Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool

Ihmels, Michelle; Welk, Gregory J.; Eisenmann, Joey C.; Nusser, Sarah M.

doi:10.1186/1479-5868-6-14

Cited by 144 publications

(214 citation statements)

References 26 publications

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“…Only three screeners are described in the literature which assess the overall impact of the home environment related to childhood obesity. Ihmels et al (64) developed and tested the Family Nutrition and Physical Activity (FNPA) screening tool for familial environment and behaviours that may predispose a child to become overweight. This is a twenty-one-item screening tool was developed based on established Evidence Analyses procedures of the American Dietetic Association, which demonstrates high content validity.…”

Section: Screeners or Short Measuresmentioning

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: Screeners or Short Measuresmentioning

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

View full text Add to dashboard Cite

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“…Present psychodiagnostic evaluation seems to underline that parents and children with pathological BMI didn't show unhealthy nutritional and physical behaviors as family nutrition and physical activity screening tool [15] evaluated (22.65 ± 2.73) and only 15.6% of the sample gave a low FNPA total score showing unhealthy lifestyles and habits. Moreover descriptive statistical analysis of eating disorder inventory 2 and parenting styles dimensions questionnaire [17] revealed no pathological answers from parents.…”

Section: Discussionmentioning

confidence: 99%

“…Socio-demographic questionnaire, questionnaire about eating and physical habits, family nutrition and physical activity interview [15], eating disorder inventory 2 [16] and parenting styles dimensions questionnaire [17] were administered to the parents; socio-demographic questionnaire, questionnaire about eating and physical habits were administered to the children.…”

Section: Methodsmentioning

confidence: 99%

“…Family nutrition and physical activity screening tool [15] is a short interview that evaluate family's home environment with regard to nutrition and physical activity. It was developed from an Academy of Nutrition and Dietetics Evidence Analysis (EA) that examined the factors related to childhood overweight.…”

Section: Family Nutrition and Physical Activity Screening Toolmentioning

confidence: 99%

“…The study involved 31 families with overweight/ obese children (16 fathers, 30 mothers and 31 children). Socio-demographic questionnaire, Questionnaire about eating and physical habits, Family Nutrition and Physical activity interview (Ihmels et al 2009), Eating Disorder Inventory 2 (EDI-2; Rizzardi et al 1995) and Parenting Styles Dimensions Questionnaire (PSDQ; Confalonieri et al 2009) were administered to the parents; Socio-demographic questionnaire, Questionnaire about eating and physical habits were administered to the children. Descriptive statistical analysis (mean, standard deviation, frequency counts and percentages) revealed that there weren't any significant results because parents didn't showed pathological characteristics except for mothers' Maturity's fear scale (MF) of EDI 2 that measures fear of facing the demands of adult life.…”

Section: Introductionmentioning

confidence: 99%

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The Importance of Psychodiagnostic Evaluation to Structure Effective and Integrated Prevention Program: A Preliminary Sicilian Study

Buccheri

2013

J Obes Weight Loss Ther

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Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

Bailey‐Davis

Kling

Wood³

et al. 2019

Obesity Science & Practice

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Summary Objective Integration of behavioural risk assessment into well‐child visits is recommended by clinical guidelines, but its feasibility and impact is unknown. Methods A quasi‐experimental study evaluated the feasibility and effectiveness of risk assessment on body mass index (BMI) at 1‐year follow‐up. Children with assessments (intervention) were compared with those who did not complete assessments (non‐respondent) and those who received standard care (non‐exposed). Results Analyses included 10,647 children aged 2–9 years (2,724 intervention, 3,324 non‐respondent and 4,599 non‐exposed). Forty‐five per cent of parents completed the assessments. Intervention and non‐respondent groups differed in change in BMI z ‐score at 1 year by −0.05 (confidence interval [CI]: −0.08, −0.02; P = 0.0013); no difference was observed with non‐exposed children. The intervention group had a smaller increase in BMI z ‐score (0.07 ± 0.63) than non‐respondent group (0.13 ± 0.63). For children with normal weight at baseline, intervention versus non‐respondent groups differed in BMI z ‐score change by −0.06 (CI: −0.10, −0.02; P = 0.0025). However, children with overweight at baseline in the intervention versus the non‐exposed group differed in BMI z ‐score change (0.07 [CI: 0.02, 0.14]; P = 0.016). When analysed by age, results were similar for 2‐ to 5‐year‐olds, but no differences were found for 6‐ to 9‐year‐olds. Conclusion Automating risk assessment in paediatric care is feasible and effective in promoting healthy weight among preschool but not older children.

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Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool

Cited by 144 publications

References 26 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

The Importance of Psychodiagnostic Evaluation to Structure Effective and Integrated Prevention Program: A Preliminary Sicilian Study

Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

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