Gesundheit

Sting, Stephan

doi:10.1007/978-3-531-90675-1_26

Cited by 13 publications

(4 citation statements)

References 6 publications

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“…Daily family life includes many health-related cues [ 59 ]. Daily family routines, such as regularity of family meals, choice and preparation of food, and conversations about health-related topics are associated with health and health behaviour of family members [ 71 ]. The family is an entity of control and organization and provides strong socio-emotional support [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

Family health climate scale (FHC-scale): development and validation

Niermann

Krapf

Renner

et al. 2014

Int J Behav Nutr Phys Act

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BackgroundThe family environment is important for explaining individual health behaviour. While previous research mostly focused on influences among family members and dyadic interactions (parent-child), the purpose of this study was to develop a new measure, the Family Health Climate Scale (FHC-Scale), using a family-based approach. The FHC is an attribute of the whole family and describes an aspect of the family environment that is related to health and health behaviour. Specifically, a questionnaire measuring the FHC (a) for nutrition (FHC-NU) and (b) for activity behaviour (FHC-PA) was developed and validated.MethodsIn Study 1 (N = 787) the FHC scales were refined and validated. The sample was randomly divided into two subsamples. With random sample I exploratory factor analyses were conducted and items were selected according to their psychometric quality. In a second step, confirmatory factor analyses were conducted using the random sample II. In Study 2 (N = 210 parental couples) the construct validity was tested by correlating the FHC to self-determined motivation of healthy eating and physical activity as well as the families’ food environment and joint physical activities.ResultsExploratory factor analyses with random sample I (Study 1) revealed a four (FHC-NU) and a three (FHC-PA) factor model. These models were cross-validated with random sample II and demonstrated an acceptable fit [FHC-PA: χ2 = 222.69, df = 74, p < .01; χ2/df = 3.01; CFI = .96; SRMR = .04; RMSEA = .07, CI .06/.08; FHC-NU: χ2 = 278.30, df = 113, p < .01, χ2/df = 2.46, CFI = .96; SRMR = .04; RMSEA = .06, CI .05/.07]. The perception of FHC correlated (p < .01) with the intrinsic motivation of healthy eating (r = .42) and physical activity (r = .56). Moreover, parental perceptions of FHC-NU correlated with household soft drink availability (r = -.31) and perceptions of FHC-PA with the frequency of joint physical activities with the child (r = .51). These patterns were found on the intraindividual and interindividual level.ConclusionsTwo valid instruments measuring the FHC within families were developed. The use of different informants’ ratings demonstrated that the FHC is a family level variable. The results confirm the high relevance of the FHC for individuals’ health behaviour. The FHC and the measurement instruments are useful for examining health-related aspects of the family environment.

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Section: Discussionmentioning

confidence: 99%

Family health climate scale (FHC-scale): development and validation

Niermann

Krapf

Renner

et al. 2014

Int J Behav Nutr Phys Act

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“…Daily family life implies a large number of health-related cues, such as family meals, choice and preparation of food, (in)active commuting, joint physical activities and communication about health-related issues. Specific formal or informal rules may develop, which stimulate individuals’ health behavior patterns [ 1 , 3 ]. Internalized concepts of health and well-being, values, attitudes and self-perception of competences are formed within the family [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Family health climate: a qualitative exploration of everyday family life and health

et al. 2021

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Background The family is an important social environment for children’s, adolescents’ and adults’ health. However, studies mostly focused on dyadic and unidirectional influences of parents on their children. Studies addressing influences arising from daily family life and including family-level influences are rare and the existing studies solely focus on the relevance for children’s health or health-related behaviors. We use a qualitative approach to explore how daily family life and its inherent health-related cues affect family members’ physical activity and eating behavior. Methods Semi-structured interviews utilizing an interview guide were conducted. Since we aimed to examine family life, we analyzed both parents’ and their children’s views on health-related interaction patterns and family environmental influences on individuals’ health-related behavior. Twenty-two members of seven families were interviewed. Transcripts of the interviews were systematically analyzed following Grounded Theory principles. Results The interviews revealed that various individual as well as environmental factors shape health-related aspects of daily family life. A model was developed that organizes these influencing factors on family life with regard to health-related interactions and the emergence of the Family Health Climate (FHC) – reflecting shared perceptions and cognitions regarding a healthy lifestyle within families – and its consequences. Family interactions and family time, often realized through shared family meals, are key factors for families’ health with regard to nutrition and physical activity. The FHC showed to affect various aspects related to health behavior of individual family members. Conclusions The model sheds light on underlying processes and mechanisms of family life that influences individuals’ health-related behavior. Based on a better understanding of the association between family life and individual health behavior the development of family-based interventions can be informed. Furthermore, the insights can help to guide further research focusing on families as a system.

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“…It serves as a reference point for the development of behavioral habits. Family life implies a large number of health-related cues, as daily family routines, such as family meals, choice and preparation of food and communication, are an inherent part of family life [12,13]. Furthermore, specific formal or informal rules may develop, which stimulate individuals’ eating or activity and inactivity patterns [12].…”

Section: Introductionmentioning

confidence: 99%

Conceptualizing Family Influences on Children’s Energy Balance-Related Behaviors: Levels of Interacting Family Environmental Subsystems (The LIFES Framework)

Niermann

Gerards

Kremers

2018

IJERPH

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Healthy or unhealthy behavioral patterns develop and are maintained in a family context. The importance of the family environment for children’s and adolescents’ energy balance-related behaviors (EBRBs) has been shown previously. However, the way different family environmental factors are interrelated and interact with personal factors (e.g., motivation) are not well understood. Furthermore, the majority of studies have focused on the parent-child subsystem. However, there are family-level socialization dynamics that affect the development of a healthy lifestyle beyond the impact of parenting behaviors. The current paper aims to synthesize theoretical and empirical literature on different types of family influences. The Levels of Interacting Family Environmental Subsystems (LIFES) framework incorporates family influences on three levels (immediate, proximal, distal) and of three subsystems (individual, parent-child, family), relates them to each other and postulates potential paths of influence on children’s EBRBs. Several studies examining specific sections of the framework provide empirical support for LIFES’ propositions. Future studies should place their research in the context of the interrelationship of different family environmental influences. A better understanding of the interrelated influences would enhance the understanding of the development and maintenance of overweight and obesity among children and is crucial for the development of effective interventions.

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Gesundheit

Cited by 13 publications

References 6 publications

Family health climate scale (FHC-scale): development and validation

Family health climate scale (FHC-scale): development and validation

Family health climate: a qualitative exploration of everyday family life and health

Conceptualizing Family Influences on Children’s Energy Balance-Related Behaviors: Levels of Interacting Family Environmental Subsystems (The LIFES Framework)

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