Translation and cross-cultural adaptation of the Get Active Questionnaire for Pregnancy into Italian language

ABSTRACT
Objective. Engaging in regular physical activity during pregnancy yields beneficial health effects for both mothers and their infants. To promote these benefits, the World Health Organization experts recommend that pregnant and postpartum women partake in at least 150 minutes of moderate-intensity aerobic exercise each week and reduce their sedentary time. The Get Active Questionnaire for Pregnancy (GAQ-P) was created in 2021 to identify pregnant women who may need further advice from their obstetric care provider regarding potential contraindications to physical activity participation. The goal of this project was to translate the GAQ-P into Italian and to culturally adapt these tools.
Materials and Methods. The GAQ-P was translated into Italian and cross-culturally adjusted using the ten recommended steps: 1. Preparation; 2. Forward Translation; 3. Reconciliation; 4. Back Translation; 5. Back Translation Review; 6. Harmonization; 7. Cognitive Debriefing; 8. Review of Cognitive Debriefing Results and Finalization; 9. Proofreading; and 10. Final Report.
Results. Utilizing the described methodology, we have developed a reliable, evidence-based screening tool. This tool aims to assist obstetric care providers in identifying pregnant patients who may not be suited for moderate to vigorous physical activity. Simultaneously, the GAQ-P can help lower the barriers for most women who should and wish to engage in physical activity during pregnancy.
Conclusions. We have developed a reliable, evidence-based screening tool. Future research should evaluate the effectiveness of this instrument and the extent of its implementation within the Italian context.