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Development and psychometric testing of the childhood obesity perceptions (COP) survey among African American caregivers: A tool for obesity prevention program planning

机译:非洲裔美国看护者对儿童肥胖知觉(COP)调查的发展和心理测验:预防肥胖计划的工具

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摘要

Currently, public health practitioners are analyzing the role that caregivers play in childhood obesity efforts. Assessing African American caregiver's perceptions of childhood obesity in rural communities is an important prevention effort. This article's objective is to describe the development and psychometric testing of a survey tool to assess childhood obesity perceptions among African American caregivers in a rural setting, which can be used for obesity prevention program development or evaluation. The Childhood Obesity Perceptions (COP) survey was developed to reflect the multidimensional nature of childhood obesity including risk factors, health complications, weight status, built environment, and obesity prevention strategies. A 97-item survey was pretested and piloted with the priority population. After pretesting and piloting, the survey was reduced to 59-items and administered to 135 African American caregivers. An exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was conducted to test how well the survey items represented the number of Social Cognitive Theory constructs. Twenty items were removed from the original 59-item survey and acceptable internal consistency of the six factors (alpha=0.70-0.85) was documented for all scales in the final COP instrument. CFA resulted in a less than adequate fit; however, a multivariate Lagrange multiplier test identified modifications to improve the model fit. The COP survey represents a promising approach as a potentially comprehensive assessment for implementation or evaluation of childhood obesity programs. (C) 2016 Elsevier Ltd. All rights reserved.
机译:当前,公共卫生从业人员正在分析看护者在儿童肥胖症治疗中所扮演的角色。评估非洲裔美国照顾者对农村社区儿童肥胖的看法是一项重要的预防工作。本文的目的是描述一种调查工具的开发和心理测试,以评估农村地区非裔美国人看护者对儿童肥胖的看法,该工具可用于肥胖预防计划的制定或评估。制定《儿童肥胖知觉》(COP)调查旨在反映儿童肥胖的多维性质,包括危险因素,健康并发症,体重状况,室内环境和肥胖预防策略。对97项调查进行了预先测试,并针对优先人群进行了试验。在进行预测试和试点之后,该调查减少到59个项目,并向135个非裔美国看护人进行管理。进行了探索性因素分析(EFA)和确认性因素分析(CFA),以检验调查项目代表社会认知理论构建体数量的程度。从最初的59个项目的调查中删除了20个项目,并且在最终的COP文书中记录了所有比例的六个因素的可接受的内部一致性(alpha = 0.70-0.85)。 CFA导致拟合度不足;但是,多变量拉格朗日乘数检验确定了可以改善模型拟合的修改。 COP调查代表了一种有前途的方法,可以作为对儿童肥胖计划的实施或评估的潜在全面评估。 (C)2016 Elsevier Ltd.保留所有权利。

著录项

  • 来源
    《Evaluation and program planning》 |2016年第12期|33-40|共8页
  • 作者单位

    Univ North Carolina Chapel Hill, UNC Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Asheville, NC 28804 USA|Georgia Southern Univ, Jiann Ping Hsu Coll Publ Hlth, Dept Community Hlth Behav & Educ, Statesboro, GA 30460 USA;

    Georgia Southern Univ, Jiann Ping Hsu Coll Publ Hlth, Dept Community Hlth Behav & Educ, Statesboro, GA 30460 USA;

    Univ S Florida, Dept Educ Measurement & Res, Tampa, FL 33620 USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Childhood obesity; Survey; African Americans; Rural health; Psychometrics;

    机译:儿童肥胖;调查;非裔美国人;农村健康;心理计量学;

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