Reliability and validity of the Healthy Home Survey: A tool to measure factors within homes hypothesized to relate to overweight in children

Bryant, Maria; Ward, Dianne S.; Hales, Derek; Vaughn, Amber; Tabak, Rachel G.; Stevens, June

doi:10.1186/1479-5868-5-23

Cited by 99 publications

(140 citation statements)

References 47 publications

(44 reference statements)

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“…Several researchers have developed measures of the availability and accessibility of healthy and less healthy foods in the home with most emphasis placed on fruits and vegetables (18,36,(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)54,55,57,59,(61)(62)(63)65) . While no gold standard exists for examining availability and accessibility of foods, some trials have used in-home inventories.…”

Section: Food Availability and Accessibilitymentioning

confidence: 99%

Measures of the home environment related to childhood obesity: a systematic review

Pinard

Yaroch

Hart

et al. 2011

Public Health Nutr.

103

102

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Objective: Due to a proliferation of measures for different components of the home environment related to childhood obesity, the purpose of the present systematic review was to examine these tools and the degree to which they can validly and reliably assess the home environment. Design: Relevant manuscripts published between 1998 and 2010 were obtained through electronic database searches and manual searches of reference lists. Manuscripts were included if the researchers reported on a measure of the home environment related to child eating and physical activity (PA) and childhood obesity and reported on at least one psychometric property. Results: Of the forty papers reviewed, 48 % discussed some aspect of parenting specific to food. Fifty-per cent of the manuscripts measured food availability/ accessibility, 18 % measured PA availability/accessibility, 20 % measured media availability/accessibility, 30 % focused on feeding style, 23 % focused on parenting related to PA and 20 % focused on parenting related to screen time. Conclusions: Many researchers chose to design new measures for their studies but often the items employed were brief and there was a lack of transparency in the psychometric properties. Many of the current measures of the home food and PA environment focus on one or two constructs; more comprehensive measures as well as short screeners guided by theoretical models are necessary to capture influences in the home on food and PA behaviours of children. Finally, the current measures of the home environment do not necessarily translate to specific subpopulations. Recommendations were made for future validation of measures in terms of appropriate psychometric testing. Keywords Child obesity Home environment Measurement PsychometricsThe prevalence and severity of childhood overweight have increased significantly in the past three decades (1)(2)(3) . Negative sequalae from being overweight during childhood include being at a higher risk for a number of chronic and acute conditions (4) as well as negative social and psychological outcomes (5) . The source for the majority of childhood obesity cases can be attributed to energy imbalance which has been linked to changes in the food and physical activity (PA) environments (6,7) . The home environment has been documented as one that can either facilitate or inhibit healthful eating and PA, and caregivers play a key role in the development of the social and physical environment within a household (8,9) . From a social environment perspective, caregivers serve as role models for PA, dietary and media behaviours and influence the child's health behaviours and weight status through parenting strategies and feeding styles (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) . In addition, a child participates in more PA when a greater amount of space and active toys are available in the home (22,23) . Likewise, access to food items can impact consumption (24,25) . Similarly, when more screen opportunities are available, children are more likely to engage i...

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Section: Food Availability and Accessibilitymentioning

confidence: 99%

Measures of the home environment related to childhood obesity: a systematic review

Pinard

Yaroch

Hart

et al. 2011

Public Health Nutr.

103

102

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“…However, test-retest reliability of 392 the home environment composite was high and previous research has provided some 393 evidence for criterion validity (Bryant et al, 2008 …”

mentioning

confidence: 99%

Maternal characteristics associated with the obesogenic quality of the home environment in early childhood

et al. 2016

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“…The psychometric properties of a number of tools to assess obesogenic characteristics of the home (e.g. family eating routines), child care (staff prompting child activity) and neighbourhood environments (availability of physical activity facilities) (72)(73)(74) have recently been published and their use would greatly strengthen the quality of future evaluations (75) . To our knowledge, however, there remains a lack of validated instruments for assessing other key community settings such as schools.…”

Section: Impactmentioning

confidence: 99%

Strengthening the rigour of population-wide, community-based obesity prevention evaluations

Wolfenden

Wiggers

2012

Public Health Nutr.

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Objective: The aim of the present study was to review the methodological literature regarding evaluation methods for complex public health interventions broadly and, based on such methods, to critically reflect on the evaluation of contemporary community-based obesity prevention programmes. Design: A systematic review of the methods and community-based literature was performed by one reviewer. Results: The review identified that there is considerable scope to improve the rigour of community-based obesity prevention programmes through: prospective trial registration; the use of more rigorous research designs, particularly where routine databases including an objective measure of adiposity are available; implementing strategies to quantify and reduce the risk of selective non-participation bias; the development and use of validated instruments to assess intervention impacts; reporting of intervention process and context information; and more comprehensive analyses of trial outcomes. Conclusions: To maximise the quality and utility of community-based obesity prevention evaluations, programme implementers and evaluators need to carefully examine the strengths and pitfalls of evaluation decisions and seek to maximise evaluation rigour in the context of political, resource and practical constraints.

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Reliability and validity of the Healthy Home Survey: A tool to measure factors within homes hypothesized to relate to overweight in children

Cited by 99 publications

References 47 publications

Measures of the home environment related to childhood obesity: a systematic review

Measures of the home environment related to childhood obesity: a systematic review

Maternal characteristics associated with the obesogenic quality of the home environment in early childhood

Strengthening the rigour of population-wide, community-based obesity prevention evaluations

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