Test-retest reliability, concurrent validity and correlates of the two-minute walk test in outpatients with psychosis.

Journal: Psychiatry research

Volume: 282

Issue: 

Year of Publication: 2020

Affiliated Institutions:  KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium; University Psychiatric Centre KU Leuven, Kortenberg, Belgium. Electronic address: Davy.Vancampfort@kuleuven.be. Butabika National Referral and Mental Health Hospital, Kampala, Uganda. Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, United Kingdom; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, United Kingdom. KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium. University Psychiatric Centre KU Leuven, Kortenberg, Belgium; Antwerp Health Law and Ethics Chair, University of Antwerp, Belgium. Butabika National Referral and Mental Health Hospital, Kampala, Uganda; Kyambogo University, Kampala, Uganda.

Abstract summary 

The aim of this study was to investigate the test-retest reliability of the 2-minute walk test (2MWT) and the concurrent validity with the 6-minute walk test (6MWT) in outpatients with psychosis. We also explored whether there was a practice effect, determined minimal detectable changes (MDC) and assessed which factors are associated with the 2MWT performance. Fifty outpatients [22 women; 33.5 (14.3) years] performed the 2MWT twice and the 6MWT once and completed the Simple Physical Activity Questionnaire (SIMPAQ) and Brief Symptoms Inventory -18. The median (interquartile) 2MWT score on the first and second test were 128.0 (44.0) meters and 128.0 (31.5) meters, without significant difference between the two trials. The intraclass coefficient was 0.94 (95% confidence interval=0.91-0.97). The significant Spearman Rho correlation between the second 2MWT and the 6MWT was 0.69. The MDC was 22 m for men and 21 m for women. There was no evidence for a practice effect. Variability in SIMPAQ sedentary, exercise, incidental physical activity and leg pain following the test explained 54.6% of the variance in 2MWT score. The current study demonstrates that the 2MWT is a reliable, valid and clinically feasible tool for assessing and evaluating the functional exercise capacity in outpatients with psychosis.

Authors & Co-authors:  Vancampfort Davy D Kimbowa Samuel S Basangwa David D Smith Lee L Stubbs Brendon B Van Damme Tine T De Hert Marc M Mugisha James J

Study Outcome 

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Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.psychres.2019.112619
SSN : 1872-7123
Study Population
Men
Mesh Terms
Adult
Other Terms
Fitness;Physical activity;Psychosis;Schizophrenia;Walk test
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Ireland