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Updated: Jun 1, 2026

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Published on: April 23, 2014
Development and validation of the Family Health Behavior Scale
Jennette Palcic Moreno1, Mary Lou Kelley, David N Landry
1Department of Pediatrics-Nutrition, Baylor College of Medicine, Houston, TX, USA. palcic@bcm.edu
Insights
A new scale, the Family Health Behavior Scale (FHBS), effectively measures family and child behaviors linked to childhood obesity. This parent-report tool shows promise in identifying health habits and predicting weight classification.
Area of Science:
- Childhood obesity research
- Behavioral science
- Family health
Background:
- Childhood obesity is a significant public health concern.
- Understanding family and child behaviors is crucial for intervention.
- Existing measures may not fully capture relevant behavioral patterns.
Purpose of the Study:
- To develop a psychometrically sound, parent-report measure.
- To assess family and child behaviors associated with childhood obesity.
- To create a tool for children aged 5-12 years.
Main Methods:
- Item generation and selection processes were employed.
- Exploratory factor analysis was conducted.
- A 27-item measure, the Family Health Behavior Scale (FHBS), was developed.
Main Results:
- The FHBS includes subscales for health-promoting behaviors, obesogenic behaviors, meal routines, and physical activity.
- Parental FHBS ratings predicted child weight classification.
- The scale demonstrated adequate internal consistency and temporal stability.
Conclusions:
- The Family Health Behavior Scale (FHBS) is a promising tool.
- It measures family eating and physical activity habits related to childhood obesity.
- The FHBS can aid in identifying at-risk families and informing interventions.
Objective:
The purpose of the current study was to develop a psychometrically sound, parent-report measure of family and child behaviors related to obesity in children between 5- and 12-years-old.
Methods:
Item generation, item selection, and initial exploratory factor analysis yielded a 27-item measure called the Family Health Behavior Scale (FHBS).
Results:
The FHBS contains four subscales measuring health-promoting family behaviors, obesogenic behaviors, meal-time routines, and family physical activity habits. Parent ratings on the FHBS were shown to predict their child's weight classification. The FHBS also demonstrated adequate internal consistency and temporal stability.
Conclusions:
The results of the study suggest that the FHBS is a promising measure of family eating and physical activity habits related to obesity in children.
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