{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T18:59:06Z","timestamp":1782413946779,"version":"3.54.5"},"reference-count":43,"publisher":"The Journal of Rheumatology","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>To determine the face, content, and construct validity of the Stages of Exercise Scale (SOES) in children with rheumatologic conditions [juvenile idiopathic arthritis (JIA) and juvenile dermatomyositis (JDM)], and if the validity of the SOES differs by disease type by comparing it with a disease control with a chronic respiratory illness [cystic fibrosis (CF)].<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>Sixty-seven children and adolescents (43 female) ages 11 to 18 years with a diagnosis of either JDM (n = 15), JIA (n = 39), or CF (n = 13) completed the SOES; scales of sensibility, process of change, decisional balance, and self-efficacy; the Child Health Assessment Questionnaire; and patient\/physician ratings of disease severity. Physical activity was measured by an accelerometer. Relationships among SOES and measured constructs were determined by ANOVA and with logistical modeling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>SOES, decisional balance, and self-efficacy as well as behavioral and cognitive processes from the process of change demonstrated significant differences across the staging subgroups. Disease groups did not significantly differ on the scoring across the SOES. Children and adolescents in higher stages participated in more minutes of vigorous physical activity compared with those in the lower stages.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>The SOES demonstrated good face, content, and construct validity in children and adolescents with rheumatic disease.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.151377","type":"journal-article","created":{"date-parts":[[2016,11,2]],"date-time":"2016-11-02T01:25:20Z","timestamp":1478049920000},"page":"2189-2198","source":"Crossref","is-referenced-by-count":10,"title":["Validity of the Stage of Exercise Scale in Children with Rheumatologic Conditions"],"prefix":"10.3899","volume":"43","author":[{"given":"Samantha L.","family":"Stephens","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Tremblay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Faulkner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Beyene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tri H.","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suneye","family":"Koohsari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizaveta","family":"Limenis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian M.","family":"Feldman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2016,11,1]]},"reference":[{"key":"2018112909363002000_43.12.2189.1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.9.885"},{"key":"2018112909363002000_43.12.2189.2","first-page":"1075","article-title":"Aerobic exercise capacity in patients with juvenile dermatomyositis","volume":"30","author":"Takken","year":"2003","journal-title":"J Rheumatol"},{"key":"2018112909363002000_43.12.2189.3","doi-asserted-by":"publisher","DOI":"10.1002\/art.23008"},{"key":"2018112909363002000_43.12.2189.4","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg386"},{"key":"2018112909363002000_43.12.2189.5","doi-asserted-by":"crossref","first-page":"409","DOI":"10.3109\/01942630903245309","article-title":"A qualitative study of fitness instructors\u2019 experiences leading an exercise program for children with juvenile idiopathic arthritis","volume":"29","author":"Hutzel","year":"2009","journal-title":"Phys Occup Ther Pediatr"},{"key":"2018112909363002000_43.12.2189.6","first-page":"287","article-title":"Exercise therapy in juvenile idiopathic arthritis: a Cochrane Review","volume":"44","author":"Takken","year":"2008","journal-title":"Eur J Phys Rehabil Med"},{"key":"2018112909363002000_43.12.2189.7","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1186\/1479-5868-8-113","article-title":"Efficacy of tailored-print interventions to promote physical activity: a systematic review of randomised trials","volume":"8","author":"Short","year":"2011","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2018112909363002000_43.12.2189.8","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093508"},{"key":"2018112909363002000_43.12.2189.9","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.47.9.1102"},{"key":"2018112909363002000_43.12.2189.10","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1249\/01.MSS.0000126568.63402.22","article-title":"Factors influencing the exercise behavior of adults with physical disabilities","volume":"36","author":"Cardinal","year":"2004","journal-title":"Med Sci Sports Exerc"},{"key":"2018112909363002000_43.12.2189.11","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.1992.10607557"},{"key":"2018112909363002000_43.12.2189.12","unstructured":"Napolitano M Lewis B Whiteley J Marcus B . Principles of health behavior change. In: Kaminsky L , editor. ACSM\u2019s resource manual for guidelines for exercise testing and prescription, 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2006:545\u201357."},{"key":"2018112909363002000_43.12.2189.13","first-page":"87","article-title":"The stages of exercise scale and stages of exercise behavior in female adults","volume":"35","author":"Cardinal","year":"1995","journal-title":"J Sports Med Phys Fitness"},{"key":"2018112909363002000_43.12.2189.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.1999.tb06410.x"},{"key":"2018112909363002000_43.12.2189.15","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/09581590601045261","article-title":"A critical review of the validity of measuring stages of change in relation to exercise and moderate physical activity","volume":"17","author":"Bulley","year":"2007","journal-title":"Crit Pub Health"},{"key":"2018112909363002000_43.12.2189.16","doi-asserted-by":"publisher","DOI":"10.1097\/JES.0b013e31821b94c8"},{"key":"2018112909363002000_43.12.2189.17","doi-asserted-by":"publisher","DOI":"10.1080\/17477160802315010"},{"key":"2018112909363002000_43.12.2189.18","doi-asserted-by":"publisher","DOI":"10.1093\/her\/10.3.365"},{"key":"2018112909363002000_43.12.2189.19","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1111\/j.0889-7204.2007.06494.x","article-title":"Readiness to exercise: a comparison of 3 instruments and an interview","volume":"22","author":"Fish","year":"2007","journal-title":"Prog Cardiovasc Nurs"},{"key":"2018112909363002000_43.12.2189.20","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1093\/ptj\/80.8.782","article-title":"Submaximal exercise testing: clinical application and interpretation","volume":"80","author":"Noonan","year":"2000","journal-title":"Phys Ther"},{"key":"2018112909363002000_43.12.2189.21","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1016\/j.jsams.2008.11.001","article-title":"Construct validation of the stages of change with strenuous, moderate, and mild physical activity and sedentary behaviour among children","volume":"12","author":"Hass","year":"2009","journal-title":"J Sci Med Sport"},{"key":"2018112909363002000_43.12.2189.22","first-page":"83","article-title":"The stages of exercise behavior","volume":"33","author":"Marcus","year":"1993","journal-title":"J Sports Med Phys Fitness"},{"key":"2018112909363002000_43.12.2189.23","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(97)00141-9"},{"key":"2018112909363002000_43.12.2189.24","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.11.6.386"},{"key":"2018112909363002000_43.12.2189.25","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.11.4.257"},{"key":"2018112909363002000_43.12.2189.26","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780371209"},{"key":"2018112909363002000_43.12.2189.27","first-page":"226","article-title":"Distinction of quality of life, health related quality of life, and health status in children referred for rheumatologic care","volume":"27","author":"Feldman","year":"2000","journal-title":"J Rheumatol"},{"key":"2018112909363002000_43.12.2189.28","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000185658.28284.ba"},{"key":"2018112909363002000_43.12.2189.29","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2002.24"},{"key":"2018112909363002000_43.12.2189.30","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000183848.25845.e0"},{"key":"2018112909363002000_43.12.2189.31","unstructured":"Fleiss JL . The design and analysis of clinical experiments. New York: John Wiley and Sons; 1986."},{"key":"2018112909363002000_43.12.2189.32","doi-asserted-by":"crossref","unstructured":"Desu M Reghavarao D . Sample size methodology. New York: Academic Press; 1990.","DOI":"10.1016\/B978-0-12-212165-4.50009-7"},{"key":"2018112909363002000_43.12.2189.33","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2010.196"},{"key":"2018112909363002000_43.12.2189.34","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1123\/pes.2014-0185","article-title":"Validation of accelerometer prediction equations in children with chronic disease","volume":"28","author":"Stephens","year":"2016","journal-title":"Pediatr Exerc Sci"},{"key":"2018112909363002000_43.12.2189.35","first-page":"63","article-title":"Quality control and data reduction procedures for accelerometry-derived measures of physical activity","volume":"21","author":"Colley","year":"2010","journal-title":"Health Rep"},{"key":"2018112909363002000_43.12.2189.36","doi-asserted-by":"publisher","DOI":"10.1097\/00003677-200101000-00007"},{"key":"2018112909363002000_43.12.2189.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.02.006"},{"key":"2018112909363002000_43.12.2189.38","first-page":"1991","article-title":"Revision of the proposed classification criteria for juvenile idiopathic arthritis: Durban, 1997","volume":"25","author":"Petty","year":"1998","journal-title":"J Rheumatol"},{"key":"2018112909363002000_43.12.2189.39","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.68"},{"key":"2018112909363002000_43.12.2189.40","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.4.520"},{"key":"2018112909363002000_43.12.2189.41","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1002\/j.2048-7940.2009.tb00250.x","article-title":"Readiness to manage arthritis: a pilot study using a stages-of-change measure for arthritis rehabilitation","volume":"34","author":"Arthur","year":"2009","journal-title":"Rehabil Nurs"},{"key":"2018112909363002000_43.12.2189.42","doi-asserted-by":"publisher","DOI":"10.1037\/a0012983"},{"key":"2018112909363002000_43.12.2189.43","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2402_13"}],"container-title":["The Journal of Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3899\/jrheum.151377","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T02:28:52Z","timestamp":1601173732000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.jrheum.org\/lookup\/doi\/10.3899\/jrheum.151377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,1]]},"references-count":43,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2016,12,1]]},"published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.3899\/jrheum.151377"],"URL":"https:\/\/doi.org\/10.3899\/jrheum.151377","relation":{},"ISSN":["0315-162X","1499-2752"],"issn-type":[{"value":"0315-162X","type":"print"},{"value":"1499-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,1]]}}}