

4

* Fill in each circle completely.

Sometimes

3

* Erase all changes completely.

Almost Never

2

Never

1

1. I look for information about physical activity or sports.

2. I keep track of how much physical activity I do.

3. I find ways to get around the things that get in the way of being physically active.

4. I think about how my surroundings affect the amount of physical activity I do. (Surroundings are things like having exercise equipment at home or a park nearby.)

5. I put reminders around my home to be physically active.

6. I reward myself for being physically active.

7. I do things to make physical activity more enjoyable.

8. I think about the benefits I will get from being physically active.

9. I try to think more about the benefits of physical activity and less about the hassles of being active.

10. I say positive things to myself about physical activity.

11. When I get off track with my physical activity plans, I tell myself I can start again and get right back on track.

12. I have a friend or family member who encourages me to do physical activity.

13. I try different kinds of physical activity so that I have more options to choose from.

14. I set goals to do physical activity.

15. I make back-up plans to be sure I get my physical activity.

Physical Activity Pros & Cons

The following statements are different beliefs about physical activity.

Please rate HOW IMPORTANT each statement is to your decision to do physical activity. Use the following scale:

PLEASE:

* Fill in each circle completely.

Extremely Important

5

* Erase all changes completely.

Very Important

4

Moderately Important

3

HOW IMPORTANT IS EACH STATEMENT

Slightly Important

2

TO YOU WHEN DECIDING WHETHER

Not Important

1

OR NOT TO DO PHYSICAL ACTIVITY?

1. I would feel embarrassed if people saw me doing physical activity.

2. Physical activity would help me stay fit.

3. My parents would be happy if I did physical activity.

4. There is too much I would have to learn to do physical activity.

5. I would feel better about myself if I did physical activity.

6. I would need too much help from my parents to do physical activity.

7. I do not like the way physical activity and exercise makes me feel.

8. I would have fun doing physical activity or playing sports with my friends.

9. I would have more energy if I did physical activity.

10. Physical activity takes time away from being with my friends.

Physical Activity Confidence

There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Please answer ALL questions.

I’m sure I can

5

PLEASE:

I probably can

4

* Fill in each circle completely.

Neutral

3

* Erase all changes completely.

I probably can’t

2

I’m sure I can’t

1

1. Do physical activity even when you feel sad or stressed?

2. Set aside time for physical activity on most days of the week?

3. Do physical activity even when your family or friends want you to do something else?

4. Get up early, even on weekends, to do physical activity?

5. Do physical activity even when you have a lot of schoolwork?

6. Do physical activity even when it is raining or really hot outside?

Physical Activity Family Support

During a typical week, how often has a member of your household: (For example, your father, mother, brother, sister, grandparent, or other relatives)

Every day

5

5-6 days

4

3-4 days

3

1-2 days

2

Never

1

1. Watched you participate in physical activity or play sports?

2. Encouraged you to do sports or physical activity?

3. Provided transportation to a place where you can do physical activity or play sports?

4. Done a physical activity or played sports with you?

Physical Activity Friend Support

During a typical week, how often:

Every day

5

PLEASE:

5-6 days

4

* Fill in each circle completely.

3-4 days

3

* Erase all changes completely.

1-2 days

2

Never

1

1. Do your friends encourage you to do sports or physical activities?

2. Do your friends do physical activity or play sports with you?

3. Do your friends or classmates tease you about not being good at physical activities or sports?

4. Do your friends ask you to walk or bike to school or to a friend’s house?

5. Do your friends tell you that you are doing well in physical activities or sports?

Closest Friend Support

5 Friends

4 Friends

3 Friends

2 Friends

1 Friend

0 Friends

6. How many of your five closest friends are physically active on a regular basis?

Physical Activity Enjoyment

Strongly agree

PLEASE:

Somewhat agree

* Fill in each circle completely.

Neutral

* Erase all changes completely.

Somewhat disagree

Strongly disagree

1. I enjoy doing physical activity.

Physical Activity Recreation Choices

2. What do you usually do when you have a choice about how you spend recreational time?

Almost always choose activities like TV, reading, listening to music, or computers

Usually choose activities like TV, reading, listening to music or computers

Just as likely choose active or inactive recreation

Usually choose activities like bicycling, dancing, outdoor games or active sports

Almost always choose activities like bicycling, dancing, outdoor games or active sports

Physical Activity Environmental Factors

How much do you agree with the following statements?

Strongly agree

5

PLEASE:

Somewhat agree

4

* Fill in each circle completely.

Neutral

3

* Erase all changes completely.

Somewhat disagree

2

Strongly disagree

1

1. At home there are enough supplies and pieces of sports equipment (like balls, bicycles, skates) to use for physical activity.

2. It is difficult to walk or jog in my neighborhood because of things like traffic, no sidewalks, dogs, gangs and so on.

3. There are playgrounds, parks, or gyms, close to my home or that I can get to easily.

4. It is safe to walk or jog in my neighborhood during the day.

Scoring:

Stage of Change

Using the branching scheme:

If physically active 5 to 7 days a week:

Question 2:

1 = Action stage

2 = Maintenance stage.

If physically active 0 to 4 days a week:

Question 3:

1 = Precontemplation stage

2 = Contemplation stage

3 = Preparation stage

Physical Activity Change Strategies

Create a composite strategy score by computing the mean of items 1 to 15.

Physical Activity Pros & Cons

Pros of change scale = mean of items 2, 3, 5, 8, 9.

Cons of change scale = mean of items 1, 4, 6, 7, 10.

Physical Activity Confidence (Self-Efficacy)

Compute mean of items 1 to 6.

Physical Activity Family Support (Family Influences)

Compute mean of items 1 to 4.

Physical Activity Friend Support (Peer Influences)

Reverse code item 3, then compute mean of items 1 to 5.

Physical Activity Environmental Factors

Reverse code item 2, then compute mean of items 1 to 4.

Protocol Name from Source:

2001 PACE Questionnaire

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adolescent

Participants:

Adolescents

Specific Instructions:

None

Selection Rationale

This series of self-efficacy questions exhibited good reliability and internal consistency when tested on an adolescent population.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Adolescent Physical Activity Self-Efficacy Assessment Score 3107320 CDE Browser
Derived Variables

None

Process and Review

The Expert Review Panel #1 reviewed the measures in the Anthropometrics, Diabetes, Physical Activity and Physical Fitness, and Nutrition and Dietary Supplements domains.

Guidance from the ERP includes:

• Replaced the protocol (different source)

Not back-compatible: requires changes to Data Dictionary

Previous version in Toolkit archive (link)

Variable mapping (link)

Source

Norman, G. J., Sallis, J. F., & Gaskins, R. (2005). Comparability and reliability of paper and computer-based measures of psychosocial constructs for adolescent physical activity and sedentary behaviors. Research Quarterly for Exercise and Sport, 76(3), 315-323.

General References

Lenert, L., Norman, G. J., Mailhot, M., & Patrick, K. (2005). A framework for modeling health behavior protocols and their linkage to behavioral theory. Journal of Biomedical Informatics, 38(4), 270-280.

Protocol ID:

151303

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_1 PX151303020100 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I look for information about physical activity or sports. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_10 PX151303021000 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I say positive things to myself about physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_11 PX151303021100 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: When I get off track with my physical activity plans, I tell myself I can start again and get right back on track. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_12 PX151303021200 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I have a friend or family member who encourages me to do physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_13 PX151303021300 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I try different kinds of physical activity so that I have more options to choose from. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_14 PX151303021400 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I set goals to do physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_15 PX151303021500 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I make back-up plans to be sure I get my physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_2 PX151303020200 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I keep track of how much physical activity I do. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_3 PX151303020300 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I find ways to get around the things that get in the way of being physically active. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_4 PX151303020400 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I think about how my surroundings affect the amount of physical activity I do. (Surroundings are things like having exercise equipment at home or a park nearby.) 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_5 PX151303020500 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I put reminders around my home to be physically active. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_6 PX151303020600 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I reward myself for being physically active. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_7 PX151303020700 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I do things to make physical activity more enjoyable. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_8 PX151303020800 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I think about the benefits I will get from being physically active. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ChangeStrategies_9 PX151303020900 The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I try to think more about the benefits of physical activity and less about the hassles of being active. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_ClosestFriendSupport PX151303070000 How many of your five closest friends are physically active on a regular basis? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_Confidence_1 PX151303040100 There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Do physical activity even when you feel sad or stressed? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_Confidence_2 PX151303040200 There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Set aside time for physical activity on most days of the week? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_Confidence_3 PX151303040300 There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Do physical activity even when your family or friends want you to do something else? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_Confidence_4 PX151303040400 There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Get up early, even on weekends, to do physical activity? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_Confidence_5 PX151303040500 There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Do physical activity even when you have a lot of schoolwork? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_Confidence_6 PX151303040600 There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Do physical activity even when it is raining or really hot outside? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_EnvironmentalFactors_1 PX151303100100 How much do you agree with the following statements? At home there are enough supplies and pieces of sports equipment (like balls, bicycles, skates) to use for physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_EnvironmentalFactors_2 PX151303100200 How much do you agree with the following statements? It is difficult to walk or jog in my neighborhood because of things like traffic, no sidewalks, dogs, gangs and so on. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_EnvironmentalFactors_3 PX151303100300 How much do you agree with the following statements? There are playgrounds, parks, or gyms, close to my home or that I can get to easily. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_EnvironmentalFactors_4 PX151303100400 How much do you agree with the following statements? It is safe to walk or jog in my neighborhood during the day. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FamilySupport_1 PX151303050100 During a typical week, how often has a member of your household: (For example, your father, mother, brother, sister, grandparent, or other relatives) Watched you participate in physical activity or play sports? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FamilySupport_2 PX151303050200 During a typical week, how often has a member of your household: (For example, your father, mother, brother, sister, grandparent, or other relatives) Encouraged you to do sports or physical activity? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FamilySupport_3 PX151303050300 During a typical week, how often has a member of your household: (For example, your father, mother, brother, sister, grandparent, or other relatives) Provided transportation to a place where you can do physical activity or play sports? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FamilySupport_4 PX151303050400 During a typical week, how often has a member of your household: (For example, your father, mother, brother, sister, grandparent, or other relatives) Done a physical activity or played sports with you? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FriendSupport_1 PX151303060100 During a typical week, how often: Do your friends encourage you to do sports or physical activities? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FriendSupport_2 PX151303060200 During a typical week, how often: Do your friends do physical activity or play sports with you? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FriendSupport_3 PX151303060300 During a typical week, how often: Do your friends or classmates tease you about not being good at physical activities or sports? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FriendSupport_4 PX151303060400 During a typical week, how often: Do your friends ask you to walk or bike to school or to a friend's house? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_FriendSupport_5 PX151303060500 During a typical week, how often: Do your friends tell you that you are doing well in physical activities or sports? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_Enjoyment PX151303080000 I enjoy doing physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_Frequency PX151303010100 In a typical week, how many days do you do physical activity for 60 minutes or more? Mark the answer that is true for you. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_Future PX151303010300 Do you think you will start doing 60 minutes of physical activity 5 or more days a week in the next 6 months? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_HighFrequency PX151303010200 How many months have you been doing 60 minutes of physical activity on 5 or more days per week? 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_1 PX151303030100 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? I would feel embarrassed if people saw me doing physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_10 PX151303031000 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? Physical activity takes time away from being with my friends. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_2 PX151303030200 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? Physical activity would help me stay fit. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_3 PX151303030300 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? My parents would be happy if I did physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_4 PX151303030400 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? There is too much I would have to learn to do physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_5 PX151303030500 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? I would feel better about myself if I did physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_6 PX151303030600 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? I would need too much help from my parents to do physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_7 PX151303030700 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? I do not like the way physical activity and exercise makes me feel. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_8 PX151303030800 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? I would have fun doing physical activity or playing sports with my friends. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_PhysicalActivity_ProsCons_9 PX151303030900 HOW IMPORTANT IS EACH STATEMENT TO YOU WHEN DECIDING WHETHER OR NOT TO DO PHYSICAL ACTIVITY? I would have more energy if I did physical activity. 4 N/A
PX151303_PhysicalActivity_SelfEfficacy_RecreationChoices PX151303090000 What do you usually do when you have a choice about how you spend recreational time? 4 N/A
Research Domain Information
Measure Name:

Physical Activity Self Efficacy

Release Date:

October 1, 2015

Definition

This is a measure of a person’s confidence in his or her ability to be physically active on a regular basis.

Purpose

Physical activity self-efficacy is a behavioral factor that can predict whether a person will regularly engage in physical activity and can predict various health outcomes (e.g., quality of life). Physical activity self-efficacy has been found to be a significant mediator in maintaining physical activity behavior.

Keywords

Physical Activity and Physical Fitness, exercise, frequency of exercise