DISCOVERING THE STRUCTURE OF THE POWER OF FOOD SCALE (PFS) IN OBESE PATIENTS
Author(s)
Robert A Gerber, PharmD, MA, MBA, Director, Worldwide Outcomes Research1, Joseph C Cappelleri, PhD, MPH, Director, Biostatistics2, Andrew G Bushmakin, MS, Manager2, Nancy K Leidy, PhD, Senior Vice President Scientific Affairs3, Chris Sexton, PhD, Senior Project Manager3, Jan Karlsson, PhD, Psychologist4, Michael R Lowe, PhD, Professor51Pfizer Inc, New London, CT, USA; 2 Pfizer Inc, Groton, CT, USA; 3 United BioSource Corporation, Bethesda, MD, USA; 4 Sahlgrenska Academy at Göteborg University, Göteborg, Sweden; 5 Drexel University, Philadelphia, PA, USA
Objective: To assess the psychometric properties of the Power of Food Scale (PFS) in diverse populations of obese and non-obese individuals. Methods: Data were obtained from adults in a clinical trial for a weight management drug (n=1,739; mean body mass index [BMI] [SD]=38.6 [6.7]) and a web-based survey (n=1,275; overweight and obese [BMI 27-76 kg/m2] and non-obese [BMI 18-27 kg/m2]). Exploratory and confirmatory factor analyses were employed to discover the structure of PFS using the clinical data. The model developed was then tested using data from the web-based survey. The relationship between PFS domains and BMI was also examined. Logistic regression was used in the web-based survey to evaluate the association between obese status and PFS scores. Results: Psychometric assessment of data from the clinical study indicated that the scale was best represented by a 3-factor, 2nd-order model - three domains and a composite domain (average of the three domains) - which was confirmed within the web-based survey (Bentler's Comparative Fit Index: 0.92 and 0.91, respectively). Cronbach's alpha for both data sets were high, ranging from 0.81-0.94 (three domains and a composite domain score). The relationships between BMI and each domain were subtle and approximately linear. An increase of one point in a PFS domain score increased the odds of being obese by 1.6-2.4 times (depending on the domain; domain scores range from 1 to 5). Conclusion: The structure of PFS is represented by a 3 factor, 2nd-order model with three domains (Food Available, Food Present, and Food Tasted) and a composite of them. This structure has high internal consistency and reliability, relates to BMI, and distinguishes between obese and non-obese subjects. The data indicate that the PFS can be used to evaluate the effects of treatment on patient perception of the power of food in trials of obese patients.
Conference/Value in Health Info
2008-05, ISPOR 2008, Toronto, Ontario, Canada
Value in Health, Vol. 11, No. 3 (May/June 2008)
Code
PSY43
Topic
Methodological & Statistical Research
Topic Subcategory
PRO & Related Methods
Disease
Diabetes/Endocrine/Metabolic Disorders
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