scholarly journals Factor Analysis of the Childcare Food and Activity Practices Questionnaire (CFAPQ) among Staff Members in Maryland Childcare Centers

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 940-940
Author(s):  
Farah Behbehani ◽  
Kristen Hurley ◽  
Maureen M Black

Abstract Objectives Parental feeding behaviors influence the development of children's dietary behaviors. Less is known about the influence of feeding behaviors used by childcare staff. This study aimed to examine the psychometric properties of the feeding-related subscales of the Childcare Food and Activity Practices Questionnaire (CFAPQ), a scale developed and validated in the Netherlands, for use among staff members caring for 3–5 year olds in 46 childcare centers across Maryland. Methods A confirmatory factor analysis (CFA) was performed with childcare staff (n = 136) to evaluate the goodness of fit of the original 7-factor, 40-item structure of the CFAPQ feeding-related subscales. Because the original factor structure was not confirmed, an exploratory factor analysis (EFA) was conducted to identify an alternative underlying factor structure. Pearson correlations between subscales were examined to identify if the factors related to one another in theoretically expected ways. Results The 7-factor, 40-item structure of the original CFAPQ was not confirmed by the CFA (Model fit: RMSEA = 0.14, CFI = 0.72, TLI = 0.69, and SRMR = 0.18). A revised 4-factor model with 22 items was confirmed (Model fit: RMSEA = 0.079, CFI = 0.96, TLI = 0.96, and SRMR = 0.09). The internal consistency of factors in the revised model was moderate to good (Cronbach's α = 0.63–0.81). The 4 factors include: 1) Responsive (8-items; staff encouragement surrounding healthy food intake); 2) Controlling (5-items; staff applying food related pressure or restriction); 3) Indulgent (5-items; staff using foods as reward or to regulate the child's emotional state); and 4) High engagement (4-items; staff involvement in children's snacks and meals). Correlations between factors indicated convergent and discriminant validity in theoretically expected directions. Indulgent was significantly negatively related to responsive (r = −0.39, P < 0.01). Controlling was significantly positively related to high engagement (r = 0.22, P < 0.01). Conclusions Among this sample of childcare staff, a 4-factor, 22-item structure was a better fit than the original 7-factor, 40-item structure of the CFAPQ feeding subscales. Robust psychometric properties ensure that scales are measuring what they claim. Funding Sources National Institute of Diabetes and Digestive and Kidney Diseases.

2021 ◽  
Vol 26 (1) ◽  
pp. 31-38
Author(s):  
Iulia-Clarisa Giurcă ◽  
Adriana Baban ◽  
Sebastian Pintea ◽  
Bianca Macavei

AbstractThe following study is aimed at investigating the construct validity of the 25-item Connor-Davidson Resilience Scale (CD-RISC 25) on a Romanian military population. The exploratory factor analysis was conducted on 434 male military participants, aged between 24 and 50 years (M = 34.83, S.D. = 6.14) and the confirmatory factor analysis was conducted on a sample of 679 military participants, of 605 men and 74 women, aged between 18 and 59 years (M = 38.37, S.D. = 9.07). Factor analysis of the scale showed it to be a bidimensional, rather than a multidimensional instrument, as the original five-factor structure was not replicated in this military Romanian sample. Moreover, EFAs suggested that a 14-item bidimensional model should be retained and CFA confirmed that this model fit the data best.


Author(s):  
Mainul Haque ◽  
Muhamad Saiful Bahri Yusoff ◽  
Md. Anwarul Azim Majumder ◽  
Zainal Zulkifli ◽  
Farah Hanani Binti Mohd Nasir

  Objectives: The DREEM inventory has been universally established as a generic instrument to assess health-related educational programs. There were some apprehensions regarding the psychometric properties of the DREEM raised in last few years. This study evaluated first ever the psychometric properties of the Bahasa Melayu version of the DREEM in a sample of Malaysian medical students.Methods: A cross-sectional study was carried and universal sampling method was applied. Researchers selected 1-5th-year medical students of Universiti Sultan Zainal Abidin, Malaysia, as study subjects. Researchers collected data through a guided self-administered questionnaire during a face-to-face session.Results: Confirmatory factor analysis (CFA) showed that the one factor model of DREEM-M (Model A), consisting 50 items were not fit, indicating it was a multidimensional instrument. On further CFA, it appeared that the proposed five-factor structure was not fit (Model B) as all the goodness-of-fit indices did not signify a model fit.Conclusions: The study findings revealed that the DREEM inventory 50-item inventory failed to achieve a model fit, but it demonstrated a high of internal consistency. The proposed 19-item DREEM-M revealed good model fit.


Author(s):  
Stein Arne Rimehaug ◽  
Aaron J. Kaat ◽  
Jan Egil Nordvik ◽  
Mari Klokkerud ◽  
Hilde Stendal Robinson

Abstract Purpose The aims of this cross-sectional study were to explore reliability and validity of the Norwegian version of the Patient-Reported Outcome Measurement System®—Profile 57 (PROMIS-57) questionnaire in a general population sample, n = 408, and to examine Item Response properties and factor structure. Methods Reliability measures were obtained from factor analysis and item response theory (IRT) methods. Correlations between PROMIS-57 and RAND-36-item health survey (RAND36) were examined for concurrent and discriminant validity. Factor structure and IRT assumptions were examined with factor analysis methods. IRT Item and model fit and graphic plots were inspected, and differential item functioning (DIF) for language, age, gender, and education level were examined. Results PROMIS-57 demonstrated excellent reliability and satisfactory concurrent and discriminant validity. Factor structure of seven domains was supported. IRT assumptions were met for unidimensionality, local independence, monotonicity, and invariance with no DIF of consequence for language or age groups. Estimated common variance (ECV) per domain and confirmatory factor analysis (CFA) model fit supported unidimensionality for all seven domains. The GRM IRT Model demonstrates acceptable model fit. Conclusions The psychometric properties and factor structure of Norwegian PROMIS-57 were satisfactory. Hence, the 57-item questionnaire along with PROMIS-29, and the corresponding 8 and 4 item short forms for physical function, anxiety, depression, fatigue, sleep disturbance, social participation ability and pain interference, are considered suitable for use in research and clinical care in Norwegian populations. Further studies on longitudinal reliability and sensitivity in patient populations and for Norwegian item calibration and/or reference scores are needed.


Psihologija ◽  
2020 ◽  
pp. 26-26
Author(s):  
Nurul Islam

The Bangla version of the Multidimensional Scale of Perceived Social Support (MSPSS-B) is a popular psychological assessment tool in Bangladesh. It has largely been used to measure perceived social support of Bangladeshi people. In spite of its popularity, it had not gone through an extensive validation procedure yet. Even its psychometric properties were not tested before, except for the test-retest reliability. This cross-sectional study aimed to examine the psychometric properties of MSPSS-B through a questionnaire survey among 812adult Bangladeshi people. The MSPSS-B revealed a three-factor structure through exploratory factor analysis (EFA) on the first split sample (n = 403), explaining 71.64% of the total variance. Acceptable goodness of fit indices (?2/df = 4.293, p = .000, GFI = .920, CFI = .926, TLI = .904, SRMR = .063, and RMSEA = .078) in the MSPSS-B were obtained through confirmatory factor analysis (CFA) on the second split sample (n = 409). The three-factor structure of the MSPSS-B was the same as the original English MSPSS. Acceptable internal item consistencies, significant test-retest reliabilities, reliabilities between two scale versions, convergent and discriminant validities, and measurement invariance between two gender groups were also established in the MSPSS-B through different statistical analyses. Thus, the MSPSS-B with its three factors can be used as a valid and reliable measure to assess the perceived social support of Bangladeshi people.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Min Kyeong Jang ◽  
Sue Kim ◽  
Chang Gi Park ◽  
Eileen G. Collins ◽  
Lauretta T. Quinn ◽  
...  

Abstract Background Fatigability has recently emerged in oncology as a concept that anchors patients’ perceptions of fatigue to defined activities of specified duration and intensity. This study aimed to examine the psychometric properties of the Korean version of the Pittsburgh Fatigability Scale (K-PFS) for women with breast cancer. Methods This cross-sectional study involved 196 women with breast cancer recruited from a tertiary hospital in Seoul, Korea. Reliability was evaluated using Cronbach’s alpha, and confirmatory factor analysis was conducted to examine the factor structure of the K-PFS. Four goodness-of-fit values were evaluated: (1) the comparative fit index (CFI), (2) the Tucker–Lewis index (TLI), (3) the root mean square error of approximation (RMSEA), and (4) the standardized root mean square residual (SRMR). Results Of the 196 survivors, 71.1% had greater physical fatigability (K-PFS Physical score ≥ 15) and 52.6% had greater mental fatigability (K-PFS Mental score ≥ 13). The Cronbach’s alpha coefficient for the total K-PFS scale was 0.926, and the coefficients for the physical and mental fatigability domains were 0.870 and 0.864, respectively. In the confirmatory factor analysis for physical fatigability, the SRMR value (0.076) supported goodness of fit, but other model fit statistics did not (CFI = 0.888, TLI = 0.826, and RMSEA = 0.224). For mental fatigability, although three goodness-of-fit values were acceptable (CFI = 0.948, TLI = 0.919, and SRMR = 0.057), the RMSEA value (0.149) did not indicate good model fit. However, each item coefficient was statistically significant (> 0.5), and the K-PFS was therefore found to be valid from a theoretical perspective. Conclusion This study provides meaningful information on the reliability and validity of the K-PFS instrument, which was developed to meet an important need in the context of breast cancer survivors. Additional research should examine its test–retest reliability and construct validity with performance measures.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 941-941
Author(s):  
Farah Behbehani ◽  
Kristen Hurley ◽  
Maureen M Black

Abstract Objectives To examine associations between parental feeding behaviors and preschool children's willingness to try new foods (WTNF) and body mass index (BMI). Methods This study used baseline data collected from parents and children in childcare centers. Parents completed the Comprehensive Feeding Practices Questionnaire (CFPQ). We measured children's height and weight, calculated BMI z-scores (BMIz) and percentiles (%ile) using CDC criteria, and assessed WTNF by offering 6 novel and 3 familiar foods. Confirmatory factor analysis was conducted to examine the goodness of fit of the 8-subscales (child control, emotion regulation, involvement, modeling, monitoring, pressure to eat, restriction for health, and restriction for weight control) from the CFPQ. Logistic regressions was employed to examine the association between parents’ CFPQ scores and children's WTNF (dichotomized as high: tried ≥3 novel foods vs. low: tried <3 novel foods), and linear regressions to examine the association between parents’ CFPQ scores and child BMI, adjusting for child sex, age, race, full-time childcare center attendance [≥40 hours/week (hrs/wk)], and household income. Results The sample included 407 children (aged 48.2 ± 0.4 months) and their primary caregiver from 51 childcare centers. Majority of children were Caucasian (64%) and spent at least 40 hrs/wk at the childcare center (69%); 24% had BMI ≥85th %ile with mean BMIz of 0.36 (SD = 1.05). After dropping 3-items from the CFPQ due to low factor loadings (<0.4, n = 2) or theory (n = 1), the original 8-subscale structure demonstrated good model fit (RMSEA = 0.05, CFI = 0.97, TLI = 0.97, and SRMR = 0.07). Children of parents with elevated scores on the restriction for weight subscale had 1.53 (95% CI: 1.08–2.16) greater odds of high WTNF and 0.46 (95% CI: 0.30–0.63) increase in BMIz, compared to children of parents with low subscale scores. Conclusions Children of parents who restrict foods in an attempt to control their child's weight are more likely to try new foods in a childcare setting without parents present, and are likely to be heavier. Longitudinal research is needed to determine the direction of the associations and how they relate to maternal and child characteristics (e.g., perceived or real child weight and eating behaviors). Funding Sources National Institute of Diabetes and Digestive and Kidney Diseases.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Xi Chen ◽  
Wen Liu

Objective. The Dental Activities Test (DAT) was developed to be used by dental, nursing, and other health professionals to assess the ability of persons with dementia to perform oral health-related activities and aid care planning. The instrument was designed as a unitary scale and has excellent internal consistency, test-retest reliability, interrater reliability, and construct validity. This study examines the underlying factor structure of the DAT among older adults in assisted living settings. Methods. In a secondary analysis of the data from the original study, the results of testing of 90 older adults with normal to severely impaired cognition from three assisted living communities in North Carolina from March 2013 to February 2014 were studied. An exploratory factor analysis was used to assess the dimensionality of the presumed unitary assessment scale. Results. Two-factor structures were explored. A one-factor model demonstrated acceptably mixed model fit, and a two-factor model had good model fit with moderate correlation between the two factors (r=0.667, p<0.05). All the items in the one-factor model demonstrated significant factor loadings (loadings ≥ 0.39, all p<0.05), while the loadings of some items in the two-factor model (nonsignificant or cross-loadings, loadings < 0.40) did not meet the criteria of factor selection. The one-factor structure was preferred based on the criteria of Scree Plot, eigenvalue, and factor interpretability in relation to clinical relevance. Conclusions. The study provided preliminary evidence that the Dental Activities Test has a unidimensional construct among older adults with cognitive impairment. It suggested that this instrument can be used as a unitary scale to assess dental-related function in persons with dementia. Future testing, including using a confirmatory factor analysis, in a new sample is needed to further assess the usefulness and psychometric properties of this instrument.


2020 ◽  
Author(s):  
jing han ◽  
Li Zhang ◽  
JiZhao Gao ◽  
Feng Yang ◽  
Yao Zhang ◽  
...  

Abstract Background:Parental cognition of a child’s illness influences the psychological adjustment of the entire family and the child’s quality of life. This cross-sectional study aimed to translate the Illness Cognition Questionnaire-Parent version (ICQ-P) into Chinese and to evaluate its psychometric properties. Methods The translation process was complied with international recommendations. Using a convenient sampling method, 334 parents of cancer children completed the 18-item ICQ-P online. The psychometric properties of the scale were evaluated using Principle Component Analysis (PCA) with Promax with Kaiser Normalization. Confirmatory Factor Analysis (CFA) was used to confirm the factor structure using Chi-squared/Degrees of freedom (χ2/df), Goodness-of-Fit Index (GFI), incremental fit index (IFI); Comparative Fit Index (CFI), Root Mean Square Error of Approximation (RMSEA). Cronbach’s α was calculated for the final scale version, revealing adequate internal consistency.Results: Using Exploratory Factor Analysis (EFA), we found that the Chinese version of the ICQ-P (ICQ-P[C]) had 18-item, three-factor structure (six items each, factor loadings >0.5) which explained 56.39% of total variance. Based on the structure matrix, three factors were labeled “Helplessness,” “Acceptance,” and “Perceived benefits.” After addressing some errors in covariances, χ2/df =1.890 CFI=0.931, IFI=0.933, GFI=0.884, RMSEA=0.060. The standardized coefficients of factors 1, 2, and 3, ranged from 0.50 to 0.84, (p<0.001). The final scale showed moderate-to-high reliability scores (Factor 1 α=0.819; Factor 2 α=0.835; Factor 3 α=0.802; Overall α=0.868).Conclusions: The ICQ-P is a reliable tool to measure parental cognition of a child’s illness, especially cancer. It may help medical staff to identify parents with difficulty understanding these illnesses.


BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e015621 ◽  
Author(s):  
Bingwei Tang ◽  
Yu Yu ◽  
Ziwei Liu ◽  
Meijuan Lin ◽  
Yumei Chen ◽  
...  

ObjectiveThis study aimed to evaluate the factor structure of the Chinese version of the 22-item Zarit Burden Interview (ZBI) among family caregivers of patients with schizophrenia in China.MethodsUsing one-stage cluster-sampling design, 324 primary caregivers of patients with schizophrenia in Ningxiang County, Hunan Province, China, completed the Zarit Burden Interview face-to-face. Confirmatory factor analysis (CFA) was first performed based on existing models to check model fit. Owing to an unsatisfactory result of CFA, exploratory factor analysis (EFA) was then conducted to explore a new factor structure, and a subsequent CFA was run to examine its model fit.ResultsThe CFA results showed that none of the existing models fit the data reasonably well. The EFA results suggested five dimensions: negative emotion (10 items), interpersonal relationship (4 items), time demand (3 items), patient’s dependence (2 items) and self-accusation and guilt (2 items). The following CFA confirmed the five-factor solution in this study, and the goodness-of-fit for this model fell within the acceptable range. The overall internal consistency (Cronbach’s alpha) was 0.88, and the internal consistency coefficients of individual dimensions were 0.68 to 0.84.ConclusionThis study supported a 22-item ZBI scale, with a five-factor structure when applied to Chinese caregivers of patients with schizophrenia.


2009 ◽  
Vol 68 (3) ◽  
pp. 125-132 ◽  
Author(s):  
Frank Larøi ◽  
Martial Van der Linden ◽  
Mathieu d’Acremont

We investigated the psychometric properties of a French translation of the Metacognitions Questionnaire (MCQ). 265 participants from the French-speaking population of Belgium completed the MCQ. Construct validity was assessed by means of a factor analysis, retaining 5 factors for oblique rotation. Most items loaded on appropriate factors. Confirmatory factor analysis was also conducted in order to assess construct validity and to test goodness of fit to the original 5-factor structure. This revealed that the 5-factor structure had an adequate fit. In general, results offer evidence that the present French version of the MCQ taps into similar metacognitive aspects and that it possesses adequate psychometric properties, comparable to those reported in the original validation study of the MCQ.


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