Scales for social support for eating habits and exercise: psychometric properties
e201911063
Keywords:
Psychometric properties, Social support, Diet, Physical exercise, Metabolic syndromeAbstract
Background: Social support can introduce favorable changes in lifestyle to reduce the cardiovascular risk. The aim of this study was to verify these changes in the clinical population participating in this study and present the psychometric properties of the scales of social support for Eating Habits and Exercise in patients diagnosed with metabolic syndrome.
Methods: 135 participants attending a programme for changing lifestyle habits. Sociodemographic, psychological, and lifestyle variables were assessed at the Hospital Universitario Virgen de las Nieves (HUVN) in Granada (Spain) between 2013 and 2014. The following procedures were used: Confirmatory factor analysis (CFA), internal consistency, sensibility to change and temporal stability.
Results: The AFC confirmed the original structure of both scales, except for the exclusion of factor 2 (family) from the social support scale for the year. For the social support scale, the local adjustment, all items presented high values of factor loads and individual reliability (λ≥0.64 and R2≥0.41, respectively). For the exercise scale, the local adjustment, the items presented high values of factor loads and individual reliability (λ≥0.62 and R2≥0.38, respectively). Internal consistency values were between adequate and excellent, with Cronbach’s alpha figures between 0.714 and 0.864. Regarding sensitivity to change, the experimental group increased the perception of social support for food and exercise. The control group did not show significant differences.
Conclusions: Our results show adequate indices for validity and reliability of the measures. Both measures appeared to be useful to assess social support in patients diagnosed with metabolic syndrome.
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References
Bland V, Sharma M. Physical activity interventions in African American women: A system-atic review. Health Promot Perspect 2017; 7(2): 52-59.
Verheijden MW, Bakx JC, van Weel C, Koelen MA, van Staveren WA. Role of social support in lifestyle-focused weight management interventions. Eur J Clin Nutr 2005; 59(1); 179-86.
Kim C, McEwen LN, Kieffer EC, Herman WH, Piette JD. Self-efficacy, social support, and associations with physical activity and body mass index among women with histories of ges-tational diabetes mellitus. Diabetes Educ 2008; 34(4): 719-728.
Johnson ER, Carson TL, Affuso O, Hardy CM, Baskin ML. Relationship Between Social Sup-port and Body Mass Index Among Overweight and Obese African American Women in the Rural Deep South, 2011-2013. Prev Chronic Dis 2014; 11: E224.
Middelweerd A, te Velde SJ, Abbott G, Timperio A, Brug J, Ball K. Do intrapersonal factors mediate the association of social support with physical activity in young women living in so-cioeconomically disadvantaged neighbourhoods? A longitudinal mediation analysis. PLoS One 2017; 12(3): e0173231.
Wilches-Luna EC, Hernández NL, Chavarro PA. Bernal-Sánchez JJ. Perfiles de riesgo cardiovascular y condición física en docentes y empleados no docentes de una facultad de salud. Rev Salud Pública 2016; 18(6): 890-903.
Anderson PJ, Bovard RS, Wang Z, Beebe TJ, Murad MH. A survey of social support for ex-ercise and its relationship to health behaviours and health status among endurance Nordic skiers. BMJ Open 2016; 6(6): e010259.
Wang ML, Pbert L, Lemon SC. The influence of family, friend, and coworker social support and social undermining on weight gain prevention among adults. Obesity 2014; 22(9): 1973-1980.
Sotos-Prieto M, Bhupathiraju SN, Falcón LM, Gao X, Tucker KL, Mattei J. A Healthy Life-style Score Is Associated with Cardiometabolic and Neuroendocrine Risk Factors among Puerto Rican Adults. J Nutr 2015; 145(7): 1531-1540.
Hwang WJ, Lee CY. Effect of psychosocial factors on metabolic syndrome in male and female blue-collar workers. Jpn J Nurs Sci 2014; 11(1): 23-34.
McEligot AJ, McMullin J, Pang K, Bone M, Winston S, Ngewa R, Tanjasiri SP. Diet, Psycho-social Factors Related to Diet and Exercise, and Cardiometabolic Conditions in Southern Cali-fornian Native Hawaiians. Hawaii Med J 2010; 69(2): 16-20.
Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med 1987; 16(6): 825-836.
National Cholesterol Education Program (NCEP). (Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evalua-tion, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final re-port. Circulation 2002; 106(25): 3143-421.
Lobo A, Saz P, Marcos G, Grupo de Trabajo ZARADEMP. MMSE: Examen Cognoscitivo Mini-Mental. Madrid: TEA Ediciones; 2002.
Becoña E, López A, Fernández E, Míguez MC, Castro J. Spanish adaptation of the NDSS (Nicotine Dependence Syndrome Scale) and assessment of nicotine-dependent individuals at primary care health centers in Spain. Span J Psychol 2010; 13(2): 951-60.
Grundy SM, Brewer HBJ, Cleeman, JI, Smith, SCJ, Lenfant C, National Heart, Lung et al. Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Insti-tute/American Heart Association conference on scientific issues related to definition. Arteri-oscler Thromb Vasc Biol 2004; 24(2): 13-8.
Gambrill ED, Richey CA. An assertion inventory for use in assessment and research. Behav Ther 1975; 6(4): 550-561.
Salazar IC, Roldán G, Garrido L, Ramos JM. La asertividad y su relación con problemas emocionales y el desgaste en profesionales sanitarios. Psicol Conductual 2014; 22(3): 523-549.
Garcia-Silva J, Caballo VE, Peralta-Ramírez MI, Lucena-Santos P, Navarrete NN. Cuestio-nario de Asertividad Relativo al Estilo de Vida (CAREV) en pacientes con síndrome metabóli-co: desarrollo y validación. Psicol Conductual 2017; 25(2): 321-342.
Remor E. Psychometric Properties of a European Spanish Version of the Perceived Stress Scale. Span J Psychol 2006; 9(1): 86-93.
Agencia Española de Consumo, Seguridad Alimentaria y Nutrición (Aecosan). Estrategia NAOS (Nutrición, Actividad Física y Prevención de la Obesidad). Disponible en: http://www.aecosan.msssi.gob.es/AECOSAN/web/nutricion/seccion/estrategia_naos.html. Consultado Noviembre del 2012.
Marôco J. Analysis of Structural Equations: Theoretical foundations, software and appli-cations. Pero Pinheiro: Report Number; 2010.
Kline RB. Principles and practice of structural equation modeling. 3rd Edition. New York: Guilford Press; 2010.
Hu LT, Bentler, PM. Cutoff criteria for fit indexes in covariance structure analysis: Con-ventional criteria versus new alternatives. Struct Equ Modeling 1999; 6(1): 1-55.
Stevens JP. Applied multivariate statistics for the social sciences. 5a Edition. Hillsdale, NJ: Erlbaum; 2009.
Hooper D, Coughlan J, Mullen MR. Structural Equation Modelling: Guidelines for Deter-mining Model Fit. EJBRM 2008; 6(1): 53-60.
Rhemtulla M, Brosseau-Liard PE, Savalei V. When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions. Psychol Methods 2012; 17(3): 354-373.
Noroozi A, Ghofranipour F, Heydarnia AR, Nabipour I, Shokravi FA. Validity and reliability of the social support scale for exercise behavior in diabetic women. Asia Pac J Public Health 2011; 23(5): 730-41.
Kline P. Handbook of psychological testing. 2nd Edition. Londres: Routledge; 2000.
Reis MS, Siqueira R, Hallal PC. Validity and reliability of a physical activity social support assessment scale. Rev Saude Pública 2011; 45(2): 294-301.
Pessini J, Gerage AM, Meurer Barbosa ST, Rodrigues A, Lopes ACS, Benedetti TRB. Cross-cultural equivalence and psychometric proprieties of the social support scale for healthy eating habits. Rev Nutr 2016; 29(6): 797-807.
Arda Sürücü H, Büyükkaya Besen D, Erbil EY. Empowerment and Social Support as Predictors of Self-Care Behaviors and Glycemic Control in Individuals With Type 2 Diabetes. Clin Nurs Res 2018; 27(4):395-413.
Dube AR, Stanton CA. The Social Context of Dietary Behaviors: The Role of Social Rela-tionships and Support on Dietary Fat and Fiber. Intake Chapter Modern Dietary Fat Intakes in Disease Promotion Part of the series Nutrition and Health; 2010.
Ball K, Crawford D. An investigation of psychological, social and environmental correlates of obesity and weight gain in young women. Int J Obes (Lond) 2006; 30(8): 1240-9.
Zheng Y, Sereika SM, Danford CA, Imes CC, Goode RW, Mancino J et al. Trajectories of Weight Change and Predictors Over 18-Month Weight Loss Treatment. J Nurs Scholarsh 2017; 49(2): 177-184.
Prescott E, Godtfredsen N, Osler M, Schnohr P, Barefoot JR. Social gradient in the meta-bolic syndrome not explained by psychosocial and behavioural factors: evidence from the Copenhagen City Heart Study. Eur J Cardiovasc Prev Rehabil 2007; 14(3): 405-12.
Hernández-Ruiz Z, Rodríguez-Ramírez S, Hernández-Cordero S, Monterrubio-Flores E. Patrones dietéticos y síndrome metabólico en mujeres con exceso de peso de 18 a 45 años de edad. Salud pública Méx 2018; 60(2): 158-165.
Gaona-Pineda EB, Martínez-Tapia B, Arango-Angarita A, Valenzuela-Bravo D, Gómez-Acosta LM, Shamah-Levy T et al. Consumo de grupos de alimentos y factores sociodemográ-ficos en población mexicana. Salud pública Méx 2018; 60(3): 272-282.
Pakalska-Korcala A, Zdrojewski T, Piwoński J, Gil K, Chwojnicki K, Ignaszewska-Wyrzykowska A et al. Social support level in relation to metabolic syndrome--results of the SOPKARD study. Kardiol Pol 2008; 66(5): 500-506.
Anderson AS. How to implement dietary changes to prevent the development of meta-bolic syndrome. Br J Nutr 2000; 83(1): 65-8.
Pettman TL, Misan GM, Owen K, Warren K, Coates AM, Buckley JD et al. Self-management for obesity and cardio-metabolic fitness: Description and evaluation of the lifestyle modification program of a randomised controlled trial. Int J Behav Nutr Phys Act 2008; 5: 53.
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Copyright (c) 2019 Jaqueline Garcia-Silva, Nuria Navarrete Navarrete, Daniele Silva-Silva, Rafael A. Caparros-González, María Isabel Peralta-Ramírez, Vicente E. Caballo
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