Internal consistency and content validity of a questionnaire aimed to assess the stages of behavioral lifestyle changes in Colombian schoolchildren: The Fuprecol study
Palabras clave:
Behavior, Lifestyle, Risk assessment, Validation studyResumen
Objective
To assess internal consistency and content validity of a questionnaire aimed to assess the stages of Behavioural Lifestyle Changes in a sample of school-aged children and adolescents aged 9 to 17 years-old.
Methods
This validation study involved 675 schoolchildren from three official school in the city of Bogota, Colombia. A self-administered questionnaire called Behavioural Lifestyle Changes has been designed to explore stages of change regarding to physical activity/exercise, fruit and vegetable consumption, alcohol abuse, tobacco use, and drug abuse. Cronbach-α, Kappa index and exploratory factor analysis were used for evaluating the internal consistency and validity of content, respectively.
Results
The study population consisted of 51.1% males and the participants’ average age was 12.7±2.4 years-old. Behavioural Lifestyle Changes scored 0.720 (range 0.691 to 0.730) on the Cronbach α and intra-observer reproducibility was good (Kappa=0.71). Exploratory factor analysis determined two factors (factor 1: physical activity/exercise, fruit and vegetable consumption, and factor 2: alcohol abuse tobacco use and drug abuse), explaining 67.78% of variance by the items and six interactions c2
/gL=11649.833; p<0.001.
Conclusion
Behavioural Lifestyle Changes Questionnaire was seen to have suitable internal consistency and validity. This
instrument can be recommended, mainly within the context of primary attention for studying the stages involved
in the lifestyle behavioural changes model on a school-based population.
Citas
World Health Organization. Mental Health: Strengthening Mental Health Promotion. Fact Sheet nº 220. Geneva: WHO; 2007 [2016 Sept 6] Avalaible from URL: http://www.who.int/mediacentre/factsheets/fs220/en/index.html
Loef M, Walach H. The combined effects of healthy lifestyle behaviors on all cause mortality: A systematic review and meta-analysis. Prev Med. 2012;55(3):163-70. https://doi.org/10.1016/j.ypmed.2012.06.017
Stanner S. Diet and lifestyle measures to protect the ageing heart. Br J Community Nurs. 2009;14(5):210-2. https://doi.org/10.12968/bjcn.2009.14.5.42080
Candeias V, Armstrong TP, Xuereb GC. Diet and physical activity in schools: Perspectives from the implementation of the WHO global strategy on diet, physical activity and health. Can J Public Health. 2010;101(Suppl.2):S28-30. https://doi.org/10.17269/cjph.101.1915
Lachat C, Otchere S, Roberfroid D, Abdulai A, Seret FM, Milesevic J, et al. Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: A systematic policy review. PLoS Med. 2013;10(6):e1001465. https://doi.org/10.1371/journal.pmed.1001465
Lee A. Health-promoting schools: Evidence for a holistic approach to promoting health and improving health literacy. Appl Health Econ Health Policy. 2009;7(1):11-7. https://doi.org/10.1007/BF03256138
Prochaska JO, DiClemente CC. Stages of change in the modification of problem behaviors. Prog Behav Modif. 1992;28(1):183-218.
Rhodes R, Nasuti G. Review: Trends and changes in research on the psychology of physical activity across 20 years: A quantitative analysis of 10 journals. Prev Med. 2011;23(1-2):5317-23. https://doi.org/10.1016/j.ypmed.2011.06.002
Melendez L, Olivares S, Lera L, Mediano F. Etapas del cambio, motivaciones y barreras relacionadas con el consumo de frutas y verduras y la actividad física en madres de preescolares atendidas en centros de atención primaria de salud. Rev Chil Nutr. 2011;38:466-75. https://doi.org/10.4067/S0717-75182011000400010
Hulme PA, Walker SN, Effle KJ, Jorgensen L, McGowan MG, Nelson JD, et al. Health-promoting life style behaviors of Spanish-speaking hispanic adults. J Transcult Nurs. 2003;14(3):244-54. https://doi.org/10.1177/1043659603014003011
Flórez-Alarcón L. Classification in stages of university students of Bogota using alcohol according the transtheoretical model. Adicciones. 2001;13(2):199-209.
Bandura A. Social cognitive theory: An agentic perspective. Ann Rev Psychol. 2001;52:1-26. https://doi.org/10.1146/annurev.psych.52.1.1
Godin G, Kok G. The theory of planned behavior: A review of its applications to health-related behaviors. Am J Health Promot. 1996;11(2):87-98. https://doi.org/10.4278/0890-1171-11.2.87
Florez-Alarcon, L. Evaluación de los procesos de cambio propuestos por el modelo transteórico, en estudiantes de secundaria y universitarios consumidores de alcohol. Act Colom Psicol. 2005;8(1)47-78.
Salazar-Torres IC, Varela-Arévalo MT, Lema-Soto LF, Tamayo-Cardona JA, Duarte-Alarcón C. Equipo de investigación CEVJU Colombia Assessing young university students’ behaviour regarding health. Rev Salud Pública. 2010;12(4):599-611. https://doi.org/10.1590/S0124-00642010000400007
Cabrera G, Gómez L, Mateus JC. Actividad física y etapas de cambio comportamental en Bogotá. Colomb Med. 2004;35(2):82-6.
Prieto-Benavides DH, Correa-Bautista JE, RamírezVélez R. Niveles de actividad física, condición física y tiempo en pantallas en escolares de Bogotá, Colombia: Estudio FUPRECOL. Nutr Hosp. 2015;32(5):2184-92. https://doi.org/10.3305/nh.2015.32.5.957
McCallum RC, Browne MW, Sugawara HM. Power Analysis and determination of sample size for covariance structure modeling. Psychol Methods. 1996;1(2):130-49.
Bentler PM, Yuan K. Structural equation modeling with small samples: Test statistics. Multivariate Behav Res. 1999;34(2):181-97. https://doi.org/10.1207/S15327906Mb340203
Carretero-Dios H, Pérez C. Standards for the development and review of instrumental studies: Consideration about test selection in psychology research. Int J Clin Health Psychol. 2007;7(3):863-82.
Cohen R, Swerdlik M. Pruebas y evaluación psicológicas: Introducción a las pruebas de medición. Bogotá: McGraw Hill; 2001.
Nunnally J. Psychometric theory. 2nd ed. New York: McGraw Hill; 1978.
Ochoa-Meza G, Sierra JC, Pérez-Rodrigo C, Aranceta-Bartrina J. Validity of Pro Children Project questionnaire for assessing psychosocial factors of fruit and vegetable intake in Mexico. Salud Publica Mex. 2014;56(2):165-79.
Sarbandi F, Niknami S, Hidarnia A, Hajizadeh E, Montazeri A. The transtheoretical model (TTM) questionnaire for smoking cessation: Psychometric properties of the Iranian version. BMC Public Health. 2013;13(17):1186. https://doi.org/10.1186/1471-2458-13-1186x
Robinson AH, Norman GJ, Sallis JF, Calfas KJ, Rock CL, Patrick K. Validating stage of change measures for physical activity and dietary behaviors for overweight women. Int J Obes. 2008;32(7):1137-44. https://doi.org/10.1038/ijo.2008.65
Wright JA, Whiteley JA, Laforge RG, Adams WG, Berry D, Friedmon RH. Validation of 5 stageof-change measures for parental support of healthy eating and activity. J Nutr Educ Behav. 2015;47(2):134-42. http://doi.org/10.1016/j.jneb.2014.11.003
Cardoso-Ricardo LI, Rombaldi AJ, Kopp D, Wiltgen-Ferreira R, Hallal PC, Azevedo MR. Estágios de mudança de comportamento para atividade física após uma intervenção escolar: um estudo transversal. Rev Bras Ativ Fis Saúde. 2015;20(6):569-70.
Ramírez-Vélez R, González-Ruíz K, Correa-Bautista JE, Meneses-Echávez JF, Martínez-Torres J. Demographic and socioeconomic differences in consumption of sugarsweetened beverages among Colombian children and adolescents. Nutr Hosp. 2015;31(6):2479-86.
Ramos-Sepúlveda JA, Ramírez-Vélez R, CorreaBautista JE, Izquierdo M, García-Hermoso A. Physical fitness and anthropometric normative values among Colombian-Indian schoolchildren. BMC Public Health. 2016;16(23):962. https://doi.org/10.1186/s12889-016-3652-2
Caicedo-Álvarez JC, Correa-Bautista JE, GonzálezJiménez E, Schmidt-RioValle J, Ramírez-Vélez R. Waist circumference distribution in Colombian schoolchildren and adolescents: The FUPRECOL study. Endocrinol Nutr. 2016;63(6):265-73. https://doi.org/10.1016/j.endonu.2016.01.008
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Derechos de autor 2023 Yasmira CARRILLO-BERNATE, Jorge Enrique CORREA-BAUTISTA, Robinson RAMÍREZ-VÉLEZ
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.