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Psychometrics of the modified family-centered care assessment short version for childhood obesity

Meg Simione1,2, Paola Ferreira3, Man Luo3

  • 1Division of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, 125 Nashua Street, Suite 860, Boston, MA, 02114, USA. msimione@mgh.harvard.edu.

Health and Quality of Life Outcomes
|September 1, 2024
PubMed

Insights

A new 8-item scale effectively measures family-centered care in pediatric weight management. This shortened modified Family Centered Care Assessment (mFCCA) offers reliable and valid evaluation with reduced participant burden.

Area of Science:

  • Pediatric Health
  • Clinical Psychology
  • Health Services Research

Background:

  • Family-centered care enhances pediatric weight management interventions, improving treatment effectiveness and reducing dropout.
  • Validated, user-friendly scales are crucial for assessing family-centeredness in these interventions.
  • The modified Family Centered Care Assessment (mFCCA) is a tool for evaluating family-centeredness in childhood obesity interventions.

Purpose of the Study:

  • To develop a shortened version of the mFCCA.
  • To evaluate the psychometric properties of the abbreviated mFCCA scale.

Main Methods:

  • The mFCCA was administered to families in the Connect for Health randomized control trial.
  • Item reduction was performed iteratively.
  • Rasch modeling was employed to assess reliability and validity of the shortened scale.

Main Results:

  • Data from 318 parents were analyzed.
  • Exploratory factor analysis confirmed a single-factor structure.
  • Rasch modeling indicated acceptable internal consistency (0.7) and strong validity.
  • The scale was successfully reduced from 24 to 8 items.

Conclusions:

  • The short version of the mFCCA possesses strong psychometric properties.
  • This validated 8-item scale can assess family-centeredness in childhood obesity interventions.
  • The reduced participant burden of the mFCCA short version may improve intervention outcomes for children with obesity.
Abstract

Keywords:
Family-centered outcomesPatient experiencePediatrics

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