The Dimensionality, Consistency, and Structural Validity of an Instrument Used to Measure Obesogenic Attitudes in Parents from Southern Spain (The PRELSA Scale)

Author:

Carretero-Bravo Jesús1ORCID,Díaz-Rodríguez Mercedes2ORCID,Ferriz-Mas Bernardo Carlos3ORCID,Pérez-Muñoz Celia4ORCID,González-Caballero Juan Luis5ORCID

Affiliation:

1. Department of General Economy, Health Sociology Area, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain

2. Department of Nursing and Physiotherapy, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain

3. Clinic Management Unit (UGC), Andalusian Health Service, 11510 Puerto Real, Spain

4. Department of Mechanical Engineering and Industrial Design, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain

5. Department of Statistics and Operations Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain

Abstract

(1) Background: We aimed to analyze the dimensionality, internal consistency, and structural validity of the Preschool Eating, Lifestyle, and Sleeping Attitudes Scale (PRELSA Scale), which is an instrument that was designed to measure obesogenic behaviors. (2) Methods: We carried out an observational study by means of an online survey. The PRELSA Scale consists of 13 dimensions and 60 items relating to the most common obesogenic behaviors and attitudes. Additionally, we obtained sociodemographic characteristics and concrete habits from the sample. We obtained the responses of 791 parents and caregivers of preschool children between 2 and 6 years of age in Andalusia (southern Spain). We analyzed dimensionality through an Exploratory Factor Analysis (EFA), consistency through Cronbach’s Alpha, structural validity through a Confirmatory Factor Analysis (CFA), and measurement invariance with multigroup CFA models. (3) Results: The EFA showed a 14-dimensional structure with 48 items. The internal consistency was acceptable in all dimensions (Cronbach’s Alpha range of 0.72 to 0.97). The structure was confirmed in the CFA with good fit indices (CFI and TLI > 0.9 and RMSEA < 0.05). We ensured that the scale had measurement invariance regarding education, income, and marital status. (4) Conclusions: The PRELSA Scale shows promising properties that have the potential to measure obesogenic behaviors in Spain, which could be the basis for future interventions associated with the prevention of childhood obesity in healthcare and educational settings.

Funder

ITI call (integrated territorial investment), developed by the Health Department of the Andalusian Government

FEDER operational program of Andalusia

Publisher

MDPI AG

Reference63 articles.

1. World Obesity Federation (2019). Global Atlas on Childhood Obesity, World Obesity Federation.

2. Obesity and Cardiovascular Diseases;Kachur;Minerva Med.,2017

3. Diabetes and Cancer: Two Diseases with Obesity as a Common Risk Factor;Garg;Diabetes Obes. Metab.,2014

4. Garrido-Migue, M., Oliveira, A., Cavero-Redondo, I., Álvarez-Bueno, C., Pozuelo-Carrascosa, D.P., Soriano-Cano, A., and Martínez-Vizcaíno, V. (2019). Prevalence of Overweight and Obesity among European Preschool Children: A Systematic Review and Meta-Regression by Food Group Consumption. Nutrients, 11.

5. AESAN (2019). Estudio Aladino 2019—Estudio de Vigilancia del Crecimiento, Alimentación, Actividad Física, Desarrollo Infantil y Obesidad En España.

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