Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight chi
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BioMed Central
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Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children Michelle L Gattshall*1, Jo Ann Shoup1, Julie A Marshall2, Lori A Crane2 and Paul A Estabrooks1,3 Address: 1Institute for Health Research, Kaiser Permanente of Colorado, Denver, Colorado, USA, 2Department of Preventive Medicine and Biometrics, University of Colorado at Denver Health Sciences Center, Denver, Colorado, USA and 3Department of Human Nutrition, Foods, & Exercise, Virginia Tech, Blacksburg, Virginia, USA Email: Michelle L Gattshall* - [email protected]; Jo Ann Shoup - [email protected]; Julie A Marshall - [email protected]; Lori A Crane - [email protected]; Paul A Estabrooks - [email protected] * Corresponding author
Published: 11 January 2008 International Journal of Behavioral Nutrition and Physical Activity 2008, 5:3 5868-5-3
doi:10.1186/1479-
Received: 14 August 2007 Accepted: 11 January 2008
This article is available from: http://www.ijbnpa.org/content/5/1/3 © 2008 Gattshall et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: Few measures exist to measure the overall home environment for its ability to support physical activity (PA) and healthy eating in overweight children. The purpose of this study was to develop and test the reliability and validity of such a measure. Methods: The Home Environment Survey (HES) was developed to reflect availability, accessibility, parental role modelling, and parental policies related to PA resources, fruits and vegetables (F&V), and sugar sweetened drinks and snacks (SS). Parents of overweight children (n = 219) completed the HES and concurrent behavioural assessments. Children completed the Block Kids survey and wore an accelerometer for one week. A subset of parents (n = 156) completed the HES a second time to determine test-retest reliability. Finally, 41 parent dyads living in the same home (n = 41) completed the survey to determine inter-rater reliability. Initial psychometric analyses were completed to trim items from the measure based on lack of variability in responses, moderate or higher item to scale correlation, or contribution to strong internal consistency. Inter-rater and test-retest reliability were completed using intraclass correlation coefficients. Validity was assessed using Pearson correlations between the HES scores and child and parent nutrition and PA. Results: Eight items were removed and acceptable internal consistency was documented for all scales (α = .66–84) with the exception of the F&V accessibility. The F&V accessibility was reduced to a single item because the other two items did not meet reliability standards. Test-retest reliability was high (r > .75) for all scales. Inter-
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