Evidence map›Paper›PMID 31346233›Full record

ArticleInternational journal of obesity (2005)2019

Targeting parental motivation for change in childhood obesity: development and validation of the PURICA-S scale.

Florian Junne, Stefan Ehehalt, Katrin Ziser, Thomas Reinehr, Susanna Wiegand, Johannes Mander, Peter Martus, Isabelle Mack, Andreas Oberle, Martin Wabitsch and 3 more

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Article in International journal of obesity (2005), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Florian JunneDepartment of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany. florian.junne@med.uni-tuebingen.de.
Stefan EhehaltPublic Health Department of Stuttgart, Stuttgart, Germany.
Katrin ZiserDepartment of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany.ORCID http://orcid.org/0000-0002-6111-4082
Thomas ReinehrDepartment of Pediatric Nutrition Medicine, Vestische Hospital for Children and Adolescents Datteln, University of Witten/Herdecke, Herdecke, Germany.
Susanna WiegandPedatric Obesity Outpatient Department, Medical University Hospital Charité Berlin, Berlin, Germany.
Johannes ManderCentre for Psychological Psychotherapy, University of Heidelberg, Heidelberg, Germany.
Peter MartusInstitute of Clinical Epidemiology and Applied Biometry, Medical Faculty, University of Tuebingen, Tuebingen, Germany.
Isabelle MackDepartment of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany.
Andreas OberleDepartment of Social Pediatrics, Center for Child, Youth and Women's Health, Klinikum Stuttgart, Olgahospital/Frauenklinik, Stuttgart, Germany.
Martin WabitschDepartment of Endocrinology and Diabetology, Medical University Hospital Ulm, Ulm, Germany.
Tobias RennerDepartment of Child and Adolescence Psychiatry, Medical University Hospital Tuebingen, Tuebingen, Germany.
Stephan ZipfelDepartment of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany.
Katrin E GielDepartment of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tuebingen, Tuebingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high prevalence of overweight and obesity in childhood and adolescence call for effective and sustainable intervention strategies. Parental motivation for change may be a key factor in sustained behavioral improvement towards a healthy weight status of their offspring. In this study, we developed a new short instrument to assess parental motivation for change to facilitate motivation-tailored family interventions that promise improved effectiveness.

methodsThe preexisting gold-standard instrument to assess motivational stages for change was adapted from the self to the parental perspective in a structured multistep Delphi procedure. The new instrument to assess parental motivation for change related to a health problem of their children was psychometrically evaluated in a sample (N = 193) of parents of children or adolescents with overweight or obesity. Confirmatory factor analysis, internal consistency, construct, and criteria validity were analyzed to test the psychometric properties of the new instrument.

resultsAs a result of the Delphi procedures, all 16 items were successfully transferred to the parental perspective. The hypothesized four-factor structure of the new instrument was approved, and internal consistency and criteria validity were good to very good (albeit with inconsistent findings for the subscale precontemplation). DISCUSSION: In our investigated target group of parents with children with overweight or obesity, the new instrument to assess parental motivation for change proved to be a practicable, valid, and time-efficient short measure. The new instrument will enable more specific motivational stage-directed interventions that promise higher effectiveness of family-based interventions to fight childhood obesity. However, the subscale precontemplation seemed not fully suitable for the population investigated here and needs to be applied very carefully in future studies.

Indexed as

MotivationPsychometricsAdolescentAdultChildFemaleHumansMaleMiddle AgedParentsPediatric ObesitySurveys and Questionnaires

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.