期刊
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
卷 117, 期 2, 页码 214-227出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jand.2016.07.021
关键词
Children; Parents; Feeding practices; Measurement; Psychometric properties
资金
- National Cancer Institute of the National Institutes of Health [R21-CA134986]
- National Institute of Diabetes and Digestive and Kidney Diseases [P30-DK092950]
- University of North Carolina at Chapel Hill at the Center for Health Promotion and Disease Prevention, a Prevention Research Center [U48-DP001944]
- Centers for Disease Control and Prevention [U48-DP001944]
Background Parents' food parenting practices influence children's dietary intake and risk for obesity and chronic disease. Understanding the influence and interactions between parents' practices and children's behavior is limited by a lack of development and psychometric testing and/or limited scope of current measures. The Home Self-Administered Tool for Environmental Assessment of Activity and Diet (HomeSTEAD) was created to address this gap. Objective This article describes development and psychometric testing of the Home-STEAD family food practices survey. Participants/design Between August 2010 and May 2011, a convenience sample of 129 parents of children aged 3 to 12 years were recruited from central North Carolina and completed the self-administered HomeSTEAD survey on three occasions during a 12- to 18-day window. Demographic characteristics and child diet were assessed at Time 1. Child height and weight were measured during the in-home observations (following Time 1 survey). Statistical analysis Exploratory factor analysis with Time 1 data was used to identify potential scales. Scales with more than three items were examined for scale reduction. Following this, mean scores were calculated at each time point. Construct validity was assessed by examining Spearman rank correlations between mean scores (Time 1) and children's diet (fruits and vegetables, sugar-sweetened beverages, snacks, sweets) and body mass index (BMI) z scores. Repeated measures analysis of variance was used to examine differences in mean scores between time points, and single-measure intraclass correlations were calculated to examine test-retest reliability between time points. Results Exploratory factor analysis identified 24 factors and retained 124 items; however, scale reduction narrowed items to 86. The final instrument captures five coercive control practices (16 items), seven autonomy support practices (24 items), and 12 structure practices (46 items). All scales demonstrated good internal reliability (alpha>.62), 18 factors demonstrated construct validity (significant association with child diet, P<0.05), and 22 demonstrated good reliability (intraclass correlation coefficient>0.61). Conclusions The HomeSTEAD family food practices survey provides a brief, yet comprehensive and psychometrically sound assessment of food parenting practices.
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