title: Parental self-efficacy in childhood overweight: validation of the Lifestyle Behavior Checklist in the Netherlands.
abstract: BACKGROUND
  Evaluating whether parental challenges and self-efficacy toward managing children's lifestyle behaviors are successfully addressed by interventions requires valid instruments. The Lifestyle Behavior Checklist (LBC) has recently been developed in the Australian context. It consists of two subscales: the Problem scale, which measures parental perceptions of children's behavioral problems related to overweight and obesity, and the Confidence scale, measuring parental self-efficacy in dealing with these problems. The aim of the current study was to systematically translate the questionnaire into Dutch and to evaluate its internal consistency, construct validity and test-retest reliability.
  
  
  METHODS
  The LBC was systematically translated by four experts at Maastricht University. In total, 392 parents of 3-to13-year-old children were invited to fill out two successive online questionnaires with a two-week interval. Of these, 273 parents responded to the first questionnaire (test, response rate = 69.6%), and of the 202 who could be invited for the second questionnaire (retest), 100 responded (response rate = 49.5%). We assessed the questionnaire's internal consistency (Cronbach's α), construct validity (Spearman's Rho correlation tests, using the criterion measures: restrictiveness, nurturance, and psychological control), and test-retest reliability (Spearman's Rho correlation tests).
  
  
  RESULTS
  Both scales had high internal consistency (Cronbach's α ≥ 0.90). Spearman correlation coefficients indicated acceptable test-retest reliability for both the Problem scale (rs = 0.74) and the Confidence scale (rs = 0.70). The LBC Problem scale was significantly correlated to all criterion scales (nurturance, restrictiveness, psychological control) in the hypothesized direction, and the LBC Confidence scale was significantly correlated with nurturance and psychological control in the hypothesized direction, but not with restrictiveness.
  
  
  CONCLUSIONS
  The Dutch translation of the LBC was found to be a reliable and reasonably valid questionnaire to measure parental perceptions of children's weight-related problem behavior and the extent to which parents feel confident to manage these problems.
authors: Department of Health Promotion, Maastricht University, Maastricht, the Netherlands. sanne.gerards@maastrichtuniversity.nl
authors: Sanne M P L
authors: SM
authors: Gerards
authors: Karin
authors: K
authors: Hummel
authors: Pieter C
authors: PC
authors: Dagnelie
authors: Nanne K
authors: NK
authors: de Vries
authors: Stef P J
authors: SP
authors: Kremers
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009765:Obesity / Q000517:prevention & control*; D010287:Parent-Child Relations; D016487:Parenting; D010290:Parents; D010465:Perception; D020377:Self Efficacy; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires / Q000592:standards*