Development of a six-factor questionnaire for use in weight management counseling. Issue 12 (December 2016)

• Record Type: Journal Article
• Authors: Kushner, Robert F.; Choi, Seung W.; Burns, James L.
• Is Part Of: Patient education and counseling. Volume 99:Issue 12(2016)
• Page Start: 2018
• Page End: 2025
• Publication Date: 2016-12
• Subjects: Lifestyle patterns -- Behavior -- Overweight -- Obesity -- Weight management counseling; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.06.022
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: This study developed and validated a new 6 factor questionnaire (6-FQ ). The 27-item tool is self-administered with excellent psychometric properties. 6-FQ identifies unhealthful behavioral, cognitive and affective lifestyle traits. 6-FQ is intended to help clinicians counsel patients on lifestyle recommendations. Abstract: Objective: To develop and validate a new 6 factor questionnaire (6-FQ ) that identifies unhealthful behavioral, cognitive and affective lifestylepattern factors among a large sample of adults who are overweight or obese. Methods: Based on a previously developed 53-item lifestyle patterns questionnaire completed by 10, 000 subjects, a new6-FQ was developed and validated by using two prospective subject groups (n = 640) with combined mean age of 43 ± 11.4 years and BMI 33.8 ± 9.1 kg/m 2 . Results: An exploratory factor analysis and multidimensional scaling were conducted that identified 6 distinct factors with excellent psychometric properties. Cronbach's internal consistency reliability estimates ranged from 0.76 to 0.85. The prevalence rates and odds ratios of the factors are generally and directly related with increasing BMI categories. The6-FQ is highly correlated with multiple subscales from the co-administered IWQOL-Lite questionnaire. Conclusions: The6-FQ is a 27-item self-administered instrument with excellent psychometric properties that measures patients' lifestyle patternfactors . Practice implications: The6-FQ is a convenient, short, self-administered instrument that has potential to target patients' self-identified lifestyle patterns related to body weight, and should allow clinicians to efficiently and effectively counsel patients on targeted treatment recommendations.