Items

The item clarity is:

The item pertinence is:

The item wording is:

The item relevance is:

Observations

 

None

Low

Regular

High

None

Low

Regular

High

None

Low

Regular

High

None

Low

Regular

High

Comments

Category 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Table 1: Matrix for expert review of instrument content

Variables

Data

Age (years) range of 8-13 years

9.8 ± 1.3

Sex (Female)

136 (55%)

Healthy schools program †

155 (62.5%)

Primary school

 

  • Victoria D’Spinay (District of La Chorrera)

55 (22.2%)

  • La Herradura (District of La Chorrera) †

54 (21.8%)

  • Berta Elida Fernández (District of Chame) †

51 (20.6%)

  • El Espavé (District of Chame)

38 (15.3%)

  • Hernando Bárcenas (District of Capira) †

50 (20.2%)

Weight (kg)

38.2 ± 11.9

Height (m)

138.5 ± 9.6

BAZ ‡

0.88 ± 1.33

  • BAZ in healthy schools program (n=155)

0.876 ± 1.358

  • BAZ in regular schools (n=93)

0.877 ± 1.291

Proportion of excess weight (BAZ ≥ 1) ‡

115 (46.4%)

  • Overweight in healthy schools program (n=155)

69 (44.5%)

  • Overweight in regular schools (n=93)

46 (49.5%)

Data presented as mean ± standard deviation and as frequency and percentage (%). BAZ = z score for the body mass index. † correspond to schools of the intersectoral program "Healthy Schools". ‡ ttest and Chi2, p = not significant

Table 2: Characteristics of the subjects (n = 248)

Name of factors

Items

Items/Items

Factors

1

2

3

4

Some aspects related to eating habits and healthy lifestyles:

APB_2

Eating fruits and vegetables makes me feel good.
 

0.6740

 

 

 

APB_3

My parents, teachers, and classmates should know the importance of eating fruits and vegetables every day. 

0.6574

 

 

 

APB_4

I like to eat foods prepared with natural condiments. 

0.3850

 

 

 

APB_5

Eating every day, I ate a healthy breakfast is good for the body. 

0.6342

 

 

 

APB_6

Healthy condiments make food that is eaten at home and school healthier. 

0.4230

 

 

 

APB_7

Including vegetables and fruits in all meals makes the body healthy. 

0.4126

 

 

 

APB_8

Walking 30 minutes per day is beneficial for the body to be healthy. 

0.3459

 

 

 

APB_9

Drinking water is good for the body. 

0.6049

 

 

 

APB_11

Drinking water is good and allows you to be healthier. 

0.7502

 

 

 

APB_13

I worry about drinking enough water a day. 

0.3189

 

 

 

APB_14

I prefer to drink water instead of sugary drinks. 

0.4089

 

 

 

APB_16

Vegetables contain nutrients. 

0.3962

 

 

 

APB_17

I eat fruits because I like them.

0.4753

 

 

 

APB_20

Breakfast is the most crucial meal for achieving good learning. 

0.3708

 

 

 

APB_22

It is sufficient to wash the vegetables with water before eating them. 

0.3197

 

 

 

APB_24

I am an active child with energy. 

0.4048

 

 

 

Some aspects related to the use of water:

APB_27

I wash my hands properly with soap and water. 

 

0.4784

 

 

APB_33

I drink water every day. 

 

0.3980

 

 

APB_37

I wash my hands before eating. 

 

0.5528

 

 

Some issued aspects related to eating and healthy lifestyles: 

 

APB_18

Eating a healthy diet is expensive. 

 

 

0.5064

 

APB_23

If I drink sugary drinks, I do not need to drink water. 

 

 

0.4660

 

APB_25

Playing sports bores me. 

 

 

0.3649

 

APB_26

A chubby or more massive student is as healthy as a student with a lean body. 

 

 

0.4554

 

Some aspects related to learning and the school environment about eating and healthy lifestyles: 

 

APB_1

I think school is the perfect place to learn about healthy eating. 

 

 

 

0.6311

APB_15

I like to eat vegetables, so they are delicious. 

 

 

 

0.3107

APB_34

I practice recreational activities after school. 

 

 

 

0.3241

APB = Attitude, perception, and behavior
Table 3: Matrix of rotating components (Varimax)

 

EFA-based model

Attitude-based model

Number of factors

4

3

Chi-square

383

360

Degrees of freedom

269

227

CFI

0.903

0.858

TLI

0.892

0.842

AIC

15418

14437

BIC

15702

14690

RMSEA

0.0414

0.0487

SRMR

0.0552

0.0607

EFA = exploratory factory analysis; CFI = comparative fit index; TLI = Tucker Lewis Index; AIC = Akaike Information Criterion; BIC = Bayesian Information Criterion; RMSEA = Root Mean Square Error of Approximation; and, SRMR = Standardized Root Mean-Square

Table 4: Comparison between confirmatory factor analysis

Item

Scale total*

Cronbach alpha
0.8200

Factors**

I. Factor: Aspects related to healthy lifestyles. 

0.8581

APB_2

Eating fruits and vegetables makes me feel good. 

0.8455

APB_3

My parents, teachers, and classmates should know the importance of eating fruits and vegetables every day. 

0.8444

APB_4

I like to eat foods prepared with natural condiments. 

0.8508

APB_5

Eating every day, a healthy breakfast, does the body good. 

0.8418

APB_6

Healthy condiments make food that is eaten at home and school healthier. 

0.8537

APB_7

Including vegetables and fruits in all meals makes the body healthier. 

0.8488

APB_8

Walking 30 minutes per day is beneficial for the body to be healthy. 

0.8562

APB_9

Drinking water is good for the body. 

0.8452

APB_11

Drinking water is good and allows you to be healthier. 

0.8443

APB_13

I worry about drinking enough water daily. 

0.8561

APB_14

I prefer to drink water instead of sugary drinks. 

0.8558

APB_16

Vegetables contain nutrients. 

0.8505

APB_17

I eat fruits because I like them. 

0.8478

APB_20

Breakfast is the most crucial meal for achieving good learning.

0.8516

APB_22

It is enough to wash the vegetables with water before eating them.

0.8556

APB_24

I am an active child with energy. 

0.8513

 

II. Factor: Aspects related to the use of water. 

0.5592

APB_27

I wash my hands properly with soap and water. 

0.4554

APB_33

I drink water every day.

0.5332

APB_37

I wash my hands before eating.

0.3784

 

III. Factor: Aspects of concern related to eating and healthy lifestyles. 

0.5331

APB_18

Eating a healthy diet is expensive. 

0.4192

APB_23

If I drink sugary drinks, I do not need to drink water. 

0.4718

APB_25

Playing sports tires me. 

0.4888

APB_26

A chubby or more massive student is as healthy as a student with a lean body. 

0.4630

 

IV. Factor: Aspects related to learning and the school environment about eating and healthy lifestyles. 

0.5341

APB_1

I think school is the perfect place to learn about healthy eating. 

0.3054

APB_15

I like to eat vegetables, so they are delicious. 

0.4629

APB_34

I practice recreational activities after school. 

0.5163

APB= Attitude, perception, and behavior;
*Cronbach's alpha total of the scale corresponds to the 37 items of the instrument;
**Cronbach's alpha corresponds only to the items of each factor

Table 5: Internal consistency of the main factors of the scale