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The Journal of Nursing Research MEDLINESCIEScopusSSCITSSCI

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篇名 Development and Psychometric Testing of an Energy Retention Behavior Scale for Children
卷期 23:1
並列篇名 兒童熱量儲存行為量表之發展與測試
作者 陳淑雯鄭中平王瑞霞簡淑媛陳美芳
頁次 047-055
關鍵字 obesityenergy-dense foodsedentary behaviorchildreninstrument development肥胖高熱量飲食靜態生活行為兒童量表發展MEDLINEScopusSSCITSCITSSCISCIE
出刊日期 201503
DOI 10.1097/jnr.0000000000000079

中文摘要

背景:肥胖乃熱量囤積之結果,高熱量飲食行為及靜態生活行為都會造成身體熱量囤積。目的:本文目的在於發展與測試兒童熱量儲存行為量表。方法:原始兒童熱量儲存行為量表包含11個問項的高熱量飲食行為,及6個問項的靜態生活行為次量表。共收371個國小兒童為研究對象,資料以驗證性因素分析(confi rmatory factor analysis)與已知群組效度(known-group validity)進行量表效度分析;並以內部一致性與再測信度進行量表信度分析。結果:驗證性因素分析結果顯示,兒童熱量儲存行為量表包含高熱量飲食行為(10個問項)及靜態生活行為(4個問項)兩面向。驗證性因素分析模式指標為卡方值(χ2) = 268.22,自由度(df)= 74, p < .001,規範適配指標(normed fi t index) =.91,非規範適配指標(nonnormed fi t index)= .92,Cronbach’s α與再測信度分別為.81及.86。體重過重或肥胖兒 的兒童熱量儲存行為量表得分高於體重不足或正常體重者,並達統計上顯著差異(z = 3.81, p < .001)。結論/實務應用:兒童熱量儲存行為量表具良好信效度,應用兒童熱量儲存行為量表,可使健康照護者更全面性的評估兒童熱量儲存相關行為。

英文摘要

Background: Obesity is the consequence of energy retention due to energy-dense food intake (E-intake behavior) and sedentary behavior (S-behavior). Purpose: The purpose of this study was to develop and psychometrically test the Energy Retention Behavior Scale for Children (ERB-C scale). Methods: The ERB-C scale was developed, consisting of an 11-item E-intake behavior subscale and a six-item S-behavior subscale. Confirmatory factor analysis and known-group validity were conducted on 371 children to examine the construct validity of this scale, and internal consistency and testYretest reliability were used to examine its reliability. Results: Confirmatory factor analysis indicates that the ERB-C scale, including its subscales of E-intake behavior (10 items) and S-behavior (four items), fits the data well. The fit indices were as follows: 22 = 268.22, df = 74, p G .001, normed fit index = .91, and nonnormed fit index = .92. The Cronbach’s " and testYretest reliability of the ERB-C scale were .81 and .86, respectively. The mean ERB-C scale score for overweight/obese children was significantly higher than for underweight/normalweight children (z = 3.81, p G .001). Conclusions/Implications for Practice: TheERB-Cscale showed satisfactory validity and reliability. This scale may help health professionals comprehensively assess the energy retention behavior of children.

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