Targeting parental motivation for change in childhood obesity: development and validation of the PURICA-S scale

BACKGROUND: The high prevalence of overweight and obesity in childhood and adolescence call for effective and sustainable intervention strategies. Parental motivation for change may be a key factor in sustained behavioral improvement towards a healthy weight status of their offspring. In this study,...

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Main Authors: Junne, Florian (Author) , Ehehalt, Stefan (Author) , Ziser, Katrin (Author) , Reinehr, Thomas (Author) , Wiegand, Susanna (Author) , Mander, Johannes (Author) , Martus, Peter (Author) , Mack, Isabelle (Author) , Oberle, Andreas (Author) , Wabitsch, Martin (Author) , Renner, Tobias (Author) , Zipfel, Stephan (Author) , Giel, Katrin E. (Author)
Format: Article (Journal)
Language:English
Published: 25 July 2019
In: International journal of obesity
Year: 2019, Volume: 43, Issue: 11, Pages: 2291-2301
ISSN:1476-5497
DOI:10.1038/s41366-019-0415-z
Online Access:Resolving-System, Volltext: https://doi.org/10.1038/s41366-019-0415-z
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Author Notes:Florian Junne, Stefan Ehehalt, Katrin Ziser, Thomas Reinehr, Susanna Wiegand, Johannes Mander, Peter Martus, Isabelle Mack, Andreas Oberle, Martin Wabitsch, Tobias Renner, Stephan Zipfel & Katrin E. Giel

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520 |a BACKGROUND: The high prevalence of overweight and obesity in childhood and adolescence call for effective and sustainable intervention strategies. Parental motivation for change may be a key factor in sustained behavioral improvement towards a healthy weight status of their offspring. In this study, we developed a new short instrument to assess parental motivation for change to facilitate motivation-tailored family interventions that promise improved effectiveness. - METHODS: The preexisting gold-standard instrument to assess motivational stages for change was adapted from the self to the parental perspective in a structured multistep Delphi procedure. The new instrument to assess parental motivation for change related to a health problem of their children was psychometrically evaluated in a sample (N = 193) of parents of children or adolescents with overweight or obesity. Confirmatory factor analysis, internal consistency, construct, and criteria validity were analyzed to test the psychometric properties of the new instrument. - RESULTS: As a result of the Delphi procedures, all 16 items were successfully transferred to the parental perspective. The hypothesized four-factor structure of the new instrument was approved, and internal consistency and criteria validity were good to very good (albeit with inconsistent findings for the subscale precontemplation). - DISCUSSION: In our investigated target group of parents with children with overweight or obesity, the new instrument to assess parental motivation for change proved to be a practicable, valid, and time-efficient short measure. The new instrument will enable more specific motivational stage-directed interventions that promise higher effectiveness of family-based interventions to fight childhood obesity. However, the subscale precontemplation seemed not fully suitable for the population investigated here and needs to be applied very carefully in future studies. 
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