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Original Article

Psychometric Properties of a New Measure of Parental Self-Efficacy for Promoting Healthy Physical Activity and Dietary Behaviors in Children

Published Online:https://doi.org/10.1027/1015-5759/a000159

There is a lack of validated measures of parental self-efficacy (PSE) covering both physical activity and dietary behaviors in children which can be used to prevent childhood obesity. This study developed a new measure of PSE for promoting healthy physical activity and dietary behaviors in children and assessed its psychometric properties. Participants were mothers (n = 2,232) with 3-year-old first-born children living in Stockholm, Sweden. The mothers responded to questionnaires measuring PSE, locus of control, and self-esteem. Exploratory factor analysis yielded a three-factor structure, interpreted as PSE for promoting healthy dietary behaviors in children (Factor 1), PSE for limit-setting of unhealthy dietary or physical activity behaviors in children (Factor 2), and PSE for promoting healthy physical activity behaviors in children (Factor 3). The factor model was supported by confirmatory factor analysis. The internal consistency and test-retest reliability of the new PSE measure were high; discriminant validity was adequate. The Parental Self-Efficacy for Promoting Healthy Physical Activity and Dietary Behaviors in Children Scale (PSEPAD) shows promise as a valuable instrument in childhood obesity prevention.

References

  • Adkins, S. , Sherwood, N. E. , Story, M. , Davis, M. (2004). Physical activity among African-American girls: The role of parents and the home environment. Obesity Research, 12(Suppl.), 38S–45S. doi 12/suppl_1/38S[pii]10.1038/oby.2004.267 First citation in articleCrossrefGoogle Scholar

  • Amen, M. M. , Clarke, V. P. (2001). The influence of mothers’ health beliefs on use of preventive child health care services and mothers’ perception of children’s health status. Issues in Comprehensive Pediatric Nursing, 24, 153–163. doi 10.1080/01460860117483 First citation in articleCrossrefGoogle Scholar

  • Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman. First citation in articleGoogle Scholar

  • Bandura, A. (2004). Health promotion by social cognitive means. Health Education and Behavior, 31, 143–164. doi 10.1177/1090198104263660 First citation in articleCrossrefGoogle Scholar

  • Bandura, A. (2006). A guide for constructing self-efficacy scales. In F. Pajares, T. Urdan, (Eds.), Self-efficacy beliefs of adolescents (pp. 307–337). Charlotte, NC: Information Age Publishing. First citation in articleGoogle Scholar

  • Baranowski, T. , Watson, B. K. , Bachman, C. , Baranowski, C. J. , Cullen, K. W. , Thompson, D. , Siega Riz, A.-M. (2010). Self efficacy for fruit, vegetable and water intakes: Expanded and abbreviated scales from item response modeling analyses. International Journal of Behavioral Nutrition and Physical Activity, 7(25). doi 10.1186/1479-5868-7-25 First citation in articleGoogle Scholar

  • Bergstrom, E. , Blomquist, H. K. (2009). Is the prevalence of overweight and obesity declining among 4-year-old Swedish children? Acta Pediatrica, 98, 1956–1958. doi APA1490 [pii]10.1111/j.1651-2227.2009.01490.x First citation in articleCrossrefGoogle Scholar

  • Campbell, K. , Hesketh, K. , Silverii, A. , Abbott, G. (2010). Maternal self-efficacy regarding children’s eating and sedentary behaviors in the early years: Associations with children’s food intake and sedentary behaviors. International Journal of Pediatric Obesity, 5, 501–508. doi 10.3109/17477161003777425 First citation in articleCrossrefGoogle Scholar

  • Cole, T. J. , Bellizzi, M. C. , Flegal, K. M. , Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. British Medical Journal, 320(7244), 1240–1243. doi 10.1136/bmj.320.7244.1240 First citation in articleCrossrefGoogle Scholar

  • Daniels, S. R. , Arnett, D. K. , Eckel, R. H. , Gidding, S. S. , Hayman, L. L. , Kumanyika, S. , ... Williams, C. L. (2005). Overweight in children and adolescents: Pathophysiology, consequences, prevention, and treatment. Circulation, 111, 1999–2012. doi 111/15/1999[pii]10.1161/01.CIR.0000161369.71722.10 First citation in articleCrossrefGoogle Scholar

  • Erci, B. , Tufekci, F. G. (2007). Turkish adaptation of the parental health beliefs scale. Journal of Advanced Nursing, 58, 150–157. doi JAN4214 [pii]10.1111/j.1365-2648.2007.04214.x First citation in articleCrossrefGoogle Scholar

  • Hayton, J. C. , Allen, D. G. , Scarpello, V. (2004). Factor retention decisions in exploratory factor analysis: A tutorial on parallel analysis. Organizational Research Methods, 7, 191–205. doi 10.1177/1094428104263675 First citation in articleCrossrefGoogle Scholar

  • Hildebrand, D. A. , Betts, N. M. (2009). Assessment of stage of change, decisional balance, self-efficacy, and use of processes of change of low-income parents for increasing servings of fruits and vegetables to preschool-aged children. Journal of Nutrition Education and Behavior, 41, 110–119. doi S1499-4046(08)00833-6 [pii]10.1016/j.jneb.2008.09.007 First citation in articleCrossrefGoogle Scholar

  • Hofstetter, C. R. , Sallis, J. F. , Hovell, M. F. (1990). Some health dimensions of self-efficacy: Analysis of theoretical specificity. Social Science and Medicine, 31, 1051–1056. doi 10.1016/0277–9536(90)90118-C First citation in articleCrossrefGoogle Scholar

  • Jöreskog, K. G. , Sörbom, D. (1988). PRELIS: A program for multivariate data screening and data summarization. A preprocessor for LISREL (2nd ed.). Chicago, IL: Scientific Software. First citation in articleGoogle Scholar

  • Lioret, S. , Touvier, M. , Lafay, L. , Volatier, J. L. , Maire, B. (2008). Dietary and physical activity patterns in French children are related to overweight and socioeconomic status. Journal of Nutrition, 138(1), 101–107. doi 138/1/101 [pii] First citation in articleCrossrefGoogle Scholar

  • Lobstein, T. , Baur, L. , Uauy, R. (2004). Obesity in children and young people: A crisis in public health. Obesity Reviews, 5(Suppl. 1), 4–104. doi 10.1111/j.1467-789X.2004.00133.x OBR133 [pii] First citation in articleCrossrefGoogle Scholar

  • Maibach, E. , Murphy, D. A. (1995). Self-efficacy in health promotion research and practice: Conceptualization and measurement. Health Education Research, 10(1), 37–50. doi 10.1093/her/10.1.37 First citation in articleCrossrefGoogle Scholar

  • Mimura, C. , Griffiths, P. (2007). A Japanese version of the Rosenberg Self-Esteem Scale: Translation and equivalence assessment. Journal of Psychosomatic Research, 62, 589–594. doi 10.1016/j.jpsychores.2006.11.004 First citation in articleCrossrefGoogle Scholar

  • Oude Luttikhuis, H. , Baur, L. , Jansen, H. , Shrewsbury, V. A. , O’Malley, C. , Stolk, R. P. , Summerbell, C. D. (2009). Interventions for treating obesity in children. Cochrane Database of Systematic Reviews, (1), CD001872. doi 10.1002/ 14651858.CD001872.pub2 First citation in articleGoogle Scholar

  • Price, S. M. , McDivitt, J. , Weber, D. , Wolff, L. S. , Massett, H. A. , Fulton, J. E. (2008). Correlates of weight-bearing physical activity among adolescent girls: Results from a national survey of girls and their parents. Journal of Physical Activity and Health, 5(1), 132–145. First citation in articleCrossrefGoogle Scholar

  • Reilly, J. J. , Kelly, J. (2010). Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: Systematic review. International Journal of Obesity, 35, 891–898. doi 10.1038/ijo.2010.222 First citation in articleCrossrefGoogle Scholar

  • Rhee, K. (2008). Childhood overweight and the relationship between parent behaviors, parenting style, and family functioning. Annals of the American Academy of Political and Social Science, 615(1), 12–37. doi 10.1177/0002716207308400 First citation in articleCrossrefGoogle Scholar

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press. First citation in articleCrossrefGoogle Scholar

  • Rotter, J. B. (1990). Internal versus external control of reinforcement: A case history of a variable. American Psychologist, 45, 489–493. doi 10.1037/0003-066X.45.4.489 First citation in articleCrossrefGoogle Scholar

  • Singh, A. S. , Mulder, C. , Twisk, J. W. , van Mechelen, W. , Chinapaw, M. J. (2008). Tracking of childhood overweight into adulthood: A systematic review of the literature. Obesity Reviews, 9, 474–488. doi 10.1111/j.1467-789X.2008.00475.x First citation in articleCrossrefGoogle Scholar

  • Stamatakis, E. , Zaninotto, P. , Falaschetti, E. , Mindell, J. , Head, J. (2010). Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. Journal of Epidemiology and Community Health, 64, 167–174. doi 64/2/167 [pii]10.1136/jech.2009.098723 First citation in articleCrossrefGoogle Scholar

  • Sundquist, J. , Johansson, S. E. , Sundquist, K. (2010). Levelling off of prevalence of obesity in the adult population of Sweden between 2000/01 and 2004/05. BMC Public Health, 10, 119. doi 1471-2458-10-119 [pii]10.1186/1471-2458-10-119 First citation in articleCrossrefGoogle Scholar

  • Tabachnick, B. G. , Fidell, L. S. (2007). Using multivariate statistics (5th ed.). New York: Allyn and Bacon. First citation in articleGoogle Scholar

  • Taveras, E. M. , Mitchell, K. , Gortmaker, S. L. (2009). Parental confidence in making overweight-related behavior changes. Pediatrics, 124(1), 151–158. doi 124/1/151 [pii]10.1542/peds. 2008-2892 First citation in articleCrossrefGoogle Scholar

  • Tinsley, B. J. , Holtgrave, D. R. (1989). Maternal health locus of control beliefs, utilization of childhood preventive health services, and infant health. Journal of Developmental and Behavioral Pediatrics, 10, 236–241. doi 10.1097/00004703-198910000-00003 First citation in articleCrossrefGoogle Scholar

  • Valdés Pizarro, J. , Royo-Bordonada, M. A. (2012). Prevalence of childhood obesity in Spain: National Health Survey 2006–2007. Nutrición Hospitalaria, 27(1), 154–160. doi 10.3305/nh.2012.27.1.5414 First citation in articleGoogle Scholar

  • Waters, E. , de Silva-Sanigorski, A. , Hall, B. J. , Brown, T. , Campbell, K. J. , Gao, Y. , ... Summerbell, C. D. (2011). Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews, 12, CD001871. doi 10.1002/14651858. CD001871.pub3 First citation in articleGoogle Scholar

  • Weber Cullen, K. , Baranowski, T. , Rittenberry, L. , Cosart, C. , Owens, E. , Hebert, D. , de Moor, C. (2000). Socioenvironmental influences on children’s fruit, juice and vegetable consumption as reported by parents: Reliability and validity of measures. Public Health Nutrition, 3, 345–356. doi: 10.1017/S1368980000000392 First citation in articleCrossrefGoogle Scholar