Developing a measure of behavior change in a program to help low-income parents prevent unhealthful weight gain in children.

Abstract:

OBJECTIVE:To develop and test a brief measure of changes in eating, active play, and parenting practices after an intervention to help parents shape children's choices and home environments. DESIGN:Sequential phases of development and testing: expert panel review, cognitive testing interviews, field testing, test-retest study, and assessment of convergence with detailed previously validated instruments. SETTING AND PARTICIPANTS:Expanded Food and Nutrition Education Program (EFNEP), New York State. Low-income parents of 3- to 11-year-old children; Cooperative Extension nutrition and parenting educators. MAIN OUTCOME MEASURES:Questionnaire reliability, validity, respondent comprehension, and feasibility of use in program contexts. ANALYSIS:Qualitative analysis of item comprehension. Correlational analysis of test-retest reliability and convergent validity. RESULTS:A behavior checklist was developed to assess change in parent-reported family eating, physical activity, and parenting practices addressed by an intervention. The checklist was feasible for use in EFNEP and questions were understood as intended. Test-retest reliability was good (r = 0.83) and scores correlated significantly (range, 0.25 to -0.60; P < .05) with detailed measures of dietary habits, parental modeling, physical activity, and home environment. CONCLUSIONS AND IMPLICATIONS:Development and testing in a program context produced a tool community nutritionists can use to evaluate educational interventions aimed at helping parents promote healthful eating and activity.

journal_name

J Nutr Educ Behav

authors

Dickin KL,Lent M,Lu AH,Sequeira J,Dollahite JS

doi

10.1016/j.jneb.2011.02.015

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

12-21

issue

1

eissn

1499-4046

issn

1878-2620

pii

S1499-4046(11)00091-1

journal_volume

44

pub_type

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