Psychometric Properties of the Self-efficacy Scale for a Healthy Diet in Individuals with Obesity
##plugins.themes.bootstrap3.article.main##
Resumen
Objetivo. Desarrollar un instrumento que mida la autoeficacia para una alimentación saludable en población mexicana con obesidad. Con ello se obtuvieron las propiedades psicométricas de la Escala de Autoeficacia para una Alimentación Saludable (EAAS).
Método. La muestra incluyó 202 personas adultas con obesidad que se encontraban en tratamiento para reducir su peso corporal. Se aplicó la EAAS; ésta es una Escala tipo Likert desarrollada con base en el Modelo Procesual de Acciones en Salud (HAPA, por sus siglas en inglés) y consta de 45 reactivos. Se obtuvo la validez de constructo, se estimaron coeficiente omega y análisis factorial confirmatorio para obtener las propiedades psicométricas.
Resultados. La escala tiene buenas medidas de bondad de ajuste χ2 = 66.49; p < .001; χ2 S-B/gl = 41; CFIS = .955; NFI = .893; RMSEAS = .056 (IC 95% [.029, .079]) y de confiabilidad de la escala total ω = .896 (IC 95% [.876, .915]).
Discusión y conclusión. La EAAS es un instrumento válido y confiable para medir los tres tipos de autoeficacia que propone el modelo HAPA en personas con obesidad que requieren cambios en la conducta alimentaria.
Referencias
Aedo, Á., & Ávila, H. (2009). Nuevo cuestionario para evaluar la autoeficacia hacia la actividad física en niños. Revista Panamericana de Salud Publica, 26(4), 324-329. Retrieved from https://www.scielosp.org/article/ssm/content/raw/?resource_ssm_path=/media/assets/rpsp/v26n4/v26n4a06.pdf
Anderson, E. S., Winett, R. A., & Wojcik, J. R. (2000). Social-cognitive determinants of nutrition behavior among supermarket food shoppers: A structural equation analysis. Health Psychology, 19(5), 479-486. doi: 10.1037/0278-6133.19.5.479
Anderson, E. S., Winett, R. A., & Wojcik, J. R. (2007). Self-regulation, self-efficacy, outcome expectations, and social support: Social cognitive theory and nutrition behavior. Annals of Behavioral Medicine, 34(3), 304-312. doi: 10.1007/BF02874555
Anderson, J. W., Konz, E. C., Frederich, R. C., & Wood, C. L. (2001). Long-term weight-loss maintenance: a meta-analysis of US studies. The American Journal of Clinical Nutrition, 74(5), 579-584. doi: 10.1093/ajcn/74.5.579
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122-147. doi: 10.1037/0003-066X.37.2.122
Bandura, A. (1993). Perceived self-efficacy in cognitive development and functioning. Educational Psychologist, 28(2), 117-148. doi: 10.1207/s15326985ep2802_3
Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52(1), 1-26. doi: 10.1146/annurev.psych.52.1.1
Bonsaksen, T., Fagermoen, M. S., & Lerdal, A. (2014). Trajectories of self-efficacy in persons with chronic illness: An explorative longitudinal study. Psychology & Health, 29(3), 350-364. doi: 10.1080/08870446.2013.856432
Bonsaksen, T., Lerdal, A., & Fagermoen, M. S. (2012). Factors associated with self-efficacy in persons with chronic illness. Scandinavian Journal of Psychology. 53(4), 333-339. doi: 10.1111/j.1467-9450.2012.00959.x
Byrne, B. (2010). Structural equation modeling with Amos: Basic concepts, applications, and programming (2nd. ed). New York: Taylor and Francis Group, LLC.
Delahanty, L. M., Peyrot, M., Shrader, P. J., Williamson, D. A., Meigs, J. B., & Nathan, D. M. (2013). Pretreatment, psychological, and behavioral predictors of weight outcomes among lifestyle intervention participants in the Diabetes Prevention Program (DPP). Diabetes Care, 36(1), 34-40. doi: 10.2337/dc12-0733
Flores León, A., González-Celis Rangel, A. L., & Valencia Ortíz, A. (2010). Validación del instrumento de autoeficacia para realizar conductas saludables en niños Mexicanos sanos. Psicología y Salud, 20(1), 23-30. doi: 10.25009/pys.v20i1.613. Retrieved from http://psicologiaysalud.uv.mx/index.php/psicysalud/article/view/613
Gutiérrez-Doña, B., Lippke, S., Renner, B., Kwon, S., & Schwarzer, R. (2009). Self‐efficacy and planning predict dietary behaviors in Costa Rican and South Korean women: Two moderated mediation analyses. Applied Psychology: Health and Well-Being, 1(1), 91-104. doi: 10.1111/j.1758-0854.2009.01004.x
Hattar, A., Pal, S., & Hagger, M. S. (2016). Predicting physical activity-related outcomes in overweight and obese adults: A health action process approach. Applied Psychology: Health and Well-Being, 8(1), 127-151. doi: 10.1111/aphw.12065
Hromi-Fiedler, A., Chapman, D., Segura-Pérez, S., Damio, G., Clark, P., Martinez, J., & Pérez-Escamilla, R. (2016). Barriers and facilitators to improve fruit and vegetable intake among WIC-eligible pregnant Latinas: An application of the health action process approach framework. Journal of Nutrition Education and Behavior, 48(7), 468-477. doi: 10.1016/J.JNEB.2016.04.398
Johnstone, C. J. Bottsford-Miller, N. A., & Thompson. S. J. (2006). Using the think aloud method (cognitive labs) to evaluate test design for students with disabilities and english language learners. Technical report 44. National Center on Educational Outcomes, University of Minnesota. Retrieved from https://eric.ed.gov/?id=ED495909
Kline, R. B. (2011). Principles and practice of structural equation modeling (Second). New York: Guilford Press.
Kreausukon, P., Gellert, P., Lippke, S., & Schwarzer, R. (2012). Planning and self-efficacy can increase fruit and vegetable consumption: a randomized controlled trial. Journal of Behavioral Medicine, 35(4), 443-451. doi: 10.1007/s10865-011-9373-1
Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., & Tomás-Marco, I. (2014). El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de Psicología, 30(3), 1151-1169. doi: 10.6018/analesps.30.3.199361
Luszczynska, A., Gutiérrez‐Doña, B., & Schwarzer, R. (2005a). General self‐efficacy in various domains of human functioning: Evidence from five countries. International Journal of Psychology, 40(2), 80-89. doi: 10.1080/00207590444000041
Luszczynska, A., Scholz, U., & Schwarzer, R. (2005b). The general self-efficacy scale: multicultural validation studies. The Journal of Psychology, 139(5), 439-457. doi: 10.3200/JRLP.139.5.439-457
MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), 84-99. doi: 10.1037/1082-989X.4.1.84
Motl, R. W., Dishman, R. K., Saunders, R. P., Dowda, M., Felton, G., Ward, D. S., & Pate, R. R. (2002). Examining social-cognitive determinants of intention and physical activity among black and white adolescent girls using structural equation modeling. Health Psychology, 21(5), 459-467. doi: 10.1037/0278-6133.21.5.459. PMID: 12211513
Organización Mundial de la Salud. (2013). OMS | Dieta. Retrieved September 12, 2019, from https://www.who.int/dietphysicalactivity/diet/es/
Parschau, L., Fleig, L., Koring, M., Lange, D., Knoll, N., Schwarzer, R., & Lippke, S. (2013). Positive experience, self-efficacy, and action control predict physical activity changes: A moderated mediation analysis. British Journal of Health Psychology, 18(2), 395-406. doi: 10.1111/j.2044-8287.2012.02099.x
Raykov, T., & Marcoulides, G. A. (2011). Introduction to psychometric theory. Routledge.
Renner, B., Kwon, S., Yang, B.-H., Paik, K.-C., Kim, S. H., Roh, S., ... Schwarzer, R. (2008). Social-cognitive predictors of dietary behaviors in South Korean men and women. International Journal of Behavioral Medicine, 15(1), 4-13. doi: 10.1007/BF03003068
Ritter, P. L., & Lorig, K. (2014). The English and Spanish self-efficacy to manage chronic disease scale measures were validated using multiple studies. Journal of Clinical Epidemiology, 67(11), 1265-1273. doi: 10.1016/j.jclinepi.2014.06.009
Saldaña, R. M. E. G., Peresmitré, G. G., Meraz, M. G., & del Castillo Arreola, A. (2011). Análisis factorial confirmatorio del inventario de autoeficacia percibida para control de peso en población mexicana. Psicología Iberoamericana, 19(2), 78-88. Retrieved from http://www.redalyc.org/comocitar.oa?id=133921440009
Scholz, U., Nagy, G., Göhner, W., Luszczynska, A., & Kliegel, M. (2009). Changes in self-regulatory cognitions as predictors of changes in smoking and nutrition behaviour. Psychology & Health, 24(5), 545-561. doi: 10.1080/08870440801902519
Scholz, U., Sniehotta, F. F., & Schwarzer, R. (2005). Predicting physical exercise in cardiac rehabilitation: The role of phase-specific self-efficacy beliefs. Journal of Sport and Exercise Psychology, 27(2), 135-151. doi: 10.1123/jsep.27.2.135
Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology, 57(1), 1-29. doi: 10.1111/j.1464-0597.2007.00325.x
Schwarzer, R., & Gutiérrez-Doña, B. (2009). Modelando el cambio en el comportamiento de salud: Cómo predecir y modifcar la adopción y el mantenimiento de comportamientos de salud. Revista Costarricense de Psicología, 28(41-42), 11-39. Retrieved from https://www.redalyc.org/pdf/4767/476748706011.pdf
Schwarzer, R., & Renner, B. (2005). Health-specific self-efficacy scales. Retrieved April 5, 2018, from http://userpage.fu-berlin.de/~health/healself.pdf
Schwarzer, R., Schüz, B., Ziegelmann, J. P., Lippke, S., Luszczynska, A., & Scholz, U. (2007). Adoption and maintenance of four health behaviors: Theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity. Annals of Behavioral Medicine, 33(2), 156-166. doi: 10.1007/BF02879897
Skjong, R., & Wentworth, B. (2000). Expert judgement and risk perception. Retrieved from http://research.dnv.com/skj/Papers/SkjWen.pdf
Zhang, C., Zheng, X., Huang, H., Su, C., Zhao, H., Yang, H., ... Pan, X. (2018). A study on the applicability of the health action process approach to the dietary behavior of university students in Shanxi, China. Journal of Nutrition Education and Behavior, 50(4), 388-395. doi: 10.1016/J.JNEB.2017.09.024
Zhou, G., Gan, Y., Knoll, N., & Schwarzer, R. (2013). Proactive coping moderates the dietary intention–planning–behavior path. Appetite, 70, 127-133. doi: 10.1016/J.APPET.2013.06.097
Zucker, S., Sassman, C., & Case, B. J. (2004). Cognitive Labs. Retrieved from http://images.pearsonassessments.com/images/tmrs/tmrs_rg/CognitiveLabs.pdf
