Development of a six-factor questionnaire for use in weight management counseling

Kushner, Robert F.; Choi, Seung W.; Burns, James

doi:10.1016/j.pec.2016.06.022

Cited by 6 publications

(11 citation statements)

References 34 publications

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“…One notable model is the lifestyle pattern questionnaire developed by Kushner et al The questionnaire attempts to collect meaningful information on patient's dietary and physical activity profile in addition to associated attitudinal, emotional, and social factors that are correlated with increasing BMI. 59 The usual pattern of weight loss in patients undergoing a lifestyle intervention, such as a structured program with support from a nutritionist or trained exercise specialist, is that the maximum weight loss is achieved at 6 months, followed by a plateau and gradual regain over time. 47 However, sustainable behavior change requires time and support in order for it to become automatic.…”

Section: Mental Health Factorsmentioning

confidence: 99%

Obesity in Women: Insights for the Clinician

Tauqeer

Gomez

Stanford

2018

Journal of Women's Health

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As a leading cause of morbidity and mortality in the United States and worldwide, obesity is a disease that is frequently encountered in clinical practice today and requires a range of medical interventions. While obesity affects both men and women across all ages, multiple issues are particularly germane to women's health, particularly as obesity is more prevalent among women than men in the United States and obesity among women of reproductive health relates to the growing issue of childhood obesity. Discussed herein are the epidemiology and pathophysiology of obesity along with the impact of perinatal obesity on fetal programming. Guidance on screening and management of obesity through lifestyle intervention, pharmacologic therapy, and bariatric surgery, as well as avoidance of weight-promoting medications wherever possible, is elaborated. Particular attention is paid to the contribution of these modalities to weight loss as well as their impact on obesity-related comorbidities that affect a woman's overall health, such as type 2 diabetes and hypertension, and her reproductive and gynecologic health. With modest weight loss, women with obesity can achieve notable improvements in chronic medical conditions, fertility, pregnancy outcomes, and symptoms of pelvic floor disorders. Moreover, as children born to women after bariatric surgery-induced weight loss show improved metabolic outcomes, this demonstrates a role for maternal weight loss in reducing risk of development of metabolic disturbances in children. In light of the immense cost burden and mortality from obesity, it is important to emphasize the role of lifestyle intervention, pharmacologic management, and bariatric surgery for weight loss in clinical practice to mitigate the impact of obesity on women's health.

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Section: Mental Health Factorsmentioning

confidence: 99%

Obesity in Women: Insights for the Clinician

Tauqeer

Gomez

Stanford

2018

Journal of Women's Health

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“…Using the example above for the Easily Enticed Eater, 15 divided by a maximum score of 18 yields a categorical score of 83%. A cutoff categorical factor score of >66% was empirically used for positive identification of a factor based on the previous validation study 10 …”

Section: Methodsmentioning

confidence: 99%

“…Toward this end, we previously developed and validated by factor analysis a new 27‐item questionnaire using two prospective subject groups ( n = 640) 10 . In the first validation, the questionnaire was administered to a sample of 298 respondents.…”

Section: Introductionmentioning

confidence: 99%

Using psycho‐behavioral phenotyping for overweight and obesity: Confirmation of the 6 factor questionnaire

Kushner

Hammond

2021

Obesity Science & Practice

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Objective: Questionnaires that assess dietary habits, eating behaviors, and relevant psychosocial constructs are routinely used in obesity research and clinical practice.The 6 factor questionnaire (6FQ) was previously developed as an assessment tool for psycho-behavioral phenotyping. The primary purpose of this study was to confirm and validate the original findings in a large diverse adult population.Methods: A total of 5399 self-selected participants (mean age of 48 � 13 years and body mass index of 32 � 8 kg/m 2 ) completed the 6FQ online. The association between self-reported demographic data and 6FQ responses was assessed using linear regression models.Results: Mean factor score and odds ratio analyses consistently demonstrated a statistically significant relationship between factors and body weight even after adjusting for age, sex, and race/ethnicity. Conclusions:Although the study was correlational in design, the results demonstrate that the 6FQ, an instrument that represents multidimensional unhealthful lifestyle patterns associated with diet, physical activity, cognition, and selfperception worsen with increasing body weight. Psycho-behavioral phenotyping may be a useful approach when assessing and treating patients with obesity. K E Y W O R D Sobesity, psycho-behavioral phenotyping, questionnaire | INTRODUCTIONSince obesity is considered a multifactorial disease due to the interaction of various biological, psychosocial, and cognitive factors experienced throughout life, 1 there is a need to develop a tool that can identify the individuality of these differences for each person and facilitate targeted, evidence-based weight management strategies.Phenotyping patients based on these characteristics represents a unique method to provide more personalized care. Such a tool could be used by people with overweight or obesity as a guide for selecting a more tailored self-directed approach to weight loss and by clinicians who can enable the initiation of more effective and efficient weight management counseling.Multiple questionnaires have been developed and validated to assess psychological, behavioral, or dietary factors used primarily for research in individuals with obesity. [2][3][4][5][6][7][8][9] further This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…Six Factor Weight Management Questionnaire (6FQ; Kushner et al, 2016). This scale consists of 27-items that identify six unhealthy affective, cognitive, and behavioral lifestyle factors related to nutrition and weight management (Convenient Diner, Fast Pacer, Easily Enticed Eater, Exercise Struggler, Self-Critic, All-or-Nothing Doer).…”

Section: Instrumentsmentioning

confidence: 99%

Psychometric Properties of the German Version of the Self-Regulation of Eating Behavior Questionnaire

Schmalbach

Zenger

et al. 2021

Front. Psychol.

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Background: The Self-Regulation of Eating Behavior Questionnaire (SREBQ) is an economical way of assessing an individual's self-regulatory abilities regarding eating behavior. Such scales are needed in the German population; therefore, the purpose of the present study was the translation and validation of a German version of the SREBQ.Method: First, we conducted a pilot study (Study 1; N = 371) after the translation procedure. Second, we assessed the final scale in a representative sample of the German population (Sample 2; N = 2,483) and its underlying factor structure. Further, we tested for measurement invariance and evaluated the SREBQ's associations with related scales to explore convergent and discriminant validity. Finally, we considered differences in SREBQ based on sociodemographic variables and provided derived reference scores (norm values).Results: Factor analysis revealed deficiencies in the original model. Thus, we shortened the scale based on statistical considerations and the adapted version showed improved fit in Confirmatory Factor Analysis and reliability. We also found evidence for partial strict invariance, which means the measure is equivalent for the tested groups of age and gender. Item and scale psychometric properties of the shortened version were satisfactory. In terms of diagnostic validity, it was shown that individuals with higher body mass index (kg/m2) have worse self-regulation of eating behavior than those with lower.Conclusion: In sum, the SREBQ evidenced good validity and reliability and is suitable for application in medical, psychological, and nutritional research.

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Development of a six-factor questionnaire for use in weight management counseling

Cited by 6 publications

References 34 publications

Obesity in Women: Insights for the Clinician

Obesity in Women: Insights for the Clinician

Using psycho‐behavioral phenotyping for overweight and obesity: Confirmation of the 6 factor questionnaire

Psychometric Properties of the German Version of the Self-Regulation of Eating Behavior Questionnaire

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