Children’s Nutrition Research Center Staff Publications
Publication Date
1-1-2022
Journal
Journal of Pediatrics
DOI
10.1016/j.jped.2021.04.002
PMID
33965407
PMCID
PMC9432311
PubMedCentral® Posted Date
5-6-2021
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Brazil, Child, Child, Preschool, Health Behavior, Humans, Psychometrics, Reproducibility of Results, Surveys and Questionnaires, Childhood obesity, Behavior, Physical activity, Translation, Validation
Abstract
Objective: To validate the Family Health Behavior Scale (FHBS) for Brazilian families.
Methods: The sample included 272 children aged 5 to 12 years old. Caregivers and their healthy answered the FHBS and questions about physical activity. In addition, anthropometric measurements of the children's weight and height were performed, as well as the bioimpedance exam. The scale was translated and the following validities were assessed: content (qualitative analysis and content validity index), construct (factor analysis) and concurrent validity (difference between domains and the total score with the categories of BMI, fat percentage and physical activity). Reliability (Cronbach's alpha, ceiling-floor effect, two-half test, intraclass correlation and Bland - Altman) was also assessed.
Results: FHBS instrument performed well with regard to the psychometric properties in the Brazilian population. The content validity index was 0.987. Fit indices of the factor analysis were considered satisfactory, according to Bartlett's sphericity test (χ 2 = 1927, df = 351; p < 0.001) and the Kaiser-Meyer-Olkin index (KMO = 0.789). Concurrent validity, the differences between the mean of the domains and the total score between the categories of BMI (p = 0.011), percentage of fat (0.004) and physical activity (p < 0.001) were all significant. The reliability results were Cronbach's alpha internal consistency = 0.83, adequate ceiling-floor effect, 0.8105 (0.09 SD) two-half test, 0.626 intraclass correlation (95% CI: 0.406 to 0.777) and Bland - Altman -0.840 (-22.76 to 21.07).
Conclusion: The FHBS adapted for the Brazilian population showed evidence of adequate psychometric performance.
Included in
Biochemical Phenomena, Metabolism, and Nutrition Commons, Dietetics and Clinical Nutrition Commons, Endocrinology, Diabetes, and Metabolism Commons, Nutrition Commons, Pediatrics Commons