2019, Number 6
Psychometric Properties of the Self-efficacy Scale for a Healthy Diet in Individuals with Obesity
Language: English
References: 37
Page: 289-296
PDF size: 261.24 Kb.
ABSTRACT
Background. Self-efficacy refers to an individual’s belief in his or her capacity to execute certain behaviors and determines changes in the lifestyle of persons with chronic diseases such as obesity. There is currently no instrument with optimal psychometric properties measuring self-efficacy for a healthy diet. HAPA is a theoretical framework that can describe, explain, and predict health behavior changes and its relationship with self-efficacy, and it that is useful for the development of interventions, particularly in the area of healthy diets. Objective. The purpose of this study was to develop an instrument to measure self-efficacy for a healthy diet in Mexican population with obesity and the evaluation of the psychometric properties of the Self-Efficacy Scale for a Healthy Diet (SSHD). Method. The sample included 202 participants receiving care in public obesity clinics. The SSHD applied is a Likert-type scale developed from the Health Action Process Approach containing 45 items. Omega coefficient and Confirmatory Factor Analyses were estimated to evaluate the psychometric properties. Results. The scale has good measures of goodness of fit χ2 = 66.49; p ‹ .001; χ2 SB/gl = 41; CFIS = .955; NFI = .893; RMSEAS = .056 (95% CI [.029, .079]) and total scale reliability of ω = .896 (CI 95% [.876, .915]). Discussion and conclusion. The SSHD is a reliable, valid instrument for measuring the three types of self-efficacies proposed in HAPA in people with obesity who require changes to adhere to a healthier diet.REFERENCES
Anderson, J. W., Konz, E. C., Frederich, R. C., & Wood, C. L. (2001). Long-term weight-loss maintenance: a meta-analysis of US studies. The American Journal of Clinical Nutrition, 74(5), 579-584. doi: 10.1093/ajcn/74.5.579 Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122-147. doi: 10.1037/0003-066X.37.2.122
Bonsaksen, T., Fagermoen, M. S., & Lerdal, A. (2014). Trajectories of self-efficacy in persons with chronic illness: An explorative longitudinal study. Psychology & Health, 29(3), 350-364. doi: 10.1080/08870446.2013.856432 Bonsaksen, T., Lerdal, A., & Fagermoen, M. S. (2012). Factors associated with selfefficacy in persons with chronic illness. Scandinavian Journal of Psychology. 53(4), 333-339. doi: 10.1111/j.1467-9450.2012.00959.x
Delahanty, L. M., Peyrot, M., Shrader, P. J., Williamson, D. A., Meigs, J. B., & Nathan, D. M. (2013). Pretreatment, psychological, and behavioral predictors of weight outcomes among lifestyle intervention participants in the Diabetes Prevention Program (DPP). Diabetes Care, 36(1), 34-40. doi: 10.2337/dc12- 0733
Flores León, A., González-Celis Rangel, A. L., & Valencia Ortíz, A. (2010). Validación del instrumento de autoeficacia para realizar conductas saludables en niños Mexicanos sanos. Psicología y Salud, 20(1), 23-30. doi: 10.25009/pys. v20i1.613. Retrieved from http://psicologiaysalud.uv.mx/index.php/psicysalud/ article/view/613
Hromi-Fiedler, A., Chapman, D., Segura-Pérez, S., Damio, G., Clark, P., Martinez, J., & Pérez-Escamilla, R. (2016). Barriers and facilitators to improve fruit and vegetable intake among WIC-eligible pregnant Latinas: An application of the health action process approach framework. Journal of Nutrition Education and Behavior, 48(7), 468-477. doi: 10.1016/J.JNEB.2016.04.398
Hromi-Fiedler, A., Chapman, D., Segura-Pérez, S., Damio, G., Clark, P., Martinez, J., & Pérez-Escamilla, R. (2016). Barriers and facilitators to improve fruit and vegetable intake among WIC-eligible pregnant Latinas: An application of the health action process approach framework. Journal of Nutrition Education and Behavior, 48(7), 468-477. doi: 10.1016/J.JNEB.2016.04.398
Johnstone, C. J. Bottsford-Miller, N. A., & Thompson. S. J. (2006). Using the think aloud method (cognitive labs) to evaluate test design for students with disabilities and english language learners. Technical report 44. National Center on Educational Outcomes, University of Minnesota. Retrieved from https://eric. ed.gov/?id=ED495909
Motl, R. W., Dishman, R. K., Saunders, R. P., Dowda, M., Felton, G., Ward, D. S., & Pate, R. R. (2002). Examining social-cognitive determinants of intention and physical activity among black and white adolescent girls using structural equation modeling. Health Psychology, 21(5), 459-467. doi: 10.1037/0278- 6133.21.5.459. PMID: 12211513
Parschau, L., Fleig, L., Koring, M., Lange, D., Knoll, N., Schwarzer, R., & Lippke, S. (2013). Positive experience, self-efficacy, and action control predict physical activity changes: A moderated mediation analysis. British Journal of Health Psychology, 18(2), 395-406. doi: 10.1111/j.2044-8287.2012.02099.x
Saldaña, R. M. E. G., Peresmitré, G. G., Meraz, M. G., & del Castillo Arreola, A. (2011). Análisis factorial confirmatorio del inventario de autoeficacia percibida para control de peso en población mexicana. Psicología Iberoamericana, 19(2), 78-88. Retrieved from http://www.redalyc.org/ comocitar.oa?id=133921440009
Scholz, U., Sniehotta, F. F., & Schwarzer, R. (2005). Predicting physical exercise in cardiac rehabilitation: The role of phase-specific self-efficacy beliefs. Journal of Sport and Exercise Psychology, 27(2), 135-151. doi: 10.1123/jsep.27.2.135 . Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology, 57(1), 1-29. doi: 10.1111/j.1464-0597.2007.00325.x
Schwarzer, R., & Gutiérrez-Doña, B. (2009). Modelando el cambio en el comportamiento de salud: Cómo predecir y modifcar la adopción y el mantenimiento de comportamientos de salud. Revista Costarricense de Psicología, 28(41-42), 11-39. Retrieved from https://www.redalyc.org/ pdf/4767/476748706011.pdf
Schwarzer, R., Schüz, B., Ziegelmann, J. P., Lippke, S., Luszczynska, A., & Scholz, U. (2007). Adoption and maintenance of four health behaviors: Theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity. Annals of Behavioral Medicine, 33(2), 156-166. doi: 10.1007/ BF02879897
Zhang, C., Zheng, X., Huang, H., Su, C., Zhao, H., Yang, H., ... Pan, X. (2018). A study on the applicability of the health action process approach to the dietary behavior of university students in Shanxi, China. Journal of Nutrition Education and Behavior, 50(4), 388-395. doi: 10.1016/J.JNEB.2017.09.024