{"title":"儿童和青少年饮食失调“影响治疗的照顾者因素”(Care-FIT)量表的心理测量评估","authors":"Alex McCord, Adam J Rock, Ryan Davies, Kylie Rice","doi":"10.1186/s40337-025-01398-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Caregiver Factors Influencing Treatment (Care-FIT) Inventory is a self-report measure containing two subscales, each with a three-factor structure, that respectively assess strengths and challenges present for adult caregivers of children and adolescents with eating disorders. This study examined the psychometric properties of the Care-FIT in a clinical sample.</p><p><strong>Method: </strong>A sample of 141 participants completed the Care-FIT and comparison measures including the Parents versus Eating Disorders scale (PvED) and the Personal Wellbeing Index (PWI). Participants were adult caregivers who currently or recently participated in eating disorder treatment for a child or adolescent aged 6-18 years. Confirmatory factor analysis (CFA) was performed and receiver operator characteristic (ROC) curves were produced for each subscale, with Pearson correlations and Fisher's r-to-z transformations run to assess convergent and discriminant validity.</p><p><strong>Results: </strong>Items that did not meet thresholds were removed, resulting in a 20-item measure which included two subscales: an 11-item Strengths scale and a 9-item Challenges scale. CFA yielded a three-factor structure for each scale that was a strong fit to the data, with good to high internal consistency and reliability (McDonald's omega for Strengths ω = 0.81 and Challenges ω = 0.70). Care-FIT Strengths scores were significantly positively correlated to PvED scores and Challenge scores were significantly negatively correlated to PWI scores with significant Fisher's r-to-z comparisons.</p><p><strong>Conclusion: </strong>These results provide preliminary support for use of the Care-FIT during child and adolescent eating disorder treatment, with the intent of helping to inform clinical decision-making and treatment planning such as whether supportive or adjunctive treatments might benefit a particular family.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"208"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465885/pdf/","citationCount":"0","resultStr":"{\"title\":\"Psychometric evaluation of the 'Caregiver Factors Influencing Treatment' (Care-FIT) Inventory for child and adolescent eating disorders.\",\"authors\":\"Alex McCord, Adam J Rock, Ryan Davies, Kylie Rice\",\"doi\":\"10.1186/s40337-025-01398-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The Caregiver Factors Influencing Treatment (Care-FIT) Inventory is a self-report measure containing two subscales, each with a three-factor structure, that respectively assess strengths and challenges present for adult caregivers of children and adolescents with eating disorders. This study examined the psychometric properties of the Care-FIT in a clinical sample.</p><p><strong>Method: </strong>A sample of 141 participants completed the Care-FIT and comparison measures including the Parents versus Eating Disorders scale (PvED) and the Personal Wellbeing Index (PWI). Participants were adult caregivers who currently or recently participated in eating disorder treatment for a child or adolescent aged 6-18 years. Confirmatory factor analysis (CFA) was performed and receiver operator characteristic (ROC) curves were produced for each subscale, with Pearson correlations and Fisher's r-to-z transformations run to assess convergent and discriminant validity.</p><p><strong>Results: </strong>Items that did not meet thresholds were removed, resulting in a 20-item measure which included two subscales: an 11-item Strengths scale and a 9-item Challenges scale. CFA yielded a three-factor structure for each scale that was a strong fit to the data, with good to high internal consistency and reliability (McDonald's omega for Strengths ω = 0.81 and Challenges ω = 0.70). Care-FIT Strengths scores were significantly positively correlated to PvED scores and Challenge scores were significantly negatively correlated to PWI scores with significant Fisher's r-to-z comparisons.</p><p><strong>Conclusion: </strong>These results provide preliminary support for use of the Care-FIT during child and adolescent eating disorder treatment, with the intent of helping to inform clinical decision-making and treatment planning such as whether supportive or adjunctive treatments might benefit a particular family.</p>\",\"PeriodicalId\":48605,\"journal\":{\"name\":\"Journal of Eating Disorders\",\"volume\":\"13 1\",\"pages\":\"208\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-09-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465885/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40337-025-01398-5\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40337-025-01398-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Psychometric evaluation of the 'Caregiver Factors Influencing Treatment' (Care-FIT) Inventory for child and adolescent eating disorders.
Background: The Caregiver Factors Influencing Treatment (Care-FIT) Inventory is a self-report measure containing two subscales, each with a three-factor structure, that respectively assess strengths and challenges present for adult caregivers of children and adolescents with eating disorders. This study examined the psychometric properties of the Care-FIT in a clinical sample.
Method: A sample of 141 participants completed the Care-FIT and comparison measures including the Parents versus Eating Disorders scale (PvED) and the Personal Wellbeing Index (PWI). Participants were adult caregivers who currently or recently participated in eating disorder treatment for a child or adolescent aged 6-18 years. Confirmatory factor analysis (CFA) was performed and receiver operator characteristic (ROC) curves were produced for each subscale, with Pearson correlations and Fisher's r-to-z transformations run to assess convergent and discriminant validity.
Results: Items that did not meet thresholds were removed, resulting in a 20-item measure which included two subscales: an 11-item Strengths scale and a 9-item Challenges scale. CFA yielded a three-factor structure for each scale that was a strong fit to the data, with good to high internal consistency and reliability (McDonald's omega for Strengths ω = 0.81 and Challenges ω = 0.70). Care-FIT Strengths scores were significantly positively correlated to PvED scores and Challenge scores were significantly negatively correlated to PWI scores with significant Fisher's r-to-z comparisons.
Conclusion: These results provide preliminary support for use of the Care-FIT during child and adolescent eating disorder treatment, with the intent of helping to inform clinical decision-making and treatment planning such as whether supportive or adjunctive treatments might benefit a particular family.
期刊介绍:
Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice.
The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.