Physical body experiences questionnaire simplified for active aging (PBE-QAG): Validation with Rasch measurement theory

PurposeTo validate the Physical body experiences questionnaire simplified for active aging (PBE-QAG) with Rasch measurement theory. PBE-QAG measures body awareness during physical activity and includes dimensions of body-mind relationship, body acceptance, and awareness of physical skills and limits.MethodsAdults without pain (n=269), with pain (n=61), with mental health conditions (n=200), and with stroke (n=36) were recruited at the Minnesota State Fair, Highland Fest, and in the Brain Body Mind Lab (University of Minnesota) and completed demographic and clinical questionnaires as well as the PBE-QAG. The PBE-QAG has 12 items, with scores ranging between 0 (totally true) to 4 (totally false). A low total score on the PBE-QAG reflects better body awareness. We evaluated item and person fit, targeting, unidimensionality, person separation reliability (PSR), local item dependence (LID), and differential item functioning (DIF) for demographic and clinical characteristics. We compared with Kruskal-Wallis ANOVA the person mean location in four groups: Adults with or without mental health conditions; and whether those groups did body awareness training.ResultsUnidimensionality and item fit were obtained after deleting 2 and rescoring 5 items. Seven participants did not fit the model (1.23%). There was minimal floor (5.72%), no ceiling effect (0.00%), and no LID. No DIF was greater than 0.50 logits for any of the variables. The Wright-corrected PSR was 0.96. The person mean location was -1.71±1.21 logits. Adults with mental health conditions who did not practice body awareness had a higher person mean location [Median (IQR)=0.83(0.89) logits, pConclusionsPBE-QAG demonstrated good item and person fit, but the targeting is off. Therefore, the current version of PBE-QAG is not recommended for use in the general population. We encourage further validation of PBE-QAG in adults with mental health conditions who do not practice body awareness.