INTRODUCTION Although families face many barriers to obtaining and maintaining a healthy weight status for children, there remains a lack of psychometrically sound tools to assess perceived barriers. The Barriers to Child Weight Management (BCWM) scale quantitatively assesses parents' perceptions of barriers to engaging in positive weight-related behaviors but has not been validated within a clinical sample. The present study sought to validate the BCWM scale among parents of children presenting to a tertiary pediatric weight management clinic. METHOD Participants included 258 parents of children aged 6-18 years presenting to a tertiary care behavioral weight management program. Parents completed the BCWM prior to the initial clinic visit. Confirmatory factor analysis was conducted to test the previously identified 4-factor structure within a clinical sample. RESULTS Overall model fit was good with the addition of 2 theoretically appropriate model respecifications, χ2(144) = 278.60, p < .001, comparative fit index = .90, root mean square error of approximation = .05, standardized root mean square residual = .06. DISCUSSION The BCWM is a promising tool to assess parental perceptions of barriers to healthy weight-related behaviors among youth presenting for clinical weight management intervention. Incorporation of this measure into pediatric weight-management appointments may aid in quickly identifying points of intervention. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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父母对儿童体重管理的认知障碍：在临床样本中衡量验证。

引言尽管家庭在获得和维持儿童健康体重状态方面面临许多障碍，但仍然缺乏从心理上合理的工具来评估感知障碍。儿童体重管理障碍量表（BCWM）量表评估父母对参与积极的体重相关行为的障碍的看法，但尚未在临床样本中得到验证。本研究旨在验证向三级儿科体重管理诊所就诊的儿童家长的BCWM量表。方法参与者包括258位6至18岁儿童的父母，他们正在接受三重护理行为体重管理计划。父母在初次就诊之前已完成了BCWM。进行验证性因子分析以测试临床样品中先前确定的4因子结构。结果总体模型拟合良好，增加了2个理论上合适的模型重新指定，χ2（144）= 278.60，p <.001，比较拟合指数= .90，近似均方根误差= .05，标准化均方根残差= .06。讨论BCWM是一种有前途的工具，可用于评估父母对临床体重管理干预的青少年对健康体重相关行为障碍的看法。将此措施纳入儿科体重管理任命中可能有助于快速确定干预点。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。结果总体模型拟合良好，增加了2个理论上合适的模型重新指定，χ2（144）= 278.60，p <.001，比较拟合指数= .90，近似均方根误差= .05，标准化均方根残差= .06。讨论BCWM是一种有前途的工具，可用于评估父母对临床体重管理干预的青少年对健康体重相关行为障碍的看法。将此措施纳入儿科体重管理任命中可能有助于快速确定干预点。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。结果总体模型拟合良好，增加了2个理论上合适的模型重新指定，χ2（144）= 278.60，p <.001，比较拟合指数= .90，近似均方根误差= .05，标准化均方根残差= .06。讨论BCWM是一种有前途的工具，可用于评估父母对临床体重管理干预的青少年对健康体重相关行为障碍的看法。将此措施纳入儿科体重管理任命中可能有助于快速确定干预点。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。讨论BCWM是一种有前途的工具，可用于评估父母对临床体重管理干预的青少年对健康体重相关行为障碍的看法。将此措施纳入儿科体重管理任命中可能有助于快速确定干预点。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。讨论BCWM是一种有前途的工具，可用于评估父母对临床体重管理干预的青少年对健康体重相关行为障碍的看法。将此措施纳入儿科体重管理任命中可能有助于快速确定干预点。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。