Abstract
Objectives This study examined the validity and reliability of the Family Health Climate Scale (FHC-Scale) among Iranian families. Second, can it be attributed to other family members by measuring the health climate in one person? Method In total, 261 female students and 196 mothers completed the FHC-Scale. The study instrument was a Persian version of the FHC-Scale prepared through a translation and back-translation process. Results The results showed that the Persian version of the FHC-Scale is acceptable. Cronbach's alpha coefficient for FHC-PA in female students and their mothers, respectively, was 0.88 and 0.86 for the whole scale. Cronbach's alpha coefficient for FHC-NU in female students and their mothers, respectively, was 0.83 and 0.92 for the whole scale. The CVI values for all the items were equal to or above 0.8, and the CVR value for the total scale was 0.90. Conclusion The Persian version of the FHC-Scale is therefore an effective tool for evaluating the different dimensions of family health climate in the Iranian population.
Highlights
Health behaviors learned during childhood remain in people’s lifestyles and will have more permanent effects compared to behaviors obtained in adulthood [1]
The Family Health Climate Scale is a valid and reliable instrument to measure the climate about healthy eating and physical activity in the family context
Even in the same family, people seem to have different perceptions of the family health climate, which depends on the type of behaviors and motivations that other family members give to the person about healthy behaviors
Summary
Health behaviors learned during childhood remain in people’s lifestyles and will have more permanent effects compared to behaviors obtained in adulthood [1]. A healthy lifestyle is determined by many factors, including individual, social, physical, and environmental factors and their interaction. Health behaviors are embedded in social contexts and are influenced by social relationships, which are among the most important social contexts of the family [2, 3]. Many studies have focused on the effects of the family environment on the parent-child relationship and the effect of parental behaviors on children’s behaviors. Previous research has shown the important role of parents in creating a healthy lifestyle in their children [4, 5]. Parents are the gatekeepers who determine the healthy nutrition and physical activity of their children. Positive parenting is positively correlated to children’s healthy eating behaviors and physical activity levels [13, 14].
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