Development and initial validation of the Support for Healthy Lifestyle (SHeL) questionnaire for adolescents

Bridget K Biggs, Michele Tsai Owens, Jennifer Geske, Jocelyn R. Lebow, S. Kumar, K. Harper, Karen Grothe, Megan L. Cunningham, Teresa B. Jensen, Matthew M Clark

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This study developed and provided initial validation for the Support for Healthy Lifestyle (SHeL), a set of scales designed to measure adolescent-perceived social support of healthy eating and physical activity. Item pool development utilized a prior focus group study of adolescents' perceptions of socially supportive behavior and a review of the literature on social support for health behavior change in adolescents. Exploratory factor analysis of the item pool completed by 220 adolescents, internal consistency estimates, and expert review of items and consensus resulted in 9 scales for the SHeL: Family Healthy Eating Support, Family Physical Activity Support, Family Hypocritical Control, Peer Health Eating Support, Peer Physical Activity Support, Peer Undermining, Professional Healthy Eating Support, Professional Physical Activity Support, and Professional General Support. Scale internal reliability estimates were α = 0.73–0.96. Supporting construct validity, the SHeL showed a pattern of stronger correlations between measures of the same source (parent/peer) and target behavior (healthy eating/physical activity) and stronger correlations with corresponding Sallis scales vis-à-vis other Sallis scales, with exceptions related to peer support for healthy eating. Divergent validity was somewhat limited, including in two instances, the SHeL scale was more strongly correlated with another SHeL scale. Supporting criterion validity, often the SHeL scales were correlated with related health behaviors. This study provided important psychometric information for a new measurement of social support for health behavior for adolescents. Further research with larger, more diverse, and treatment-seeking populations is needed to provide further validation of the SHeL and to begin to establish normative scores.

Original languageEnglish (US)
Article number101310
JournalEating Behaviors
Volume34
DOIs
StatePublished - Aug 1 2019

Fingerprint

Exercise
Health Behavior
Social Support
Surveys and Questionnaires
Healthy Lifestyle
Focus Groups
Psychometrics
Statistical Factor Analysis
Consensus
Eating
Healthy Diet
Health
Research
Population
Therapeutics

Keywords

  • Adolescence
  • Eating habits
  • Health promotion
  • Measurement
  • Physical activity
  • Social support

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Development and initial validation of the Support for Healthy Lifestyle (SHeL) questionnaire for adolescents. / Biggs, Bridget K; Tsai Owens, Michele; Geske, Jennifer; Lebow, Jocelyn R.; Kumar, S.; Harper, K.; Grothe, Karen; Cunningham, Megan L.; Jensen, Teresa B.; Clark, Matthew M.

In: Eating Behaviors, Vol. 34, 101310, 01.08.2019.

Research output: Contribution to journalArticle

Biggs, Bridget K ; Tsai Owens, Michele ; Geske, Jennifer ; Lebow, Jocelyn R. ; Kumar, S. ; Harper, K. ; Grothe, Karen ; Cunningham, Megan L. ; Jensen, Teresa B. ; Clark, Matthew M. / Development and initial validation of the Support for Healthy Lifestyle (SHeL) questionnaire for adolescents. In: Eating Behaviors. 2019 ; Vol. 34.
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