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Development of the learning disability physical activity questionnaire (LDPAQ)

Amir Pakravan (Sport and Exercise Medicine, Chair of Physical Activity Committee, European College of Sport and Exercise Physicians, London, UK and Department of Sport and Exercise Science, University of Suffolk, Ipswich, UK)
Marjan Ghazirad (Department of Learning Disabilities, Berkshire Healthcare NHS Foundation Trust, Reading, UK and Department of Psychiatry, University of Oxford, Oxford, UK)
Farshad Shaddel (Department of LD/ASD Division, St Andrew’s Healthcare, Northampton, UK and Department of Psychiatry, University of Oxford, Oxford, UK)

Tizard Learning Disability Review

ISSN: 1359-5474

Article publication date: 21 June 2022

Issue publication date: 19 August 2022




People with learning disabilities can be affected by complex health needs and their life expectancy is significantly reduced. Physical activity has a role in enhancing quality of life and better management of multiple health issues in this population especially if they are individually tailored to the service users’ abilities and care needs. Considering the complexities of communication, there is a need for a specific physical activity assessment tool in people with learning disabilities.


A multidisciplinary team of experts devised the Learning Disability Physical Activity Questionnaire (LDPAQ) as a tool to measure physical activity. The tool was tested within community and inpatient settings.


An easy-read, picture-based, self-reported and concise questionnaire with options relevant to people with learning disabilities was developed. Feedback from the audit confirmed ease of use and high levels of respondent satisfaction. A small-scale audit of the tool also confirmed the need for promoting physical activity within this population.


The LDPAQ is a novel questionnaire that aims to be a universally applicable tool for the assessment of physical activity status in people with learning disabilities. It is designed to be used by people with learning disabilities themselves, professionals and organisations. Further research is needed to explore the full potential of this tool.



The authors thank Dr Harun Butt (Speciality Registrar in psychiatry), Ayesha Taj (Occupational Therapist), Jessica Crawshaw (LD Nurse), Venugopal Narashiman (Physiotherapist), Alison Grewal (Highly Specialist Speech & Language Therapist), Bethany Fuller (Speech & Language Therapist), Angelika Krenc (LD student nurse), Agnes Gasumba (LD student nurse), Andrea Wright (clinical administrator) and Renata Evens (clinical administrator) for their contribution and assistance throughout different aspects of our study.


Pakravan, A., Ghazirad, M. and Shaddel, F. (2022), "Development of the learning disability physical activity questionnaire (LDPAQ)", Tizard Learning Disability Review, Vol. 27 No. 2, pp. 112-121.



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