目的 研制适用于我国学龄前儿童的肥胖相关家庭养育环境评估量表(ORFPEAS-PC),并检验其信效度及跨性别测量不变性,为家长及儿童保健人员提供科学评估工具。
方法 基于肥胖育儿干预量表,通过翻译、跨文化调适形成中文版初稿,进一步优化条目后构建ORFPEAS-PC。采用横断面调查,2025年1月—3月对上海市5个区677名学龄前儿童及其主要照护者进行评估。信度检验采用Cronbach's α系数和分半信度;效度检验包括结构效度(探索性与验证性因子分析)、聚合效度(平均方差抽取量AVE、组合信度CR)和区分效度;跨性别测量不变性通过多群组验证性因子分析进行检验。
结果 条目经临界比值法与项目-总分相关系数法筛选后保留21个条目,探索性因子分析显示量表结构合理(KMO=0.804,Bartlett's检验
χ2=2 407.607,
P<0.001),累计方差贡献率62.68%,提取的6个维度(食物奖励、高热量食物可及性、健康食物可及性、身体活动、屏幕使用、睡眠习惯)的因子负荷均>0.4。验证性因子分析证明模型拟合良好(
χ2/
df=2.250,RMSEA=0.061,IFI=0.912,CFI=0.911)。聚合效度(AVE>0.36,CR>0.6)和区分效度(因子间相关系数<AVE的平方根)均达标。ΔCFI<0.01、ΔTLI<0.01、ΔRMSEA≤0.015,跨性别测量不变性成立。量表信度良好(Cronbach's α=0.828,分半信度=0.728)。
结论 ORFPEAS-PC具有良好的信效度及跨性别测量不变性,可作为评估我国学龄前儿童肥胖相关家庭养育环境的有效工具。
Abstract
Objective To develop the Obesity-Related Family Parenting Environment Assessment Scale for Preschool Children (ORFPEAS-PC) suitable for the Chinese context, and to evaluate its reliability, validity, and cross-gender measurement invariance, so as to provide a scientific assessment tool for parents and child healthcare professionals. Methods Based on the Obesity Parenting Intervention Scale (OPTION), the initial Chinese version was developed through translation and cross-cultural adaptation.After further item refinement, the ORFPEAS-PC was constructed.A cross-sectional survey was conducted involving 677 preschool children and their primary caregivers from five districts in Shanghai between January to March 2025.Reliability was assessed using Cronbach's α coefficient and split-half reliability.Validity was evaluated through structural validity (exploratory and confirmatory factor analysis), convergent validity[average variance extracted(AVE); composite reliability(CR)], and discriminant validity.Cross-gender measurement invariance was tested using multi-group confirmatory factor analysis. Results After item screening using the critical ratio method and item-total correlation analysis, 21 items were retained.Exploratory factor analysis indicated a robust scale structure (KMO=0.804, Bartlett's test of sphericity:χ2=2 407.607, P<0.001), with a cumulative variance contribution rate of 62.68%.The six extracted dimensions (food rewards, high-calorie food accessibility, healthy food accessibility, physical activity, screen use, and sleep habits) all exhibited factor loadings >0.4.Confirmatory factor analysis confirmed a good model fit (χ2/df=2.250, RMSEA=0.061, IFI=0.912, CFI=0.911).Both convergent validity (AVE >0.36, CR >0.6) and discriminant validity (inter-factor correlations less than the square root of the corresponding AVE) met the standards.Cross-gender measurement invariance was established (ΔCFI<0.01、ΔTLI<0.01、ΔRMSEA≤0.015).The scale demonstrated good reliability (Cronbach's α=0.828, split-half reliability=0.728). Conclusion The ORFPEAS-PC exhibits good reliability, validity, and cross-gender measurement invariance, and can serve as an effective tool for assessing the obesity-related family parenting environment among preschool children in China.
关键词
学龄前儿童 /
肥胖 /
家庭环境 /
量表 /
信度 /
效度
Key words
preschool children /
obesity /
family environment /
scale /
reliability /
validity
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基金
上海市加强公共卫生体系建设三年行动计划(2023—2025年)第六轮重点学科建设项目(GWVI-11.1-32);复旦大学公共卫生学院-嘉定区卫生健康委员会公共卫生高质量发展重点学科、重点专项(GWGZLXK-2023-04);松江区加强公共卫生体系建设三年行动计划(2020—2022年)(20GWTX11)
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