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

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NIERMANN, 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. 11(1), 30. eISSN 1479-5868. Available under: doi: 10.1186/1479-5868-11-30

@article{Niermann2014Famil-27263, title={Family health climate scale (FHC-scale) : development and validation}, year={2014}, doi={10.1186/1479-5868-11-30}, 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} }

2014-03-26T09:13:36Z Reiner, Miriam International Journal of Behavioral Nutrition and Physical Activity ; 11 (2014). - 30 Renner, Britta Family health climate scale (FHC-scale) : development and validation Background:<br />The family environment is important for explaining individual health behaviour. While previous<br />research mostly focused on influences among family members and dyadic interactions (parent-child), the purpose<br />of this study was to develop a new measure, the Family Health Climate Scale (FHC-Scale), using a family-based<br />approach. The FHC is an attribute of the whole family and describes an aspect of the family environment that is<br />related to health and health behaviour. Specifically, a questionnaire measuring the FHC (a) for nutrition (FHC-NU)<br />and (b) for activity behaviour (FHC-PA) was developed and validated.<br /><br /><br />Methods:<br />In Study 1 (N = 787) the FHC scales were refined and validated. The sample was randomly divided into<br />two subsamples. With random sample I exploratory factor analyses were conducted and items were selected<br />according to their psychometric quality. In a second step, confirmatory factor analyses were conducted using the<br />random sample II. In Study 2 (N = 210 parental couples) the construct validity was tested by correlating the FHC<br />to self-determined motivation of healthy eating and physical activity as well as the families’ food environment and<br />joint physical activities.<br /><br /><br />Results:<br />Exploratory factor analyses with random sample I (Study 1) revealed a four (FHC-NU) and a three (FHC-PA)<br />factor model. These models were cross-validated with random sample II and demonstrated an acceptable fit<br />[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.<br /><br /><br />Conclusions:<br />Two valid instruments measuring the FHC within families were developed. The use of different<br />informants’ ratings demonstrated that the FHC is a family level variable. The results confirm the high relevance of<br />the FHC for individuals’ health behaviour. The FHC and the measurement instruments are useful for examining<br />health-related aspects of the family environment. eng 2014-03-26T09:13:36Z Niermann, Christina Krapf, Fabian Reiner, Miriam Attribution 2.0 Generic Niermann, Christina Woll, Alexander Renner, Britta 2014 Krapf, Fabian Woll, Alexander

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