Item | M | SD | Mode | % of panellists showing agreement after Round 3 |
---|---|---|---|---|
Definition of compulsive exercise | ||||
Individuals who engage in compulsive exercise generally do not find the experience enjoyable | 3.24 | 0.90 | 3 | 41 (agree) |
Individuals who engage in compulsive exercise have difficulty noticing bodily signals such as pain, hunger, thirst, or exhaustion | 3.71 | 0.77 | 4 | 65 (agree) |
Individuals with an eating disorder who engage in compulsive exercise tend to realise at some point that their behaviour is excessive | 3.12 | 0.70 | 3 | 18 (agree) |
Construct of compulsive exercise | ||||
Eating disorder patients exercise to increase positive affect | 3.47 | 1.07 | 4 | 71 (agree) |
Qualitative aspects are more important in the assessment of compulsive exercise than quantitative aspects | 3.76 | 0.97 | 4 | 65 (agree) |
Questionnaire design | ||||
The questionnaire should include open-ended questions when assessing motivation to exercise and impact of exercise behaviours on life | 3.65 | 1.00 | 4 | 59 (agree) |
Ecological momentary assessment should be included in the assessment an additional measuring tool | 2.94 | 0.83 | 3 | 18 (disagree) |
The measure should be able to differentiate between exercise cognitions and behaviours of different eating disorder subtypes | 3.47 | 1.07 | 3 | 29 (agree) |
Difficulties | ||||
Existing measures of compulsive exercise focus too much on cardiovascular exercise and neglect other forms of exercise such as body building/ muscular fitness | 3.82 | 0.95 | 3 | 59 (agree) |
It can be difficult to distinguish between compulsive exercise and healthy exercise behaviours in individuals with an eating disorder | 3.59 | 1.06 | 4 | 71 (agree) |
Accelerometry may not be a feasible tool due to ethical concerns such as the extensive commitment required by the individual | 2.82 | 1.07 | 4 | 35 (disagree) |
It is difficult to measure compulsive exercise accurately due to a lack of reliable measures assessing quantitative aspects | 3.41 | 1.12 | 4 | 65 (agree) |
The accuracy of self-report is likely diminished due to fear of being judged, shamed or stigmatized | 3.41 | 0.94 | 4 | 65 (agree) |