The Lifestyle Behaviour Checklist: a measure of weight-related problem behaviour in obese children

Felicity West1, Matthew R Sanders

  • 1Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Australia. felicity@psy.uq.edu.au

Insights

The Lifestyle Behaviour Checklist (LBC) effectively identifies challenges parents face with obese children, showing lower confidence and more problems compared to parents of healthy weight children. This tool aids in developing better childhood obesity interventions.

Area of Science:

  • Child Health
  • Behavioral Science
  • Psychometrics

Background:

  • Parent training is crucial for family-based childhood obesity interventions.
  • Limited research exists on specific parenting challenges in managing obese children's behavior.
  • A need exists for validated tools to assess these challenges.

Purpose of the Study:

  • To develop and evaluate the Lifestyle Behaviour Checklist (LBC) for assessing parenting challenges in childhood obesity.
  • To examine the psychometric properties of the LBC in parents of children aged 4-11.
  • To compare parenting challenges between families with healthy weight and obese children.

Main Methods:

  • The Lifestyle Behaviour Checklist (LBC) was developed, comprising 26 items on eating, activity, and weight-related behaviors, with Problem and Confidence scales.
  • Psychometric properties were explored in 182 parents of healthy weight, overweight, or obese children (aged 4-11).
  • The LBC's ability to differentiate between families with and without obese children was assessed.

Main Results:

  • The LBC accurately classified 91.1% of participants, distinguishing families with and without obese children.
  • Parents of obese children reported significantly higher lifestyle behavior problems (d=2.40) and lower parenting self-efficacy (d=1.96) than parents of healthy weight children.
  • The LBC demonstrated high internal consistency and moderate test-retest stability over 12 weeks.

Conclusions:

  • The Lifestyle Behaviour Checklist (LBC) is a valid and reliable instrument for conceptualizing and measuring parenting challenges in childhood obesity.
  • The LBC can differentiate between parents of obese and healthy weight children.
  • Routine use of the LBC in research can inform the development of more effective childhood obesity management strategies.
Abstract

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