Abstract
Background
The consumption of non-nutritious snacks instead of a proper breakfast is becoming more widespread among adolescents. It is expected that using the 4P (product, price, place, promotion) strategies of the social marketing (SM) model can help to better identify factors affecting healthy breakfast and snack consumption. The objective of this study was to develop and evaluate the psychometric properties of the Healthy Breakfast and Snack Consumption Scale (HBSCS) using the SM model.
Methods
This was a cross-sectional descriptive study that was conducted in 2017. First, a scale was developed using the results of a qualitative research based on the SM model. Then, its face, content and construct validities as well as its reliability were assessed. Construct validity was evaluated via exploratory factor analysis conducted on a random sample of 300 high school pupils selected from five girls’ schools located in Isfahan, Iran, using the multistage cluster sampling method. Exploratory factor analysis was performed using the methods of principle components extraction and varimax rotation with eigenvalues greater than 1.
Results
A four-factor structure that explained 61.73% of the total variance of the HBSCS included healthy breakfast and snack preferences, readiness to pay the price, place preferences and communication channel preferences. Items with an impact score of less than 1.5 were removed. Additionally, items with content validity ratio values of less than 0.62 and content validity index values of less than 0.79 were deleted. The Kaiser-Meyer-Olkin measure value was 0.74 [chi-squared (χ2) = 2353.622; p-value < 0.001]. The Cronbach’s α values of the scale and its four dimensions were 0.71 and 0.56–0.72, respectively.
Conclusion
This scale has acceptable validity and reliability. School authorities and health professionals can use this scale to screen adolescents at risk of consuming unhealthy foods and snacks. Besides, the scale might be used as a framework for assessing, implementing and promoting healthy eating behaviors among pupils.
Funding source: Isfahan University of Medical Sciences
Award Identifier / Grant number: 396420
Funding statement: This study was funded by the Isfahan University of Medical Sciences as part of a doctoral thesis with the registration number 396420, Funder Id: 10.13039/501100003970.
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© 2019 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Editorial
- Close-in-age exemption laws: focusing on the best interests of children and adolescents
- Review
- Literature review: nutritional factors influencing academic achievement in school age children
- Original Articles
- Appointed by young people – a qualitative study on young patients recruiting hospital staff in Denmark
- Child labor and mental health status of in-school adolescents in a municipal local government area of Lagos state, Nigeria
- Usefulness of hematological parameters for differential diagnosis of endometriomas in adolescents/young adults and older women
- Assessment of the WHO Health Promoting Schools Framework among schools in selected villages of rural Puducherry, South India – a mixed method study
- The development and psychometric evaluation of a new instrument to market healthy breakfast and snacks among adolescents
- Awareness of bicycle light use of young adults
- A brief study on the knowledge and choice of contraception methods in married adolescent girls
- Coverage of and compliance to iron supplementation under the National Iron Plus Initiative among reproductive age-group women in urban Puducherry – a cross-sectional study
- Adolescents’ smartphone use at night, sleep disturbance and depressive symptoms
- Prevalence and determinants of poor quality of sleep among adolescents in rural Puducherry, South India
- Health awareness, lifestyle and dietary behavior of university students in the northeast part of Bangladesh
- The effectiveness of group counseling on prenatal care knowledge and performance of pregnant adolescents in a Kurdish region of Iran
- High adenovirus 36 seroprevalence among a population of Hispanic American youth
- Development and psychometric properties of the female adolescents’ sexual reproductive self-care scale
- “Decide Now, Buy Marlboro”: Examining the influence and appeal of Marlboro’s new brand architecture among Filipino adolescents
- Knowledge, attitude and practice of cigarette smoking among senior secondary school students in Depok, Indonesia
- Factors associated with knowledge of where to access health care among youth in juvenile detention: a mixed methods study
- Association between a vegetarian diet and emotional symptoms: a cross-sectional study among adolescents in four developing countries
- A prospective 1-year study on load reduction of school backpacks shows reversible changes of body posture in schoolchildren
- Level, motivation and barriers to participate in physical activity among late adolescents in Puducherry
- A pilot study to improve sugar and water consumption in Maltese school children
- Deep venous thrombosis of lower limbs in adolescents: a study in a tertiary hospital
- Prevalence and determinants of condom use among male adolescents in Indonesia
- Iranian mothers’ needs for reproductive health education of their adolescent daughters: a qualitative study
- Short Communication
- Psychosocial determinants of stress among adolescents in an urban slum in a city of Western Maharashtra: a cross-sectional study
Artikel in diesem Heft
- Frontmatter
- Editorial
- Close-in-age exemption laws: focusing on the best interests of children and adolescents
- Review
- Literature review: nutritional factors influencing academic achievement in school age children
- Original Articles
- Appointed by young people – a qualitative study on young patients recruiting hospital staff in Denmark
- Child labor and mental health status of in-school adolescents in a municipal local government area of Lagos state, Nigeria
- Usefulness of hematological parameters for differential diagnosis of endometriomas in adolescents/young adults and older women
- Assessment of the WHO Health Promoting Schools Framework among schools in selected villages of rural Puducherry, South India – a mixed method study
- The development and psychometric evaluation of a new instrument to market healthy breakfast and snacks among adolescents
- Awareness of bicycle light use of young adults
- A brief study on the knowledge and choice of contraception methods in married adolescent girls
- Coverage of and compliance to iron supplementation under the National Iron Plus Initiative among reproductive age-group women in urban Puducherry – a cross-sectional study
- Adolescents’ smartphone use at night, sleep disturbance and depressive symptoms
- Prevalence and determinants of poor quality of sleep among adolescents in rural Puducherry, South India
- Health awareness, lifestyle and dietary behavior of university students in the northeast part of Bangladesh
- The effectiveness of group counseling on prenatal care knowledge and performance of pregnant adolescents in a Kurdish region of Iran
- High adenovirus 36 seroprevalence among a population of Hispanic American youth
- Development and psychometric properties of the female adolescents’ sexual reproductive self-care scale
- “Decide Now, Buy Marlboro”: Examining the influence and appeal of Marlboro’s new brand architecture among Filipino adolescents
- Knowledge, attitude and practice of cigarette smoking among senior secondary school students in Depok, Indonesia
- Factors associated with knowledge of where to access health care among youth in juvenile detention: a mixed methods study
- Association between a vegetarian diet and emotional symptoms: a cross-sectional study among adolescents in four developing countries
- A prospective 1-year study on load reduction of school backpacks shows reversible changes of body posture in schoolchildren
- Level, motivation and barriers to participate in physical activity among late adolescents in Puducherry
- A pilot study to improve sugar and water consumption in Maltese school children
- Deep venous thrombosis of lower limbs in adolescents: a study in a tertiary hospital
- Prevalence and determinants of condom use among male adolescents in Indonesia
- Iranian mothers’ needs for reproductive health education of their adolescent daughters: a qualitative study
- Short Communication
- Psychosocial determinants of stress among adolescents in an urban slum in a city of Western Maharashtra: a cross-sectional study