Family health climate scale (FHC-scale) : development and validation

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EATMOTIVE Innovationen für den Ernährungssektor: Warum wir essen, was wir essen: Motive, sozialer Kontext und ökonomische Implikationen.
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International Journal of Behavioral Nutrition and Physical Activity. 2014, 11(1), 30. eISSN 1479-5868. Available under: doi: 10.1186/1479-5868-11-30
Zusammenfassung

Background:
The family environment is important for explaining individual health behaviour. While previous
research mostly focused on influences among family members and dyadic interactions (parent-child), the purpose
of this study was to develop a new measure, the Family Health Climate Scale (FHC-Scale), using a family-based
approach. The FHC is an attribute of the whole family and describes an aspect of the family environment that is
related to health and health behaviour. Specifically, a questionnaire measuring the FHC (a) for nutrition (FHC-NU)
and (b) for activity behaviour (FHC-PA) was developed and validated.


Methods:
In Study 1 (N = 787) the FHC scales were refined and validated. The sample was randomly divided into
two subsamples. With random sample I exploratory factor analyses were conducted and items were selected
according to their psychometric quality. In a second step, confirmatory factor analyses were conducted using the
random sample II. In Study 2 (N = 210 parental couples) the construct validity was tested by correlating the FHC
to self-determined motivation of healthy eating and physical activity as well as the families’ food environment and
joint physical activities.


Results:
Exploratory factor analyses with random sample I (Study 1) revealed a four (FHC-NU) and a three (FHC-PA)
factor model. These models were cross-validated with random sample II and demonstrated an acceptable fit
[FHC-PA: χ2 = 222.69, df = 74, p < .01; χ2/df = 3.01; CFI = .96; SRMR = .04; RMSEA = .07, CI .06/.08; FHC-NU: χ2 = 278.30, df = 113, p < .01, χ2/df = 2.46, CFI = .96; SRMR = .04; RMSEA = .06, CI .05/.07]. The perception of FHC correlated (p < .01) with the intrinsic motivation of healthy eating (r = .42) and physical activity (r = .56). Moreover, parental perceptions of FHC-NU correlated with household soft drink availability (r = −.31) and perceptions of FHC-PA with the frequency of joint physical activities with the child (r = .51). These patterns were found on the intraindividual and interindividual level.


Conclusions:
Two valid instruments measuring the FHC within families were developed. The use of different
informants’ ratings demonstrated that the FHC is a family level variable. The results confirm the high relevance of
the FHC for individuals’ health behaviour. The FHC and the measurement instruments are useful for examining
health-related aspects of the family environment.

Zusammenfassung in einer weiteren Sprache
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796 Sport
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Health behaviour, Physical activity, Nutrition, Family environment, Scale development
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ISO 690NIERMANN, Christina, Fabian KRAPF, Britta RENNER, Miriam REINER, Alexander WOLL, 2014. Family health climate scale (FHC-scale) : development and validation. In: International Journal of Behavioral Nutrition and Physical Activity. 2014, 11(1), 30. eISSN 1479-5868. Available under: doi: 10.1186/1479-5868-11-30
BibTex
@article{Niermann2014Famil-27263,
  year={2014},
  doi={10.1186/1479-5868-11-30},
  title={Family health climate scale (FHC-scale) : development and validation},
  number={1},
  volume={11},
  journal={International Journal of Behavioral Nutrition and Physical Activity},
  author={Niermann, Christina and Krapf, Fabian and Renner, Britta and Reiner, Miriam and Woll, Alexander},
  note={Article Number: 30}
}
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    <dcterms:abstract xml:lang="eng">Background:&lt;br /&gt;The family environment is important for explaining individual health behaviour. While previous&lt;br /&gt;research mostly focused on influences among family members and dyadic interactions (parent-child), the purpose&lt;br /&gt;of this study was to develop a new measure, the Family Health Climate Scale (FHC-Scale), using a family-based&lt;br /&gt;approach. The FHC is an attribute of the whole family and describes an aspect of the family environment that is&lt;br /&gt;related to health and health behaviour. Specifically, a questionnaire measuring the FHC (a) for nutrition (FHC-NU)&lt;br /&gt;and (b) for activity behaviour (FHC-PA) was developed and validated.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Methods:&lt;br /&gt;In Study 1 (N = 787) the FHC scales were refined and validated. The sample was randomly divided into&lt;br /&gt;two subsamples. With random sample I exploratory factor analyses were conducted and items were selected&lt;br /&gt;according to their psychometric quality. In a second step, confirmatory factor analyses were conducted using the&lt;br /&gt;random sample II. In Study 2 (N = 210 parental couples) the construct validity was tested by correlating the FHC&lt;br /&gt;to self-determined motivation of healthy eating and physical activity as well as the families’ food environment and&lt;br /&gt;joint physical activities.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Results:&lt;br /&gt;Exploratory factor analyses with random sample I (Study 1) revealed a four (FHC-NU) and a three (FHC-PA)&lt;br /&gt;factor model. These models were cross-validated with random sample II and demonstrated an acceptable fit&lt;br /&gt;[FHC-PA: χ2 = 222.69, df = 74, p &lt; .01; χ2/df = 3.01; CFI = .96; SRMR = .04; RMSEA = .07, CI .06/.08; FHC-NU: χ2 = 278.30, df = 113, p &lt; .01, χ2/df = 2.46, CFI = .96; SRMR = .04; RMSEA = .06, CI .05/.07]. The perception of FHC correlated (p &lt; .01) with the intrinsic motivation of healthy eating (r = .42) and physical activity (r = .56). Moreover, parental perceptions of FHC-NU correlated with household soft drink availability (r = −.31) and perceptions of FHC-PA with the frequency of joint physical activities with the child (r = .51). These patterns were found on the intraindividual and interindividual level.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Conclusions:&lt;br /&gt;Two valid instruments measuring the FHC within families were developed. The use of different&lt;br /&gt;informants’ ratings demonstrated that the FHC is a family level variable. The results confirm the high relevance of&lt;br /&gt;the FHC for individuals’ health behaviour. The FHC and the measurement instruments are useful for examining&lt;br /&gt;health-related aspects of the family environment.</dcterms:abstract>
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